Orthopedic Care and Consultation
The general perception of a cure for spinal cord injury is the restoration of motor function. But injury to the spinal cord affects many systems and functions of the body including neural control of motor, sensory, autonomic, bowel and bladder. these functions are compromised.
The common complaints as a result are pain, pressure sores, infection, and diminished physiological well-being.
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Osteochondroma is also called osteocartilaginous exostosis. It is the most common primary benign tumor of bone and constitutes 35% to 50% of benign bone neoplasms.The actual incidence is may be higher as many lesions are never reported because they are asymptomatic.
Osteochondroma can occur as hey may occur as solitary lesions or can be a part of multiple hereditary exostoses, which is most often inherited as an autosomal dominant trait although it can also occur sporadically.
Multiple hereditary exostosis lesions show significant variability in size, number, and distribution.
In true sense, osteochondromas are developmental abnormaility of the cartilage which results in formation of a cartilage capped bony protrusion on the surface of a bone.
They most oftenoccur in the distal femur, proximal tibia, and proximal humerus and ilium. Thy most commonly occur in second and third decade of lif.
Males are affected twice as common as females [Read more...]
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Intertrochanteric fractures of femur are typically osteoportic fractures and are more common in elderly people. they are more commonly reslut of of insufficient trauma. Usual history is that of fall from standing height. Slippery floors or bathrooms are added factors.
The xray shows one month old fracture in 78 years old lady. The lady presented to us one month after the injury. An attempt at repair is visible in form of callus.
Intertrochanteric Fracture of Femur
The aim of treatment in these elderly patients is to stablise the fracture surgically and make the patient upright so that complications of recumbency are avoided.
this patient was successfully operated with dynamic hip screw.
Popularity: 2% [?]
Supracondylar factures are very common fractures of children. Most of these are extension type injuries where the distal fragment of the fracture goes into extension as compared to proximal part. This type of injury constitutes about 95% of the injury. Other 5% is type where the distal fragment goes into flexion.
Following xrays are of a seven year old male child who suffered flexion type of supracondylar injury to his right humerus
Flexion Type of Supracondylar Fracture - Lateral View
Note that in lateral view the distal fragment has moved volar as compared to proximal fragment. [Read more...]
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Neurogenic shock is a type of shock caused by the sudden loss of the autonomic nervous system signals to the smooth muscle in vessel walls.
This results in loss of background sympathetic stimulation, which is responsible for maintenence of tone of blood vessels. As a result of loss of vascular tone, the vessels suddenly relax resulting in a sudden decrease in peripheral vascular resistance and decreased blood pressure. [Read more...]
Popularity: 15% [?]
Xray of Total Knee Arthroplsty
Duke researches have found that total knee arthroplasty has a positive impact on qualityof life and maintainence of maintenence of independent lifestyles
The surgery was performed for osteoarthritis of the knee. Not only the surgery improved physical functioning but also the motor skills when compared to patients who do not receive TKA.
2272 patients diagnosed with osteoarthritis of the knee were included in the study, , 516 underwent replacement procedures and 1756 did not. The groups were matched on baseline functional status, other health conditions, socioeconomic characteristics, and time before TKA or diagnosis.
Among the patients who underwent TKA, baseline physical functioning measures were taken at an interview before and closest to surgery. For the comparison group, these measures were taken from an interview preceding and closest in time to the year of their first diagnosis with osteoarthritis. [Read more...]
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