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Fracture of Distal and Middle Phalanx of Middle Finger with Fracture Distal Phalanx of Ring Finger

December 10, 2009 By Leave a Comment

24 years old male got injured when a slab fell on his hand during work. He presented with partial amputation of middle finger and ring finger.

There was a big lacerated wound palmar aspects of both the fingers.

The circulation in the partially amputated parts was doubtful.

The patient was immediately taken to operation theater after xray.

The xray revealed following picture.

fracture-distal-phalanx-middle-phallanx

Third ray (Middle finger) showed fractures in distal and middle phalanx, around the distal interphalangeal joint ( the joint between two phalanges). [Read more...]

Popularity: 5% [?]

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

What Is Piriformis Syndrome?

December 8, 2009 By 2 Comments

Piriformis syndrome is one of the important causes of sciatica.  In this neuromuscular disorder, the sciatic nerve is compressed or  irritated by the piriformis muscle.

The symptoms are pain, tingling and numbness in the buttocks and along the path of the sciatic nerve descending down the lower thigh and into the leg.

The syndrome may occur due to anatomical variations in the muscle-nerve relationship, or from overuse or strain.piriformis-sciatic-nerve-anatomy

Piriformis syndrome should be considered as a possible diagnosis when sciatica occurs without a clear spinal cause. [Read more...]

Popularity: 4% [?]

Filed Under: Spine, Thoracic-Lumbar Sacral Spine Tagged With: , , , ,

What Is Sciatica?

December 7, 2009 By 3 Comments

Sciatica is the term used to describe mild to intense pain in the lower limb. The term sciatica does not denote any disease. It is in fact a vague expression for a set of symptoms.

An equivalent medical  term is radiculopathy. It is  used to describe pain, numbness, tingling, and weakness in the arms or legs caused by a nerve root problem. If the nerve problem is in the neck, it is called a cervical radiculopathy. Since sciatica affects the low back, it is called a lumbar radiculopathy.

The pain is almost always caused by compression/or irritation of  either nerve root(s) that form the sciatic nerve.

The pain can also occur due to compression of the sciatic nerve itself.

The area where the pain is felt can include back,  buttock, the leg and foot. [Read more...]

Popularity: 1% [?]

Filed Under: Spine, Thoracic-Lumbar Sacral Spine Tagged With: , , , , , , , , , , , , ,

What Is Lumbar Spondylosis

December 7, 2009 By 23 Comments

Lumbar spondylosis is a type of spondylosis that occurs in lumbar spine.  It describes bony overgrowths, also called (osteophytes), predominantly those at the anterior, lateral, and, less commonly, posterior aspects of the superior and inferior margins of vertebral bodies.

Likelihood of spondylosis increases with age and is considered an inevitable part of aging.

Lumbar spondylosis is the price of  upright posture we have.

Etiology

Lumbar spondylosis appears to be a nonspecific aging phenomenon. As yet there has been found no relation to lifestyle, height, weight, body mass, physical activity, cigarette and alcohol consumption. [Read more...]

Popularity: 8% [?]

Filed Under: Spine, Thoracic-Lumbar Sacral Spine Tagged With: , , , , ,

Tibia Vara – Xray Showing Varus Deformity In Both Tibia

December 4, 2009 By Leave a Comment

A varus deformity in tibia means that the bone has bent  inwards (towards opposite leg).

The following xray is of 3 years old male child who presented with progrssively increasing  defomity of both legs.

bilateral-tibia-varus-deformity

The xray of the child revealed bilateral tibia vara. [Read more...]

Popularity: 3% [?]

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

Fracture of Medial Malleolus Fixed With Malleolar Screw – An Xray

December 3, 2009 By 4 Comments

Medial malleolus is the projection of tibia beyond ankle joint on inner side of leg. A similar projection of fibula on outer (lateral) aspect of the leg is called lateral malleolus.

Most of fractures of medial malleolus are caused by twisting injury to ankle. It my or may not be accompanied by the injury to lateral malleolus.
fracture-medial-malleolus-operated-screw

The xray in picture is of 27 years old male who fell after his ankle got twisted. He had a displaced fracture of medial malleolus and the fracture was fixed with two malleolar screw. [Read more...]

Popularity: 4% [?]

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

Radiography and Other Imaging Studies In Upper Cervical Spine Injury

December 2, 2009 By Leave a Comment

Lateral cervical spine xray is the most important trauma screening study . However, clearance of the cervical spine is not possible on  basis of  single lateral plane study. Moreover, the typical lateral cervical spine xray is centered in the midneck region and  interpretation of the occipitocervical junction can be impaired.

To be able to rule out injury following bony structures need to be seen on xray

These structures should be visualized in a trauma situation and looked for fracture, rotation, and displacement. [Read more...]

Popularity: 2% [?]

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