Basics of radiation safety for the orthopaedic surgeons

Use of c-arm is now an essential part of orthopaedic practice.  Use of C-arm fluoroscope in orthopaedics has improved patient outcomes by improving precision in surgery and by reducing surgical trauma by permitting minimally invasive techniques.  Radiation Physics   Within the x-ray source an electrically heated filament produces electrons. These electrons are accelerated by a … Continue reading Basics of radiation safety for the orthopaedic surgeons


Gout is an inflammatory arthritis caused by deposition and accumulation of monosodium urate crystals in tissues, mainly synovium, cartilage and skin with or without symptoms as a result of long standing hyperuricemia. 90% of gout is due to under excretion and 10% is due to increased synthesis. The stages of gout are hyperuricemia, asymptomatic gout, … Continue reading Gout

Haemophilia for the orthopaedic surgeons

Haemophilia is an X-linked genetic coagulation disorder due to deficiency of either coagulation factor VIII or IX. About 80% is due deficiency of factor VIII (Haemophilia A), 15% is due to deficiency of factor IX (Haemophilia B, Christmas disease) and the rest is due to von Willebrand disease. Haemophilia A & B are inherited as … Continue reading Haemophilia for the orthopaedic surgeons

Ward Rounds- A recently neglected part of inpatient care

  More than two decades back when I did my house surgeoncy, I had tough time with the length of ward rounds. Ward rounds started at 7:45AM and it would continue beyond 12noon without a coffee break. My feet ached, mind was numb with hypoglycemia. In those moments I used to think why rounds can’t … Continue reading Ward Rounds- A recently neglected part of inpatient care

Meniscus Lesions Tied to Neuropathic Pain in Knee OA


Meniscal extrusion on MRI significantly associated with increasing pain scores in knee osteoarthritis.

Meniscus lesions, specifically extrusions, were a risk factor for neuropathic pain in patients with knee osteoarthritis (OA), results of a pilot study suggested.

The presence of meniscal extrusion on MRI, in both medial (P=0.006) and lateral (P=0.023) compartments, was significantly associated with increasing neuropathic pain (NP) pain scores in knee OA patients, according to Camille Roubille, MD, of the University of Montreal Hospital Research Center in Quebec, and colleagues.

The presence of meniscal tears in the lateral compartment (P=0.011) was also significantly associated with pain scores, they wrote online in Arthritis Research and Therapy.

“Our finding of an association between NP and lateral meniscal tear is somewhat unexpected as literature indicates that meniscal tears are not usually associated with symptoms,” the authors wrote.

The multicenter, cross-sectional, observational study included 50…

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Scapular dyskinesis

Definition Scapular dyskinesia is defined as observable alterations in the static position of scapula or abnormal patterns of motion of scapula during coupled scapulohumeral movements in relation to the thorax. Introduction Due to inhibition or disorganization of activation patterns of scapular stabilizing muscles.  Disrupts the normal rhythm of scapulohumeral motion and shoulder kinematics.  Associated with … Continue reading Scapular dyskinesis