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Circular External Fixation for Deformity- Baltimore Pearls

Courtesy: Noman Sidhiqui, Course Director, Baltimore Limb Deformity Course, Consulant, Rubin Institute of Advanced Orthopaedics, Sinai Hospital of Baltimore, MD, USA

Total Knee Replacement Step-by-Step

Courtesy: Yogesh Joshi, MS Orth, MSc, FRCS Orth Total Knee Replacement Technical Goals – To Restore mechanical alignment of the lower limb – To Restore joint line – Balanced ligaments – To gain Normal Q angle for normal patello-femoral tracking Position -Patient positioned supine with knee flexed to 90 degree -Side support- to hold the […]

Clinical Examination of Hand- Ulnar Nerve

Courtesy: Dr Terrence Jose Jerome, FRCS. Editor, Journal of Hand and MicroSurgery Clinical Examination of Ulnar Nerve Palsy / Claw Hand Overview The lecture is centered on the clinical examination of ulnar nerve palsy, especially how to: Identify the cause and level of lesion Differentiate high vs low ulnar palsy Distinguish isolated ulnar palsy […]

Upper Limb Anatomy, Approaches, Case Studies

Courtesy: Dr Saurabh Agarwal, London, UK

Nailing in Subtrochanteric Fractures

Courtesy: Ashok Gavaskar, Rela Orthopaedic Institute, Chennai, India

Flexor Tendon Injuries

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 […]