Acute Compartment Syndrome of the Leg

The muscles and neurovascular structures of limbs are separated into closed noncompliant osteofascial compartments by tough unyielding fascia that limit the ability for volume expansion. Blood supply to the structures within the compartment depends on the difference between the arterial and venous pressure (pressure gradient) and the local vascular resistance. Any decrease in the arterial pressure or … Continue reading Acute Compartment Syndrome of the Leg

Legg Calve Perthes Disease

Legg Calve Perthes disease (LCPD) is a self-limiting condition caused by temporary interruption of blood supply to the growing proximal femoral epiphysis leading to necrosis, collapse and revascularization. Though the cause of vascular occlusion is not yet known, it leads to morphological and developmental changes in the proximal femoral head, femoral neck and acetabulum. The … Continue reading Legg Calve Perthes Disease

A Short Guide to Musculoskeletal System Examination

History General Examination Local Examination Inspection Attitude Deformity (Alignment) Limb length discrepancy) Swelling Wasting Soft tissue contours Bony contours Skin over the region Palpation Local rise of temperature Tenderness Palpation of bones, joints and soft tissues of the region Movements Active range of movement Passive range of movement Any pain, sound or axis deviation during … Continue reading A Short Guide to Musculoskeletal System Examination

Brachial Plexus Injuries in Adults

Introduction The brachial plexus prone for injury because of following reasons. The upper limb is connected to the axial skeleton mainly by the soft tissues, with the only bone connection of upper limb to axial skeleton being the clavicle.Supraclavicular portion of brachial plexus is relatively superficial.The shoulder girdle has a wide arc of movement. These … Continue reading Brachial Plexus Injuries in Adults

Plantar Plate Insufficiency or Rupture (Turf Toe)

Anatomy During normal gait, MTPJ has to sustain more than 40 to 60% off bodyweight, during normal athletic activities this increases to 2-3 times the bodyweight. During running jump MTPJ sustains eight times the body weight. Metatarsophalangeal joint (MTPJ) is statically stabilised by the plantar plate and the collateral ligaments. Dynamic stability for the first … Continue reading Plantar Plate Insufficiency or Rupture (Turf Toe)

Femoroacetabular impingement

Definition Early pathological contact between bony prominences of femur and acetabulum during hip motion due to a variety of morphological conditions leading to pain and chondrolabral damage predisposing the patient to early osteoarthritis of hip. Introduction • First described in 2003 by Prof Reinhold Ganz from Bern Hip Group, Switzerland. • Impingement may be intra-articular or … Continue reading Femoroacetabular impingement