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Orthopaedic Tutorials

@Ortho_Tutorials

8 months

Normal plain radiographs of the pediatric elbow

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Orthopaedic Tutorials

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9 months

Finger pathology #Orthopedics #FingerPathology #MedTwitter

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Orthopaedic Tutorials

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7 months

𝐀𝐧𝐭𝐞𝐫𝐢𝐨𝐫 𝐠𝐥𝐞𝐧𝐨𝐥𝐚𝐛𝐫𝐚𝐥 𝐢𝐧𝐣𝐮𝐫𝐢𝐞𝐬 include: 1. Bankart lesion 2. Perthes lesion 3. Glenolabral articular disruption (GLAD) 4. Anterior labroligamentous periosteal sleeve avulsion (ALPSA)

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Orthopaedic Tutorials

@Ortho_Tutorials

7 months

𝐈𝐥𝐥𝐮𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐭𝐡𝐞 𝐌𝐚𝐲𝐨 𝐜𝐥𝐚𝐬𝐬𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐨𝐥𝐞𝐜𝐫𝐚𝐧𝐨𝐧 𝐟𝐫𝐚𝐜𝐭𝐮𝐫𝐞𝐬. ⦿ Type IA: undisplaced non-comminuted ⦿ Type IIA: displaced non-comminuted ⦿ Type IIIA: unstable non-comminuted 📸 @Radiopaedia

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Orthopaedic Tutorials

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8 months

𝐖𝐡𝐚𝐭 𝐢𝐬 𝐆𝐢𝐥𝐮𝐥𝐚 𝐭𝐡𝐫𝐞𝐞 𝐜𝐚𝐫𝐩𝐚𝐥 𝐚𝐫𝐜𝐬?

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Orthopaedic Tutorials

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8 months

𝐓𝐡𝐞 𝐌𝐚𝐲𝐨 𝐜𝐥𝐚𝐬𝐬𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐬𝐜𝐚𝐩𝐡𝐨𝐢𝐝 𝐟𝐫𝐚𝐜𝐭𝐮𝐫𝐞𝐬 The classification divides scaphoid fractures into three types according to the anatomic location of the fracture line: •Middle (70%) •Distal (20%) •Proximal (10%) 📸 @Radiopaedia

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Orthopaedic Tutorials

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9 months

The Lichtman classification of Kienböck disease is divided into: • Stage 0: Prenecrotic •Stage I: Normal radiograph •Stage II: Lunate sclerosis

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Orthopaedic Tutorials

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8 months

Quiz #OrthopedicQuestion #TestYourKnowledge #OrthoEnthusiast #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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Orthopaedic Tutorials

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8 months

Common eponymous distal radial fractures. Photo courtesy @Radiopaedia

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Orthopaedic Tutorials

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8 months

𝐓𝐡𝐞 𝐖𝐞𝐛𝐞𝐫 𝐚𝐧𝐤𝐥𝐞 𝐟𝐫𝐚𝐜𝐭𝐮𝐫𝐞 𝐜𝐥𝐚𝐬𝐬𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 (𝐨𝐫 𝐃𝐚𝐧𝐢𝐬-𝐖𝐞𝐛𝐞𝐫 𝐜𝐥𝐚𝐬𝐬𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧) It is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint,

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Orthopaedic Tutorials

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8 months

Gartland Classification of Supracondylar Fractures. •Type I: undisplaced •Type II: displaced with intact posterior cortex •Type III: complete displacement #OrthopedicQuestion #OrthoEnthusiast #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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Orthopaedic Tutorials

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8 months

𝐑𝐮𝐞𝐝𝐢 𝐚𝐧𝐝 𝐀𝐥𝐥𝐠𝐨𝐰𝐞𝐫 𝐂𝐥𝐚𝐬𝐬𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐏𝐢𝐥𝐨𝐧 𝐅𝐫𝐚𝐜𝐭𝐮𝐫𝐞𝐬 •Type 1 : Cleavage fracture with no major articular disruption •Type 2 : Fracture dislocation with major articular surface disruption, without comminution

