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Integrating Principles and Evidence

Integrating Principles and Evidence

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Winging of the Scapula

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 […]

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 […]

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 […]