Wrist x-rays are commonly done for wrist injuries and other wrist ailments. Wrist x-rays are only able to tell about the status of carpal bones radiocarpal joint Carpometacarpal joint Distal radius Ulna In clinical practice, the common x-ray views of the wrist are posteroanterior and lateral. Oblique radiographs are included to increase sensitivity to carpal, metacarpal, […]
Trauma
Brachial Plexopathy – Causes, Symtptoms and Treatment
Brachial plexopathy is an affection of brachial plexus. Plexopathy refers to a disorder affecting nerves, blood or lymph vessels in the regions of the brachial or lumbosacral plexus, the two major plexus in the body. The symptoms of plexopathy include pain, loss of motor control, and sensory deficits. It should be kept in the mind that the […]
Flail Chest Injury – Causes, Presentation and Treatment
Flail chest is caused by severe blunt injury which causes multiple [3 or more] segmental [rib fractures at two points say anterior and posterior] rib fracture resulting in paradoxical movement of broken chest wall segment [that becomes devoid of any attachment and moves with changes in intrathoracic pressure.] With a better understanding of injury pattern, […]
Rib Fractures – Causes, Presentation and Treatment
Rib fractures are the most common injury sustained after blunt chest trauma. Rib fractures are more common in elderly and adults [older people are more prone than young adults] than children. Elderly are more likely to have associated injuries and complications. Rib fractures can be associated with injury to internal organs. This includes injury to […]
Distal clavicle Osteolysis Symptoms, Diagnosis and Treatment
Distal clavicle osteolysis refers to the process causing resorption of subchondral bone in the distal clavicle [lateral calvicle], often caused by repetitive strain injury and microfracture, and presenting as pain in the acromioclavicular joint. Distal clavicle osteolysis was first described in 1936. Distal clavicle osteolysis is believed to be an underreported and underdiagnosed condition. More […]
ACR Guidelines For Imaging of Rib Fracture
Rib fracture is the most common thoracic injury. It is found in 10% of all traumatic injuries and 40% of cases of blunt trauma. 5th to 9th ribs are most commonly involved probably due to the protection offered by shoulder girdle to upper ribs and mobility of lower ribs. Isolated rib fractures have relatively low […]
Humeral Avulsion of Glenohumeral ligament or HAGL
Humeral avulsion of the glenohumeral ligament or HAGL refers to avulsion of the inferior glenohumeral ligament (IGHL) from its humeral insertion. When it is associated with a bony avulsion fracture, it is called as bony humeral avulsion of the glenohumeral ligament (BHAGL lesion). Humeral avulsion of the glenohumeral ligament is often seen in young men engaged in contact sports […]
Axillary Nerve Injury – Causes, Effects and Treatment
Axillary nerve injury can result either from compression of the axillary nerve or traumatic injury resulting from traction, direct trauma or from injections. As deltoid is the muscle that is being supplied along with skin over the deltoid area, the axillary nerve injury causes deltoid muscle paralysis and numbness over the region. Axillary nerve injury is […]
Dorsal Scapular Nerve Entrapment Syndrome
The dorsal scapular nerve entrapment is a relatively less common nerve entrapment that causes shoulder and arm pain. It is vulnerable during brachial plexus injections as the nerve passes through the middle scalene muscle. Dorsal scapular nerve entrapment is uncommon and therefore frequently underrecognized cause of pain in shoulder and neck area. The symptoms are […]
Spinal Accessory Nerve Palsy Causes and Treatment
Spinal accessory nerve palsy often occurs due to lesions in the neck, most often due to iatrogenic reasons. The nerve is especially vulnerable in the posterior triangle of the neck owing to its long and superficial course in the posterior cervical neck. Iatrogenic spinal accessory nerve injury most commonly occurs following diagnostic lymph node biopsies […]