Author: Dr. Tushar Mehta
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Gout : Martel’s G Sign
The radiographic image shows right first distal metatarsal fracture (curved arrow) and a lytic lesion. It is important to observe the “Martel’s sign”, which is a radiological sign (straight arrow) to describe the overhanging margin of the new bone along the edge of erosion, named after W. Martel who first described this sign in…
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OSTEOARTHRITIS : WHAT SHOULD I DO ?
If you have osteoarthritis of the knee, you can take advantage of a wide range of treatment options. The effectiveness of different treatments varies from person to person. The choice of treatment should be a joint decision between you and your Orthopaedician. The purpose of treatment is to reduce pain, increase function and generally reduce your…
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Pearl
Pearl : The surgical importance of the brachialis lies in its nerve supply. The lateral part of the muscle is supplied by the radial nerve, and the medial part is supplied by the musculocutaneous nerve. Thus, the muscle can be split longitudinally without either side being denervated. Because the musculocutaneous nerve is the major nerve…
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Physeal Anatomy
Physeal Anatomy Physeal Growth Plate (letters on left correspond to histology in top right) B. Reserve zone Cells store lipids, glycogen, and proteoglycan aggregates for later growth and matrix production Low oxygen tension Gaucher’s diastrophic dysplasia Kneist* pseudoachondroplasia* C. Proliferative zone Proliferation of chondrocytes with longitudinal growth and stacking of chondrocytes. Highest rate of extracellular…
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Peri-Prosthetic Infection following THR
Classification : Appropriate initial treatment of an infection depends on the extent of the infection, the presence of draining sinuses, the virulence of the organism, when the infection becomes apparent, whether the implants are loose, and the patient’s general medical condition. Although the initial treatment of deep infection after total hip arthroplasty is typically surgical,…
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Phases of Throwing
There are 5 main phases of throwing Wind up (see below) Cocking Acceleration Deceleration Follow-through Biomechanics Scapula must work in concert with humerus to maintain glenohumeral stability The entire throwing motion takes approximately 2 seconds With wind up and acceleration phases taking approximately 75% of time (1.5 seconds)
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Osteoarthritis : What to do !
If you have osteoarthritis of the knee, you can take advantage of a wide range of treatment options. The effectiveness of different treatments varies from person to person. The choice of treatment should be a joint decision between you and your Orthopaedician. The purpose of treatment is to reduce pain, increase function and generally reduce your…
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GOUT : Facts to Know !
FACTS ABOUT GOUT :: Gout can develop when your body produces too much uric acid or when it does not eliminate enough of it. When the levels of uric acid in your blood are too high, it is called hyperuricemia. The Role of Uric Acid Uric acid is produced when your body breaks down purines,…
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Spina Ventosa
Spina ventosa (“wind-filled sail”) refers to the end-stage radiographic appearance of tuberculosis dactylitis: Cystic expansion of the short tubular bones with bone destruction. Tuberculous dactylitis is the painless tuberculous involvement of the fingers and toes and is more common in children. It begins with fusiform soft-tissue swelling with or without periostitis. Differential considerations include: pyogenic…
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Periphery of Physis
Groove of Ranvier : Supplies chondrocytes to the periphery for lateral growth ( width ). Circumferential growth occurs in this zone. Perichondrial Ring of LaCroix : Dense fibrous tissue that anchors and supports the physis. It connects the metaphyseal periosteum and cartilaginous epiphysis.