Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Overview Flexor tendon injuries involve trauma to the flexor digitorum superficialis and flexor digitorum profundus tendons. These injuries are commonly caused by lacerations or blunt trauma. They usually result from volar-sided injuries of the hand. Associated neurovascular injuries are common due to close anatomical proximity. Tendon […]
Physical Exam of the Lower Spine
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Sequence of Examination Gait Inspection Palpation Movements Measurements Special tests Neurological examination 1. Gait Assessment Observe the patient walking normally and while turning. Shuffling gait Slap foot gait Broad-based or halting gait Antalgic gait Trendelenburg gait High-stepping gait Hemiplegic or circumduction gait 2. Inspection Inspection should […]
Intrinsic Minus and Intrinsic Plus Hand
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Intrinsic Minus and Intrinsic Plus Hand Intrinsic Minus Hand (Claw Hand) Definition Intrinsic minus hand is characterized by: Hyperextension at the metacarpophalangeal (MCP) joints Flexion at the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints This produces the classic claw hand deformity. Mechanism The deformity […]
Intrinsic & Extrinsic Tightness of the Hand
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Intrinsic Tightness vs Extrinsic Tightness of the Hand Intrinsic Tightness Definition Intrinsic tightness refers to contracture or shortening of the intrinsic muscles of the hand, including: Lumbricals Interossei Causes Common causes include: Crush injury to the hand Post-traumatic fibrosis Intrinsic muscle contracture Pathophysiology The intrinsic […]
Lumbrical Plus Finger and Quadriga Effect
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Lumbrical Plus Finger and Quadriga Effect Lumbrical Plus Finger Definition Lumbrical plus finger is a condition in which attempted finger flexion produces paradoxical extension of the interphalangeal (IP) joints. This deformity is also known as: Paradoxical extension deformity Key Concept The term “plus” refers to […]
Claw Hand and Ulnar Claw Hand
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Ulnar Claw Hand Definition Ulnar claw hand is an abnormal hand posture caused by injury to the ulnar nerve, most commonly from a distal (low) ulnar nerve lesion. It is characterized by clawing of the: Ring finger (4th digit) Little finger (5th digit) Clinical Features The […]
Symptoms Of Spine Problems
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Differential Diagnosis Of Spinal Stenosis
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Unreduced Fracture-dislocation of the Hip treated by THA
Courtesy: Dr Stanislav Bondarenko, MD , Associate Professor, Sytenko Institute of Spine and Joint Pathology, Ukraine Secretary General, European Hip Society
Practical Tips for Acetabular preparation in THA
Courtesy: Pinak Shukla MD, California Orthopaedics and Spine, California, USA
Mixed Motor Nerve Reconstruction
Courtesy: Dr Deana Mercer MD, Associate Professor, University of New Mexico, Albuquerque,USA
The Evolution of AC Joint Injury Treatment
Courtesy: Associate Professor, Andreas Voss, Sportsorthopaedicum, Regensburg, Germany
PIP Joint Dislocations and Fracture Dislocations
Courtesy: Prof Abhijeet Wahegaonkar, Sancheti Hospital, Pune, India PIP Joint Fracture-Dislocations Definition Injury involving dislocation of the proximal interphalangeal (PIP) joint with an associated fracture Most commonly involves the base of the middle phalanx articular surface Importance Commonly missed injury Delayed or inadequate treatment can lead to: Stiffness Instability Post-traumatic arthritis Loss of function […]
International Shoulder Instability Symposium 2
Courtesy: Dr Paul Sethi MD, Connecticut Dr Anand Murthi MD, Baltimore Dr Joseph Abboud MD, Rothman’s, Philadelphia Dr Anup Shah MD, San Antonio, Texas
ExtraCorporeal Irradiation Therapy in Malignant Bone Tumors
Courtesy: Dr Abhijeet Salunke, Gujarat Cancer Centre, Ahmedabad, India