Orthopedic Care and Consultation
Hip pain is quite a cause for concern when it occurs. A systematic approach to the hip would help to delineate the plausible causes.
The first thing that is done for examining the hip is observation of the gait. This is done the moment patient comes in without making him cautious.
A careful clinical history would narrow the possibilities of diagnoses which are then furthe r narrowed in examination in usual sequence. [Read more...]
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This is clinical photograph of 55 years old lady who came with complaint of knee pain in left knee.
The photograph shows a swollen knee as compared to opposite side.
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This one is interesting. The Xray that follows shows displaced fracture of fibula with subluxation of ankle joint. On left is anteroposterior view and on right is lateral view.
This patient suffered injury after he tried to get down from moving bus. His ankle got twisted and that resulted in injury. He was taken to the hospital where he was evaluated and a splint was applied. The shadow of splint is visible in Xray. [Read more...]
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Knee joint is an important jpoint for movement and transmitting body weight to the ground. It is very frequent for this joint to get affected by problems. A careful history should highlight the chronology of the knee complaint. A probable list of of causes should be explored in history. Any predisposing condition like trauma, or medications that might underlie the complaint should be asked.
History is followed by observation of the patient’s gait.
The knee should be carefully inspected in the upright (weight-bearing) and prone positions for
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Following is an Xray of multiple metacarpal fractures in a 35 years old man who suffered trauma due to fall of heavy stone on his hand.
In this xray 2nd , 3rd and 4th metacarpals are fractured. Metacarpals are counted from thumb. [Read more...]
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Shoulder pain can originate from many causes. Therefore, during the evaluation of shoulder pain, one should carefully note any history of trauma, infection, iniflammatory disease, occupational hazards, or previous cervical disease. It is important to know whether shoulder pain is continuous or is on specific movements only.
Apart from originating from shoulder itself, shoulder pain frequently is referred from the cervical spine and intrathoracic lesions i.e. Pancoast tumor, gallbladder, hepatic, or diaphragmatic disease. [Read more...]
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The conditions to be described in this group of lesions are generalized skeletal abnormalities characterized by dwarfism affecting the spine and limbs, visceral abnormalities and evidence of a lysosomal storage disorders involving mucopolysaccharide or mucolipid.
In some the skeletal changes predominate, in others the visceral changes. Hunter first described a developmental abnormality in two brothers and Hurler recognized a hereditary component and that it was a primary disturbance of skeletal growth. [Read more...]
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Focal or unilateral hand pain may result from following causes
By contrast, bilateral hand complaints suggest osteoarthritis or a systemic or inflammatory or immune etiology.
Patterns of joint involvement are highly suggestive of certain disorders. [Read more...]
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Elderly or geriatric patients need special evaluation. Musculoskeletal disorders in elderly patients are often not diagnosed because the signs and symptoms may be insidious or chronic in these patients.The evaluation follows the same pattern of history, examination and investigation but needs to take few things into account and perform additional inquiries to exclude common geriatric musculoskeletal disorders [Read more...]
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Xray of Fracture of Supracondylar Region Of Humerus In Child 3 minutes, 55 seconds ago Approach To The Patient With Hip Pain 4 minutes, 10 seconds ago An Overview of Cervical Spondylosis 4 minutes, 16 seconds ago
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