Monteggia fracture first described by Giovanni Monteggia in 1814.16-50% of paediatric Monteggia fractures are missed initially at presentation. Anatomy Annular ligament and quadrate ligament are primary static stabilizers of proximal radioulnar joint.Weitbrecht ligament or oblique cord which extend from just distal to radial notch on the ulna to the bicipital tuberosity and the interosseous ligament … Continue reading Paediatric Monteggia Fractures
Category: Topics
Notes on Robotic Total Knee Replacement
Term ‘robot’ originates from the Czech word ‘robota’, which means forced labour or activity.Karel Capek first used the term 'Robot' in his 1921 play called Rossum’s Universal Robots.Robots are defined as an array of computer controlled machines that perform preprogrammed, precise, and repetitive procedures.Robotic technology allow to sustain levels of precision, productivity, and efficiency that … Continue reading Notes on Robotic Total Knee Replacement
Examination of Spine
The purpose of clinical examination are many. First and foremost, the identification of patients who need emergent or urgent care and treatment, and then, identify the cause of patient’s symptoms, its impact on the patient and the needs and expectations of the patient. Any associated medical conditions that have an impact on the treatment of the … Continue reading Examination of Spine
Charcot Osteoarthropathy
Charcot neuropathic osteoarthropathy (CNO) is a noninfective, inflammatory condition affecting periarticular soft tissue and bone in patients with peripheral neuropathy which if not properly treated may lead to progressive resorption of bone, disruption of soft tissues and disorganization of joints resulting in permanent deformity, altered biomechanics, predisposition to skin ulceration, infection and osteomyelitis.It most commonly … Continue reading Charcot Osteoarthropathy
Renal Osteodystrophy
Bone is composed of cells and extracellular matrix comprised of a mainly type I collagen matrix impregnated with hydroxyapatite crystals. It is constantly remodelled by the finely balanced dual action of osteoblasts which form bone and osteoclasts which reabsorb bone. Unbalanced remodelling process leads to osteoporosis. Remodelling occurs on the bone surface and the rate of … Continue reading Renal Osteodystrophy
Congenital Dislocation of the Knee
Definition Congenital dislocation of the knee is a condition characterised by hyperextension deformity of knee with varying degrees of pathological anterior displacement of the tibia present at birth. History First described by Chenssier in 1812. Subsequently reported by Chatelaine in 1822 and by Bord in 1834. Aetiology Three theories have been proposed about the causation. … Continue reading Congenital Dislocation of the Knee