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Orthopaedic Tutorials

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8 months

𝐅𝐈𝐄𝐋𝐃𝐈𝐍𝐆 𝐂𝐋𝐀𝐒𝐒𝐈𝐅𝐈𝐂𝐀𝐓𝐈𝐎𝐍 𝐎𝐅 𝐒𝐔𝐁𝐓𝐑𝐎𝐂𝐇𝐀𝐍𝐓𝐄𝐑𝐈𝐂 𝐅𝐑𝐀𝐂𝐓𝐔𝐑𝐄 It is based on the level of the subtrochanteric region through which the fracture extends. •𝕿𝖞𝖕𝖊 I: at the level of the lesser trochanter (most common)

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Orthopaedic Tutorials

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7 months

𝐍𝐨𝐫𝐦𝐚𝐥 𝐀𝐧𝐤𝐥𝐞 𝐑𝐚𝐝𝐢𝐨𝐠𝐫𝐚𝐩𝐡 2 views #OrthopedicQuestion #TestYourKnowledge #OrthoEnthusiast #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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Orthopaedic Tutorials

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8 months

The classification of Judet and Letournel is the most commonly used classification of acetabular fractures. The orientation of the diagram is anterior to image left, posterior to image right, in keeping with the most common way to display sagittal CT images.

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Orthopaedic Tutorials

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7 months

𝐈𝐧𝐭𝐞𝐫𝐭𝐫𝐨𝐜𝐡𝐚𝐧𝐭𝐞𝐫𝐢𝐜 𝐅𝐫𝐚𝐜𝐭𝐮𝐫𝐞𝐬 are common extracapsular fractures of the proximal femur at the level of the greater and lesser trochanter that are most commonly seen following ground-level falls in the elderly population. #OrthoTwitter

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Orthopaedic Tutorials

@Ortho_Tutorials

9 months

Baumann angle, also known as the humeral-capitellar angle, is used for the evaluation of the displacement of pediatric supracondylar humeral fractures. It is measured on a frontal radiograph, with elbow in extension. This angle is formed by the humeral axis and a straight ...

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Orthopaedic Tutorials

@Ortho_Tutorials

8 months

𝐃𝐢𝐚𝐠𝐫𝐚𝐦 𝐝𝐞𝐩𝐢𝐜𝐭𝐢𝐧𝐠 𝐭𝐡𝐞 𝐌𝐞𝐲𝐞𝐫𝐝𝐢𝐧𝐠 𝐜𝐥𝐚𝐬𝐬𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐬𝐲𝐬𝐭𝐞𝐦 𝐟𝐨𝐫 𝐠𝐫𝐚𝐝𝐢𝐧𝐠 𝐝𝐞𝐠𝐫𝐞𝐞 𝐨𝐟 𝐬𝐩𝐨𝐧𝐝𝐲𝐥𝐨𝐥𝐢𝐬𝐭𝐡𝐞𝐬𝐢𝐬. ⦿ Grade I: 0-25% ⦿ Grade II: 26-50% Photo courtsesy @Radiopaedia

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Orthopaedic Tutorials

@Ortho_Tutorials

8 months

𝐑𝐚𝐝𝐢𝐚𝐥 𝐓𝐮𝐧𝐧𝐞𝐥 𝐒𝐲𝐧𝐝𝐫𝐨𝐦𝐞 is a compressive neuropathy of the posterior interosseous nerve (PIN) at the level of proximal forearm (radial tunnel). 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 is made clinically with pain only (maximal tenderness 3-5 cm distal to lateral epicondyle) ...

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Orthopaedic Tutorials

@Ortho_Tutorials

7 months

𝐇𝐚𝐠𝐥𝐮𝐧𝐝 𝐝𝐞𝐟𝐨𝐫𝐦𝐢𝐭𝐲, also known as a pump bump, Bauer bump, or Mulholland deformity, is defined as bony enlargement formed at the posterosuperior aspect of the calcaneum. This deformity leads to 𝒓𝒆𝒕𝒓𝒐𝒄𝒂𝒍𝒄𝒂𝒏𝒆𝒂𝒍 𝒃𝒖𝒓𝒔𝒊𝒕𝒊𝒔.

