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Integrating Principles and Evidence

Integrating Principles and Evidence

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Avascular Necrosis of the Femoral Head

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Avascular Necrosis of the Femoral Head: Staging, Diagnosis, and Treatment Approach Key Points 1. Overview Avascular necrosis is the death of bone tissue in the femoral head due to reduced blood supply. It is a progressive condition that can lead to collapse of the hip […]

Plantar Fibromatosis

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Also known as Ledderhose’s disease. It is a benign tumour of the plantar fascia of the foot. It consists of myofibroblasts and dense fibrous proliferation infiltrating the adipose tissue. It is most often found in the central and medial portion of the plantar fascia. The firm […]

ExtraArticular Calcaneal Fractures

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Calcaneal fractures can be intraarticular and extraarticular fractures. Extra articular fractures Anterior process fracture It results from forced plantar flexion and inversion. This fracture is frequently missed and misdiagnosed as an ankle sprain. Treatment is usually conservative and surgery is done only in cases of displaced […]

Danis Weber Classification of Ankle fractures

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Fibular fracture that is more proximal indicates an increased risk of syndesmotic disruption and ankle instability. This classification is based on the level of fibula fracrture 1. TYPE A Internal rotation and adduction injury. Fracture of the fibula below the level of tibial plafond. Usually an […]

Bone and Joint Infections

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Osteomyelitis is an infection of bone and bone marrow. What happens in bone infection?  Usually bacteria causes infection in the bone. Staph aureus is the most common organism in adults. Leukocytes are attracted to the area and secrete enzymes in an attempt to kill the […]

Painful and Antalgic Gait

Courtesy: Prof Nabil Ebraheim, University of Toledo, ohio, USA   Antalgic Gait (Painful Gait) Definition Antalgic gait is a pain-avoidance gait pattern Occurs when a patient: Reduces weight-bearing on a painful limb Minimizes time spent on the affected side Normal Gait Pattern (For Comparison) Phases of Gait Stance phase: ~60% Swing phase: ~40% Normal Characteristics […]