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Bone and Spine

Orthopedic health, conditions and treatment

Procedures

Radioscapholunate Arthrodesis – Indications and Procedure

By Dr Arun Pal Singh

radioscapholunate arthrodesis

Radioscapholunate arthrodesis is a type of partial arthrodesis of the wrist which preserves some of the motion in the wrist joint. It is based on the observation that most activities of daily living can be accomplished with wrist motion in the range of 10° flexion, 35° extension, 10° radial deviation, and 15° ulnar deviation. Wrist […]

Filed Under: Procedures

Four Corner Arthrodesis [Fusion] of the Wrist

By Dr Arun Pal Singh

Four Corner Arthrodesis

Four corner arthrodesis involves excision of scaphoid and fusion of the remaining wrist bones in neutral alignment. It is motion preserving limited arthrodesis and provides pain relief and improved grip strength. This four corner arthrodesis is based on the principle that the radiolunate articulation is often spared from degenerative changes from conditions. Indications SLAC wrist […]

Filed Under: Procedures

Skeletal Survey or Bone Survey – Indications and Uses

By Dr Arun Pal Singh

Babygram or skeletal survey in congenital rubella syndrome

A skeletal survey is a series of x-rays which are done to view the entire skeleton, performed systematically to cover the entire skeleton or the anatomic regions as per clinical indications. Different clinical indications may demand a different set of x-rays. In the case of child abuse, which is a common indication, the local health […]

Filed Under: Procedures

Laminoplasty – Indications and Procedure

By Dr Arun Pal Singh

laminoplasty diagram

Laminoplasty is a process of increasing the space available for the spinal cord by reconstruction of the laminar arch via a posterior approach. It is done by hinging or opening the lamina to allow access to the canal and may include augmentation or reconstruction of the spinal canal. Laminectomy is just removal of the lamina […]

Filed Under: Procedures, Spine

Jackson Table System for Spine Surgeries

By Dr Arun Pal Singh

An image of jackson table

What is the Jackson Table System for Spine Surgeries Jackson table is a specially designed table to be used in spine surgeries. It can be used to perform a  perform a variety of spinal surgeries in supine, prone, lateral positions in a safe manner. Two of the peculiar features of Jackson table are No central […]

Filed Under: Procedures, Spine

Dynamization of Nail- Principle and Procedure

By Dr Arun Pal Singh

Mechanism of Dynamization when locking is done through dynamic slots. With loading, the screw allows play and bone fragments get approximated

What is Dynamization of nail? Dynamization of nail is the process of converting a static interlock nail to dynamic nail by removing screw of the proximal static hole [read further for explanation]. Interlock nail is a common surgery in orthopedics. It is most commonly used for fracture of femur  [read further for explanation]nd fracture of […]

Filed Under: Procedures

Ganglion Impar Block

By Dr Arun Pal Singh

Various approaches to ganglion impar

The ganglion impar is a  sacrococcygeal ganglion, also called ganglion of Wather. It is a retroperitoneal structure located at the level of the sacrococcygeal junction. It is the final terminus of sympathetic chains formed by the fusion of both the chains. Therefore, the ganglion impar block is used in patients with the pain in pelvic […]

Filed Under: Procedures

Digital Block Procedure – Indications and Techniques

By Dr Arun Pal Singh

Webspace Digital Block

Digital nerve blocks are used for numbing digits [fingers, toes] for a procedure on the digits. Injury and infection are the two most common reasons for surgical procedures of digits. The digital block is generally effective for procedures distal to metatarsal or metacarpal heads. Relevant anatomy Each digit is innervated by 4 digital nerves – […]

Filed Under: Procedures

Trigger Point Injection Procedure

By Dr Arun Pal Singh

The fingers compress muscle for needle insertion

Trigger point injections are used as a treatment modality for inactivating trigger points to provide prompt relief. Trigger points are palpable painful nodules in the taut band of muscle fibers. Trigger points are also called myofascial trigger points as they are seen in myofascial pain syndrome, a painful muscle disorder. [Read more on myofascial pain […]

Filed Under: Procedures

Intrarticular Methylene Blue Injection Procedure

By Dr Arun Pal Singh

Methylene blue injection in elbow

Methylene blue injection is an easy and safe way to rule out or confirm breakage of the joint capsule when there is an injury near or around the joint,  thus establishing or ruling out the presence of open joint injury. Open joint injuries consist of are skin and soft-tissue injuries which communicate with the joint. It […]

Filed Under: Procedures

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Pes Anserinus Bursitis Image

Pes Anserinus Bursitis Symptoms and Treatment

Pes anserinus bursitis is an inflammatory condition of Pes-anserinus bursa which lies on the medial aspect of the knee. It causes pain inferomedial to the knee joint. It is also called anserine bursitis. A bursa is a small synovial tissue lined structure between two surfaces which functions to provide space for gliding and reducing friction […]

spinal shock

What is Spinal Shock?

Spinal shock is a state of total sensory, motor power loss and loss of all reflexes for a  period which is followed by the gradual recovery of reflexes. Spinal shock can occur in case of spinal cord injury. Spinal shock begins within a few minutes of the injury, it may take several hours before the […]

Essex Lopresti Fracture

Essex Lopresti Fracture

The Essex Lopresti fracture is also called longitudinal radioulnar dissociation and consists of fracture of the radial head, rupture of the interosseous membrane, and disruption of the distal radioulnar joint. It is important to recognize  and have high index of suspicion because Essex Lopresti fracture is often missed. Isolated radial head fracture can be successfully […]

degenerative disc disease

Degenerative Disc Disease – Symptoms and Treatment

Degenerative disc disease is one of the most common causes of low back pain and neck pain. Degenerative disc disease describes the symptoms of pain and possibly radiating weakness or numbness stemming from a degenerated disc in the spine. The process is also termed as degenerative disc disorder. Degenerative disc disease can greatly affect the […]

Different types of fracture

Different Types of Fractures

Fractures occur when bones break due to energy applied to them in excess of what these can sustain. There could be different types of fractures depending on the site and severity of the injury, type of force that acted on bone and involvement of surrounding tissues. There are multiple ways to list the types of […]

Canadian C-Spine Rule

Canadian C-spine Rule

Canadian C-Spine Spine Rule For Risk of Skeletal Injury Canadian C-spine rule is for use of radiography in cervical spine injuries. Cervical spine injury has the potential for neurological injury and various protocols have been developed to protect the C-spine from field to hospital emergency care. These protective measures like a backboard, collar and sandbags […]

spinal shock

What is Spinal Shock?

Spinal shock is a state of total sensory, motor power loss and loss of all reflexes for a  period which is followed by the gradual recovery of reflexes. Spinal shock can occur in case of spinal cord injury. Spinal shock begins within a few minutes of the injury, it may take several hours before the […]

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Chronic Ankle Instability Causes and Treatment

Chronic ankle instability has is seen in about 20% of people who suffer from acute ankle sprains. It often causes recurrent sprains.About 80% of … [Read More...] about Chronic Ankle Instability Causes and Treatment

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