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Integrating Principles and Evidence

Integrating Principles and Evidence

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Common Errors In Workup & Diagnosis Of Bone & Soft Tissue Tumours

Courtesy: Dr. Yogesh Panchwagh, Dr Ashok Shyam, Ortho TV Common Pitfalls in the Diagnosis and Initial Management of Bone and Soft Tissue Tumors Overview Bone and soft tissue tumors are frequently misdiagnosed or treated inappropriately during the initial stage of management. A significant proportion of patients undergo surgery without a proper diagnostic biopsy beforehand. Inappropriate […]

Adolescent Fractures, Why Are They Different?

Courtesy: Dr. Alvin Crawford, Dr Ashok Shyam, Ortho TV   Adolescent Orthopedics – Key Concepts and Clinical Principles Introduction Adolescent orthopedics represents a unique transitional phase between pediatric and adult musculoskeletal care. During adolescence: Rapid skeletal growth occurs Hormonal changes influence bone and soft tissue physiology Injury patterns evolve as physes begin to close Sports […]

Monteggia Fractures- Staying Away From Trouble

Courtesy: Dr. Alvin Crawford, Dr Ashok Shyam, Ortho TV   Monteggia fracture-dislocation – Practical Concepts & Management Definition Injury consisting of: Fracture of ulna Dislocation of radial head Key Principle (Most Important Point) “Ulna is the key to management” Proper ulnar alignment – spontaneous reduction of radial head Focus should be on: Restoring ulna anatomy, […]

Femoral Neck Fractures In Children

Courtesy: Dr Ashok Shyam, Dr. Alvin Crawford, Ortho TV   Pediatric Femoral Neck Fractures Overview Rare injuries accounting for approximately 1% of pediatric orthopedic fractures Usually caused by high-energy trauma Trivial trauma should raise suspicion for: Pathological fracture Insufficiency fracture Common Pathological Causes Unicameral bone cyst Chondroblastoma Osteosarcoma Epidemiology More common in boys Incidence in […]

Physeal Bars: How to Suspect, Diagnose & Manage

Courtesy: Dr Ashok Shyam, Dr. Shital Parikh, Ortho TV   Physeal Bar (Growth Arrest) Introduction A physeal bar, also known as growth arrest, occurs when a bony bridge forms across the growth plate (physis), leading to partial or complete cessation of growth. Because longitudinal bone growth occurs through the physis, damage to this structure can […]

Spine Injuries In Children

Courtesy: Dr Rishi Kanna, Dr Ashok Shyam, Ortho TV General Principles Children are not small adults. Anatomy, biomechanics, and injury patterns differ significantly. Diagnosis is challenging because of normal anatomical variants, difficult clinical examination, and subtle radiological findings. Incidence and Distribution Pediatric spine injuries account for approximately 1 to 2 percent of pediatric trauma. Cervical […]

TENS

Courtesy: Dr. James Hui, Dr Ashok Shyam, Ortho TV   TENS for Pediatric Forearm Fractures Basic Principle TENS uses two pre-bent elastic nails. The nails provide symmetrical bracing and three-point fixation within the medullary canal. The construct provides translational, axial, and rotational stability. Controlled micromotion promotes callus formation and secondary bone healing. Indications Age >10 […]

Do Not Neglect The TRASH

Courtesy: Dr. Shital Parikh, Dr Ashok Shyam, Ortho TV   TRASH Elbow Injuries (Pediatric Elbow) Definition TRASH = “The Radiographic Appearance Seemed Harmless.” These are pediatric elbow injuries that: Appear normal or trivial on plain X-rays. Are actually significant injuries, often intra-articular. Are frequently missed initially and may lead to poor outcomes. Why Are They […]

Ideal Examination Of Hand

Courtesy: Dr. Abijit Wahegaonkar, Dr Ashok Shyam, Ortho TV   Hand Neurological Examination  Topic / Overview The three major nerves to assess in the hand are: Median nerve Ulnar nerve Radial nerve General Neurological Examination of the Hand Neurological examination – Motor + Sensory For each nerve, assess: Muscle function Muscle power Sensory distribution Autonomous […]