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Orthopaedic Tutorials

@Ortho_Tutorials

8 months

𝐂𝐮𝐛𝐢𝐭𝐚𝐥 𝐭𝐮𝐧𝐧𝐞𝐥 𝐬𝐲𝐧𝐝𝐫𝐨𝐦𝐞 is a peripheral entrapment neuropathy of the ulnar nerve at the elbow. It’s the second most common entrapment neuropathy of the upper limb.

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Orthopaedic Tutorials

@Ortho_Tutorials

9 months

•Perilunate dislocation is a dislocation of the carpus relative to the lunate which remains in normal alignment with the distal radius. "Peri-" is a prefix meaning “about” or “around”, so a good way to remember it is as a dislocation around the lunate.

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Orthopaedic Tutorials

@Ortho_Tutorials

6 months

𝐃𝐲𝐧𝐚𝐦𝐢𝐜 𝐡𝐢𝐩 𝐬𝐜𝐫𝐞𝐰 (𝐃𝐇𝐒) is a femoral head-sparing orthopaedic device used to treat femoral neck fractures. The procedure may complicated with infection, haematoma, non-union or malunion and avascular necrosis.

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Orthopaedic Tutorials

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6 months

𝐊𝐢𝐞𝐧𝐛𝐨𝐜𝐤'𝐬 𝐃𝐢𝐬𝐞𝐚𝐬𝐞 is the avascular necrosis of the lunate which can lead to progressive wrist pain and abnormal carpal motion. 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 can be made with wrist radiographs in advanced cases but may require MRI for detection of early disease.

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Orthopaedic Tutorials

@Ortho_Tutorials

7 months

𝐂𝐥𝐚𝐯𝐢𝐜𝐮𝐥𝐚𝐫 𝐟𝐫𝐚𝐜𝐭𝐮𝐫𝐞𝐬 are common and account for ~5% (range 2.6-10%) of all fractures. They usually require minimal treatment, which relies on analgesia and a collar-and-cuff. However, in some cases, open reduction and internal fixation are required.

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7 months

𝐅𝐫𝐚𝐜𝐭𝐮𝐫𝐞 𝐨𝐟 𝐭𝐡𝐞 𝐨𝐥𝐞𝐜𝐫𝐚𝐧𝐨𝐧. These injuries usually are not subtle (either clinically or radiologically!) and generally require open reduction internal fixation (ORIF).

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Orthopaedic Tutorials

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8 months

Patella Baja vs Patella Alta #OrthopedicQuestion #TestYourKnowledge #OrthoEnthusiast #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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6 months

The calcaneal inclination angle, aka the 𝒄𝒂𝒍𝒄𝒂𝒏𝒆𝒂𝒍 𝒑𝒊𝒕𝒄𝒉, the angle between the calcaneal inclination axis and the supporting horizontal surface, helps assess medial arch height. An increase in calcaneal pitch ≥30° indicates 𝐩𝐞𝐬 𝐜𝐚𝐯𝐮𝐬. #Orthopedics

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8 months

𝐁𝐢𝐦𝐚𝐥𝐥𝐞𝐨𝐥𝐚𝐫 𝐀𝐧𝐤𝐥𝐞 𝐅𝐫𝐚𝐜𝐭𝐮𝐫𝐞 These kind of fractures make the ankle unstable, so 𝒔𝒖𝒓𝒈𝒊𝒄𝒂𝒍 𝒕𝒓𝒆𝒂𝒕𝒎𝒆𝒏𝒕 is often recommended. Short thread 🧵

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Orthopaedic Tutorials

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8 months

Torus fractures, also known as buckle fractures, are incomplete fractures of the shaft of a long bone that is characterized by bulging of the cortex. They result from trabecular compression due to an axial loading force along the long axis of the bone.

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7 months

Illustration of the posterior surface of the shoulder showing a subcoracoid dislocation of the humeral head, with impaction of the anterior glenoid rim into the posterior humeral head.

