Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Winging of the Scapula Definition Winging of the scapula refers to abnormal prominence of the medial or lateral border of the scapula away from the thoracic wall due to muscular imbalance or nerve injury affecting scapular stabilizers. Causes of Medial Winging of the Scapula Most […]
Hawkin’s Sign for Shoulder Impingement
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA HAWKIN’S SIGN FOR SHOULDER IMPINGEMENT The examiner places the arm of the patient at 90degrees of shoulder flexion with elbow flexed to 90degrees, and applies an internal rotation force with the other hand. The test is positive if the patient experiences shoulder pain with this maneuver. […]
Osteochondral Defects of Talus
Courtesy: Dr Bruno Olory MD, Foot and Ankle Surgeon, DOha, Qatar Osteochondral Lesions of the Talus (OLT): Overview and Management Introduction Osteochondral lesions of the talus (OLT) are injuries involving the articular cartilage and subchondral bone of the talar dome.They are commonly seen following: Ankle sprains Ankle fractures These lesions are an important cause […]
Preop Planning and Mixed Reality in Reverse Shoulder Arthroplasty
Courtesy: Achilleas Boutsiadis MD, PhD, Athens, Greece
ScaphoLunate Instability
Courtesy: Prof Greg Bain, FRACS, Flinders University, Adelaide, Australia Scapholunate Instability: Concepts of Scaffolding and Stability Based on educational concepts in wrist biomechanics and ligament stability Introduction Scapholunate instability is one of the most important causes of carpal instability and wrist dysfunction. Modern understanding of wrist biomechanics has evolved significantly over the past 10–15 […]
HydroxyApatite Coated Implants in Hip and Knee Arthroplasty
Courtesy: Jean Alain-Epinette MD, Past President, European Hip Society
Contemporary Management of Osteogenesis Imperfecta
Courtesy: Michael Uglow, FRCS Orth, UK OVERVIEW Osteogenesis imperfecta is a genetic disorder of connective tissue. It is commonly known as brittle bone disease. The disorder is characterized by bone fragility and recurrent fractures. The underlying defect involves type I collagen, which constitutes approximately 90 percent of total body collagen. CLINICAL FEATURES Bone fragility with […]
Step-by-Step Approach to Total Hip Replacement
Courtesy: Jibananda Satpathy, MS, MRCS, FACS Step by step approach to total hip arthroplasty (Posterior approach) 1) Incision Incision size depends on the size of the patient Usually, half of the incision is above and half below the tip of greater trochanter angled down posteriorly 2) Dissection deepened by incising and separating the subcutaneous tissue […]
Lateral ExtraArticular Tenodesis for Knee Instability
Courtesy: Prof Michael Hantes, MD, Vice President, ESSKA
Posterior Dynamic Distraction Device for Scoliosis
Courtesy: Nuno Alegrete MD, Paediatric Orthopaedic and Spine Surgeon, Hospital CUF Porto, Portugal
Ankle OA: Fusion or Arthroplasty?
Courtesy: Jordi Sanchez-Ballester, FRCSOrth, Liverpool, UK End-Stage Ankle Arthritis: Arthrodesis vs Total Ankle Replacement Overview End-stage ankle arthritis is a relatively uncommon condition compared to hip and knee arthritis, but it can cause significant disability. Objectives Review epidemiology Understand surgical options Compare: Ankle arthrodesis (fusion) Total ankle replacement (TAR) Evaluate current evidence and […]
Metastatic Disease of the Cervical Spine
Courtesy: Vassileios Igoumenou MD, Chief Medical Officer, Spine Center, medius Klinik, Nürtingen, Germany
Sulcus Sign for Shoulder Instability
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Achilles Tendon Ruptures
Courtesy: Manuel Santos Carvalho MD, Porto, Portugal Anatomy The Achilles tendon is the largest and strongest tendon in the human body. It is formed by the confluence of the gastrocnemius and soleus tendons. The soleus contribution is relatively short, ranging from 3 to 11 centimeters. The gastrocnemius contributes the major portion, ranging from 11 […]
Distal Biceps Tendon Injuries
Epidemiology Relatively uncommon (~10% of all biceps ruptures) Typically affects: Men Age 40–50 years Dominant arm Much less common than proximal (shoulder) biceps rupture Mechanism of Injury Usually a single traumatic event Classic scenario: Elbow flexed Sudden eccentric load (forced extension) Patients often report: “Pop” sensation Immediate pain Risk Factors Smoking (major risk) Anabolic […]