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Xray of Malunited Fracture of Tibia and Fibula With Varus Angulation

November 15, 2009 By 6 Comments

A 35 years old young male visited the out patient department with history of trauma to ankle two days back. The ankle was swollen. The leg showed a varus deformity and marks a scar that of secondary healing  and multiple small round scars in linear fashion probably from pin insertion.

An xray of leg with ankle was done and revealed  malunited fractures of tibia and fibula with varus angulation. The deformity is evident on anteroposterior view.

malunited-fracture-tibia-fibula-varus-angulation

There was no evidence of any fresh bony injury.

On further inquiring, it came out that he suffered from open  fracture of tibia and fibula two years back and was treated with external fixator. [Read more...]

Popularity: 5% [?]

Filed Under: Leg Injuries, Musculoskeletal Radiology, Orthopaedic Images Tagged With: , , ,

Basic Anatomy of Upper Cervical Spine

November 13, 2009 By 1 Comment

The bones of upper cervical spine include

  • Base of skull surrounding the foramen magnum
  • Pair of occipital condyles
  • Atlas vertebra (C1)
  • Axis vertebra (C2)

upper-cervical-spine

Occipital Condyles

The occipital condyles are under-surface facets of the occipital bone which articulates with the superior facets of the atlas vertebra.

The condyles are oval  in shape, and their anterior extremities and they are directed forward and medialward. [Read more...]

Popularity: 28% [?]

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

Oblique Fracture of Femur In A Child – An Xray Picture

November 12, 2009 By 8 Comments

Oblique fractures result due to indirect trauma on the bone.Femoral fractures require a major trauma to occur.

The following xray belongs to  a 13 year old child who fell from height. Obliquity of the fracture is very clearly visible in this view. The bone has broken at upper third middle third junction.

oblique-fracture-femur-child

[Read more...]

Popularity: 6% [?]

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

Upper Cervical Spine Injury – An Overview

November 10, 2009 By 10 Comments

The upper cervical spine is said to be consist of  two unique vertebrae, the atlas (C1) and the axis C2). The skull base with its bony and ligamentous elements surrounding the foramen magnum plays an integral part in maintenance of the normal functional alignment of these two cervical vertebrae.

Technically however, skull base is not a part of upper cervical spine.

But the injuries to upper cervical spine also include all osseous and ligamentous structures between the skull base and the cranial side of the C-3 vertebra. [Read more...]

Popularity: 3% [?]

Filed Under: Cervical Spine, Spine, Spine Injuries Tagged With: , , , , , ,

Xrays of Fracture of Radial Neck In Adult

November 9, 2009 By Leave a Comment

Fractures of radial neck are  relatively uncommon injury around the elbow in the adults. This injury is more common in children. In contrast,  radial head fractures are more common in adults.

fracture-radial-neck

The xray in the image are of 48 years old lady who fell from scooter. This fracture generally results from  a hard fall on an extended & supinated outstretched hand. The force is transmitted through  shaft of radius and  momentum of body drives capitellum (A projection of lower humerus that articulates with head of radius) against lateral half of radial head,
tilting & displacing it laterally. [Read more...]

Popularity: 5% [?]

Filed Under: Elbow Injuries, Musculoskeletal Radiology, Orthopaedic Images Tagged With: , , ,

Anteroposterior and Lateral Xarys of Fracture Shaft of Tibia and Fibula

November 7, 2009 By Leave a Comment

The image in the xray belongs to a 34 years old male who suffered fractures of right tibia and fibula in motor vehicle accidentfracture-tibia
The fracture was successfully managed by closed reduction and internal fixation using locked intramedullary nail.

Popularity: 2% [?]

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

Oblique Fracture Upper End Tibia – Anteroposterior and Lateral Views

November 6, 2009 By Leave a Comment

Tibia is a very commonly injured bone. Fractures of upper end tibia have a risk of developing compartment syndrome due to bleed in tight fascial compartments.fracture-upper-tibia

The xray in picture belongs to 38 years old young man who suffered this injury following a bike accident. [Read more...]

Popularity: 1% [?]

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

What Is Trigger Point and Its Treatment

November 5, 2009 By 1 Comment

Also called myofascial trigger points, trigger points  are  hyperirritable spots in skeletal muscle that are associated with palpable nodules in taut bands of muscle fibers. It is  believed that palpable nodules are small contraction knots and a common cause of pain.

Pressing the  trigger point may cause local tenderness, referred pain, or local twitch response.

The trigger points frequently cause pain that frequently radiates from these points of local tenderness to broader areas, sometimes quite faraway from these points. In spite of being accepted them as a different entity, enough diagnostic criteria and cause of there origin is not known

The term “trigger point” was coined in 1942 by Dr. Janet Travell.

[Read more...]

Popularity: 1% [?]

Filed Under: Pain Management Tagged With: , ,

Types of Dwarfism

November 4, 2009 By Leave a Comment

Term dwarfism is used to describe a person of short stature.
It can be

  • Disproportionate dwarfism : One or more body parts arerelatively large or small in comparison to those of a normal adult.
  • Proportionate dwarfism: The body appears normally proportioned, but is clearly abnormally small.

Dwarfism is not necessarily a disorder. It can be a naturally occurring consequence of a person’s genetics.

Dwarfism can be classified by the location of the shortness or the structure causing it. [Read more...]

Popularity: 2% [?]

Filed Under: Pediatric Disorders Tagged With: , , , , , , ,

Leri Weill Dyschondrosteosis

November 2, 2009 By 8 Comments

Leri Weill Dyschondrosteosis is a type of dysplasia associated with Madelung deformity. It is a form of mesomelic dwarfism and was first described by Leri and Weill in 1929. Leri Weill dyschondrosteosis is characterized by

  • Variable short stature
  • Short forearms,
  • Tibial/fibular shortening.

[Read more...]

Popularity: 3% [?]

Filed Under: Pediatric Disorders Tagged With: , , ,
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