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8 months

Illustration demonstrating some of the differing characteristics of acute and chronic osteomyelitis. Photo courtesy @Radiopaedia

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8 months

A case of 𝐩𝐚𝐭𝐞𝐥𝐥𝐚𝐫 𝐭𝐨𝐨𝐭𝐡 𝐬𝐢𝐠𝐧 arising at the insertion site of the quadriceps tendon, consistent with the development of a 𝐝𝐞𝐠𝐞𝐧𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐞𝐧𝐭𝐡𝐞𝐬𝐨𝐩𝐡𝐲𝐭𝐞 𝐨𝐟 𝐭𝐡𝐞 𝐩𝐚𝐭𝐞𝐥𝐥𝐚. #OrthopedicQuestion #orthopedics #medstudent #osces #surgery

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Orthopaedic Tutorials

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8 months

𝐂𝐡𝐚𝐫𝐜𝐨𝐭 𝐣𝐨𝐢𝐧𝐭 𝐢𝐧𝐯𝐨𝐥𝐯𝐢𝐧𝐠 𝐟𝐨𝐨𝐭 A progressive degenerative / destructive joint disorder in patients with abnormal pain sensation and proprioception.

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5 months

Lisfranc injuries, also called Lisfranc fracture-dislocations, are the most common type of dislocation involving the foot and correspond to the dislocation of the articulation of the tarsus with the metatarsal bases. Case: #OrthoTwitter

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7 months

Significant clinical features to suspect 𝐏𝐞𝐫𝐭𝐡𝐞𝐬 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 in children are: ⦿ Male sex ⦿ Ages between 3 and 12 years ⦿ Atraumatic hip pain It is important to exclude other possible causes of osteonecrosis as Perthes disease is a diagnosis of exclusion.

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@Ortho_Tutorials

6 months

𝐋𝐚𝐭𝐞𝐫𝐚𝐥 𝐞𝐩𝐢𝐜𝐨𝐧𝐝𝐲𝐥𝐞 𝐟𝐫𝐚𝐜𝐭𝐮𝐫𝐞𝐬 𝐨𝐟 𝐭𝐡𝐞 𝐞𝐥𝐛𝐨𝐰 are rare fractures. The injury is more common in children (age range: 4-10 years, peak: 6 years) Usually occurring due to 𝒗𝒂𝒓𝒖𝒔 𝒇𝒐𝒓𝒄𝒆 𝒐𝒏 𝒕𝒉𝒆 𝒆𝒍𝒃𝒐𝒘, ...

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Orthopaedic Tutorials

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8 months

𝐒𝐩𝐢𝐧𝐚𝐥 𝐂𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐅𝐫𝐚𝐜𝐭𝐮𝐫𝐞: 𝐀𝐜𝐮𝐭𝐞 𝐯𝐬 𝐎𝐥𝐝 The pattern of findings seen with 𝒂𝒄𝒖𝒕𝒆 𝒂𝒏𝒅 𝒐𝒍𝒅 𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒇𝒓𝒂𝒄𝒕𝒖𝒓𝒆 in the spine are illustrated. #OrthopedicQuestion #OrthoEnthusiast #orthopedicsurgery #orthopedics

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5 months

Fractures of the proximal femur can be divided into intra- and extracapsular fractures. Intracapsular fractures may interrupt the blood supply to the femoral head, resulting in avascular necrosis. #OrthoX #OrthoTwitter

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5 months

Segond fracture of the lateral tibial plateau rim (arrow) at the capsular attachment is virtually always associated with an ACL rupture. In this case (ie young boy) the bone is weaker than the ligament thus there has been avulsion of the ligament origin with leak of bone ...

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8 months

𝐒𝐜𝐚𝐩𝐡𝐨𝐢𝐝 𝐅𝐫𝐚𝐜𝐭𝐮𝐫𝐞𝐬 are the most common carpal bone fracture, often occurring after a fall onto an outstretched hand. 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 can generally be made by dedicated radiographs but CT or MRI may be needed for confirmation.

