Trauma and Ortho

CASE PRESENTATION OF  TYPE COLLES’ FRACTURE INTRODUCTION:            This (Colles’ Fx) kind of fracture is very common. In fact, the radius is the most commonly broken bone in the arm. The break usually happens when you fall and land on your outstretched hands. It can also happen in any other types of fracture. Sometimes, the other forearm bone (ulna) is also broken. When this happens, it is called as a distal ulna fracture.            This fracture was described by an Irish surgeon and anatomist, Abraham Colles, in 1814; hence the name, Colles’ fracture. ANATOMY: CLASSIFICATION: Frykman classification is based on joint involvement (radiocarpal and/or radioulnar) +/- ulnar styloid fracture. AO classification:   PATIENT INFORMATION: Ø   Patient - ‘X’ Ø   Age - 63 years/ Female Ø   Date of A...

OS TRIGONUM SYNDROME INTRODUCTION: v Up to 40 accessory ossicles and multiple sesamoids have been described in the foot and ankle ·        Definition o    accessory ossicles are  secondary ossification centers  that remain separated from the normal bone o    sesamoids are  bones that are incorporated into tendons  and move with normal and abnormal tendon motion v Most common ossicles ·        os trigonum ·        accessory navicular (os tibiale externum) ·        os intermetatarseum v Most common sesamoids ·        os peroneum ·        located in the peroneus longus tendon ·        hallux sesamoids located in the flexor hallucis brevis tendon at the base of the 1st metatarsal head. ANATOMY: ...

DIFFERENT SPLINTS AND TRACTION USED IN ORTHOPEDICS SPLINT:     Any material used to support a fracture is known as a splint . Ø   Unconventional. Ø   Conventional.   INDICATIONS: Ø   Temporary immobilization of sprains, fractures and reduced dislocations. Ø   Control pain Ø   Prevention of further soft tissue or neurovascular injuries.       CRAMER-WIRE SPLINT: Ø   Ladder splint. Ø   Used temporary splint for fractures during transportation. Ø   Made of 2 thick parallel wires with interacting wires. Ø   Can be bent into different shapes.       THOMAS KNEE-BED SPLINT: Ø   Initially used for immobilization for tuberculosis of the knee.       BOHLER BRAUN SPLINT: Ø   ADVANTAGES: Angle of traction can be changed without changing traction arrangements. Simultaneous tractions possible. Ø   DISADVANTA...