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Xray of Fracture of Humerus Operated With Low Contact Direct Compression Plate and Bone Graft

November 29, 2008 By Leave a Comment

This is a post operative xray of arm of 43 years old female who suffered a fall on her hand which resulted in fractures of humerus. The side involved was left.

At first she was given a trial of conservative treatment in form of hanging cast but serial follow up xrays failed to show any contact.

After 3 weeks of her injury, she was treated with open reduction and internal fixation using low contact dynamic compression plate (LCDCP) and autogenous bone grafting which was harvested from her lef iliac crest.

The patient is still in follow up and is showing good bone healing.

Note

Conservative treatment in obese persons is relatively dificult. In my experience nothing suits an obese arm as for as splintage is considered. The splint does not provide any support because it cannot snugly fit due to fat  and the fracture mobility is unchecked.

I have always found it difficult to treat the obese patients by conservative means. I am more inclined to treat them with a surgical procedure as I have found them to respond better.

However, this is my personal view and is not a fact. It would require a study on arge number of cases to prove my hypothesis

Popularity: 2% [?]

Filed Under: Orthopaedic Images Tagged With: , ,

Proximal Humerus Fractures – Displaced Fractures of Tuberosity

November 28, 2008 By Leave a Comment

Greater and lesser tuberosity fractures are well known fractures of upper end of humerus. Out of these two greater tuberosity is commoner than lesser one.

These fractures are quite often missed in the emergency.  This may occur due to following reasons

  • Small piece of fractured bone may be overlooked. But it is important to understand that fractured bone may be attached to rotator cuff.
  • Small fragments may be missed to be calcific deposits.
  • Pieces may be superimposed on the humeral head and may be difficult to appreciate.
  • When an anterior glenohumeral dislocation is present in association with a greater tuberosity fracture, attention may be focused on the dislocation, and the tuberosity fracture may be missed. [Read more...]

Popularity: 8% [?]

Filed Under: Shoulder Girdle Injuries Tagged With: , , ,

Fractures of Proximal Humerus – When To Treat Non operatively?

November 27, 2008 By Leave a Comment

A large number of patients with fractures of proximal humerus can be managed with non operative methods. The principle of treatment by conservative methods is  early protection combined with gradual mobilization.

Elderly people accept non operative treatment quite well.  Even deformities like displacement and angulation are taken very well by these patients. Angulation is well compensated for by shoulder motion. [Read more...]

Popularity: 2% [?]

Filed Under: Shoulder Girdle Injuries Tagged With: , , , ,

Fractures of Proximal Humerus

November 22, 2008 By 4 Comments

Majority of the proximal humeral fractures occur in older patients. This is so because older patients have osteopenic or osteoporotic bones which get damaged easily by trivial trauma. High energy trauma can produce these fractures in any person of any age.

Mechanism
Most of these fractures occur due to a simple fall on the arm.  Strong muscular contraction might be responsible in the setting of electric shock or seizure. [Read more...]

Popularity: 14% [?]

Filed Under: Shoulder Girdle Injuries

Anatomy of Rotator Cuff

November 17, 2008 By Leave a Comment

The rotator cuff, also known as rotor cuff is an anatomical term given to the group of muscles and their tendons that act to stabilize the shoulder. Along with the teres major and the deltoid, the four muscles of the rotator cuff make up the six scapulohumeral (those that connect to the humerus and scapula) muscles of the human body. [Read more...]

Popularity: 5% [?]

Filed Under: Musculoskeletal Anatomy Tagged With: , , , , , ,

Physical Exercises For Neck Pain Relief

November 16, 2008 By 3 Comments

Beginning today we are going to start a section on physiotherapy and exercises.

The following stretches can keep your neck muscles flexible and strong. A regular neck exercise program can help relieve stiffness and muscle tension.

Tilt from front to back

  1. Tilt your head slowly back, far enough so you can look up.
  2. Hold posture for a moment.
  3. Return slowly to front position.
  4. Do 5-10 repetitions of this exercises 3 times a day. [Read more...]

Popularity: 2% [?]

Filed Under: Physiotherapy Tagged With: , , , , , , , ,

Fracture Dislocation of Elbow

November 14, 2008 By 2 Comments

Anteroposterior and lateral view of xray of 35 years old  male showing fracture of olecronon extending till upper fourth of ulnar shaft, fracture of cornoid, dislocation of ulno humeral joint and radial head.

A very severe trauma is required to produce this kind of injury in an adult. This patient suffered injury in motor vehicle injury.

Popularity: 1% [?]

Filed Under: Orthopaedic Images Tagged With: , , , ,

Scapular Fractures

November 8, 2008 By 1 Comment

The scapula is a bone that sits congruently against the ribs and stabilizes the upper extremity against the thorax.

It links the upper extremity to the axial skeleton through the glenoid, the acromioclavicular joint, clavicle, and the sternoclavicular joint.

Fracture of the scapula is not that common. The low incidence of scapular fractures has been attributed to thickened edges, great mobility with recoil, and its layers of muscle around it. The fractures generally occur in young patients. [Read more...]

Popularity: 5% [?]

Filed Under: Shoulder Girdle Injuries Tagged With: , , , , , ,

Xray – Fracture Shaft Of Femur

November 3, 2008 By 9 Comments
Facture of Shaft of Femu

Fracture of Shaft of Femur

The picture shows fracture of shaft of femur of right side at upper and middle third junction. Fracture femora are high energy injuries and are quite common in young, active individuals.

Also visible in the xray is poorly applied Cramer Wire Splint. Because it does not span one joint above and one below the fracture, it is a poor splint.

Popularity: 4% [?]

Filed Under: Femoral Fractures, Musculoskeletal Radiology, Orthopaedic Images Tagged With: , ,

Synovial Sarcoma or Synovioma

November 1, 2008 By Leave a Comment

Synovial sarcoma is a highly malignant soft-tissue tumor. It originates from synovial tissues but often goes beyond the capsule in the para-articular soft-tissues.

The tumour occurs mostly in young adults but it has also been found in the adolescents and children.

Knee and hip are most common locations followed by shoulder and elbow. These sites account for 85% of tumor occurence.

The synoviomas are large, bulky and fast-growing and may often be painful at these sites.

About 15 percent of cases synovioma is located in the hands and feet.

In these distal sites the tumors present as small, superficial, soft, fixed masses that grow slowly. [Read more...]

Popularity: 3% [?]

Filed Under: Musculoskeletal Tumours Tagged With: , , , , , , ,