Orthopedic Care and Consultation
47 years old mason by profession came with knee injury after a motor vehicle accident. Xray revealed fracture of upper end tibia.
Fracture of Upper End Tibia
The patient was treated by open reduction and fixation by lateral head tibial buttress plate
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Young male of 25 years of age presented to OPD with complain of hip pain on right side. His xray revealed avascular necrosis of bilateral hip as visualized by increased radiodensity.
Bilateral Femoral Head Avascular Necrosis
The patient had received steroid therapy for leukemia and it could be the causative factor for avascular necrosis of hip.
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Following is an example of avascular necrosis that can occur after trauma. The patient, 53 years old male, suffered fracture neck femur and was operated for the same using cancellous cannulated screws about 7 months prior to this xray.
He presented to OPD with pain in the involved hip and the xray revealed following picture.
Avascular Necrosisof Femoral Head With Cancellous Screws In Situ
The fracture neck femur has united but there is increased radiodensity of the head along with collapse of superomedial portion of the head thus indicating that patient has avascular necrosis of the head of femur.
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Xray of 11 year old male child who came with complaint of limp
Xray of Neglected Congenital Hip Dislocation
Note the proximal migration of hip, shallow or hypoplastic acetabulum and a false acetabulum suggesting a case of congenital hip dislocation.
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An ununited fracture of the lateral condyle can lead to cubitus valgus as the growth occurs.
Following is an xray of adult who had suffered fracture of lateral condyle in childhood and was not treated for the same
Xray Elbow Showing Old Ununited Fracture Lateral Condyle WIth Cubitus Valgus
The xray shows an united fracture of lateral condyle and elbow in high degree of valgus.
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Following Xrays are of a patient who was operated for fracture of distal end radius using Volar plate. The xray shows volar palte in situ and united fracture of radius.
First the AP view
AP Radiograph Showing United Fracture Radius With Volar Radial Plate In Situ
And now the lateral view [Read more...]
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Radial club hand is a term given to the condition which presents as presents with differing degrees of shortening (or absence) of radius, carpal bones, and radial rays including thumb.
Followign xray of a patient of radial club hand shows absent radius, absence of radial ccarpal bones and a hypoplastic first ray.
Radial Club Hand
Also note the hypertrophic and bowed ulna,
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Following xray is of 37 years old female who suffered a fracture patella after a fall.
Xray of Displaced Fracture of Patella -Lateral View
The fracture fragments are widely displaced and require tension band wiring.
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Xrays of 9 year old child showing supracondylar fracture.
The xray shows a unreduced, united fracture and new bone formation along the intact posterior periosteal sleeve.
Lateral View of Malunited Supracondylar Humerus Fracture
Here is the lateral view.
[Read more...]
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Xray of Monteggia fracture dislocation in a 32 years old female.
Xray Showing Fracture Ulna and Dislocated Haad Of Radius or Monteggia Fracture
This pattern of injury is more common in children than adults
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