Xray of Sessile Osteochondroma of Lower Part of Tibia

Osteochondroma are projections of bone with a cartilage cap on top that starts growing in metaphysis and goes toward the diaphysis when the person grows. It is found in growing skeleton and grows only till the time bone growth is there.

There are two types

  • Pedunculated or with a stalk
  • Sessile No stalk as in image

Sessile osteochondroma of tibia

Sessile osteochondroma of tibia

Osteochondromas especially those which are solitary do not require any treatment until they are causing severe symptoms or a sarcomatous change occurs in the lesion

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Understanding Spinal Injury – Complete and Incomplete Spinal Cord Injury

complete-spinal-injuryIn the evaluation of spinal injuries, they are often classified as complete or incomplete injuries. Traditionally, a complete spinal cord injury meant that there was no motor or sensory function below the level of lesion. But at times these definitions are difficult to apply and can create confusion.

For example it is common to have zone of partial preservation in many spinal injuries which is an area of preserved partial sensation below the injury site but below which no significant motor and sensory function is present.

Where to put these patients? [Read more...]

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Clinical Photograph of Below Elbow Slab or Short Arm Plaster Splint

An Example of Below Elbow Plaster Splint

An Example of Below Elbow Plaster Splint

Below elbow splint is commonly applied for many injuries of forearm and wrist. Theextent of this splint is from just below the olecronon tip to level of knuckles on the posterior aspect and 3-5 cm below flexion crease of elbow  to level of mid palmar creas eon the volar aspect.

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Initial Care of Patient With Spine Injury

All trauma patient must be provided protection and immobilization of the spine until spinal injury has been ruled out or treated definitively.
This general principle and implications are  commonly referred to as spine precautions. These precautions include

  • All trauma patients should be maintained in the supine position at strict bed rest with the bed flat;
  • Transfers should be done with a spine board
  • Patients with cervical injury must be stabilized with hard cervical collar
  • Log-rolling should be don to turn the patients

Further course of events depend upon the clinical qand radiological assessment of the injury. [Read more...]

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