Projection at the posterior and superior aspect of Calcaneum.
Produces recurrent retro Calcaneal bursitis.
Calcification at the tendon Achillis is another cause of bursitis.
Excision through medial or lateral incision. Always sunrise the tendon.
Huglund Deformity Of Calcaneum
Posted in General
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Communited Galeazzi Fracture
Distal Radius fracture with dislocation of inferior radio ulnar joint needs surgical correction. The radial length should be maintained and inferior radio ulnar joint should be stabilized. The fracture is stabilized with locking distal radial plate and k wire fixation for inferior radio ulnar joint. It is better to place the k wire proximal to the inferior radio ulnar joint to prevent stiffness of the joint. K wire may be removed after 3 weeks. If the stability of the internal fixation is not adequate, it can be protected with POP cast or with an external fixator.
Developmental Coxa Vera
It is previously known as congenital coxa vera. It is bilateral in half of the cases. Child presents with trendelenberg’s gait at the time of ambulation.
X ray shows characteristic triangular bone fragment at the inferior and posterior part of neck.
It may progress, remain static or regress. May need corrective osteotomy.
Other types:
1. Congenital: Associated with proximal femoral deficiency, subtrochantric pseudarthrosis
2. Dysplastic: In association with Fibrous dysplasia or Rickets
3. Aquired: Due to fractures or infections
Posted in Pediatric Orthopedics
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Supracondylar Fracture In A Treated Case Of GCT
50 Years old man presented following a fall having sustained supracondylar fracture of the Femur. He had GCT of the medial femoral condyle of the same side treated 20 years ago with currettage and bone cementing.
This fracture is treated with distal femoral locking plate. The fracture site is exposed through a straight lateral incision without anterior curvature in the distal end of the incision
The plate is positioned slightly proximal to avoid the cement. There are 5 locking screws distally.
Posted in Trauma
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Welcome to Orthoreview
Hi friends,
I am starting a new blog to discuss common Orthopedic cases with discussions and review of literature. There will be categories like Trauma, Arthroscopy, Arthroplasty, Spine, Hand, Foot, Peadiatric Orthopaedics etc
Have a great discussion
Regards,
Anwar Marthya
Posted in General
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