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8 months

The Schatzker classification is used to classify tibial plateau fractures according to the configuration of the fracture. This case shows a Schatzker type V tibial plateau fracture along with a fracture of the head of the fibula.

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5 months

Chondroblastomas are benign chondrogenic bone neoplasms characteristically arising in the epiphysis or apophysis of a long bone in young patients. Despite being rare, they are one of the most frequently encountered benign epiphyseal neoplasms in skeletally immature patients.

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8 months

Supracondylar fractures are the most common elbow fractures in children. Fall onto the outstretched hand with the elbow in full extension is the main mechanism of injury. #OrthopedicQuestion #OrthoEnthusiast #orthopedicsurgery #medicaleducation #medstudent #osces #surgery

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5 months

Five types of knee dislocation have been described, with respect to tibial displacement compared to the femur: 1. Anterior (40%) 2. Posterior (~33%) 3. Lateral (~20%) 4. Rotatory (~5%) 5. Medial (~5%) Case: #OrthoTwitter

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6 months

𝐑𝐚𝐝𝐢𝐚𝐥 𝐇𝐞𝐚𝐝 𝐅𝐫𝐚𝐜𝐭𝐮𝐫𝐞𝐬 are common intra-articular elbow fractures that can be associated with an episode of elbow instability, a mechanical block to elbow motion, an injury to the distal radioulnar joint and/or to the interosseous membrane (Essex-Lopresti).

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5 months

Segond fractures occur via tension along a variety of structures to a varying degree. These include: the anterior oblique band of the fibular collateral ligament, the lateral capsular ligament (deep), and posterior fibers of the iliotibial band (ITB). #OrthoTwitter

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5 months

Radial head fractures are the most common fracture in the elbow in the adult population and are often due to direct longitudinal loading, a fall on an outstretched hand. Case: #orthotwitter

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6 months

This is a case of a middle phalanx fracture. The patient was treated with antibiotics and a splint for the left middle finger. Orthopedic follow-up in 3 weeks was recommended to evaluate fracture healing. Case: #Orthopedics

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11 months

Holstein-Lewis fractures are extra-articular spiral fractures of the distal third of the humeral shaft. They are reported to have an increased rate of radial nerve palsy Photo courtesy 📸 @Radiopaedia

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6 months

There are two distinct categories of femoral neck fractures: intracapsular fractures, including subcapital, transcervical, and basicervical fractures, and extracapsular peri-trochanteric fractures, which encompass intertrochanteric and subtrochanteric fractures. #orthotwitter

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6 months

𝐓𝐡𝐞 𝐩𝐞𝐧𝐜𝐢𝐥-𝐢𝐧-𝐜𝐮𝐩 𝐝𝐞𝐟𝐨𝐫𝐦𝐢𝐭𝐲 is a common radiographic feature of psoriatic arthritis #OrthoTwitter 📸 @Radiopaedia

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@Ortho_Tutorials

7 months

𝐂𝐨𝐧𝐬𝐭𝐫𝐢𝐜𝐭𝐢𝐨𝐧 𝐛𝐚𝐧𝐝 𝐬𝐲𝐧𝐝𝐫𝐨𝐦𝐞 is an uncommon congenital abnormality with multiple disfiguring and disabling manifestations. Early amnion rupture with subsequent entanglement of fetal parts by amniotic strands is currently the ...

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Orthopaedic Tutorials

@Ortho_Tutorials

8 months

Nightstick fractures are isolated fractures of the ulna, typically transverse and located in the mid-diaphysis and usually resulting from a direct blow. #OrthopedicQuestion #OrthoEnthusiast #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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26

Orthopaedic Tutorials

@Ortho_Tutorials

5 months

Galeazzi fracture-dislocations consist of a fracture of the distal part of the radius with disruption of the distal radioulnar joint. Case: #orthotwitter

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Orthopaedic Tutorials

@Ortho_Tutorials

10 months

Maisonneuve Fracture #OrthopedicQuestion #TestYourKnowledge #OrthoEnthusiast #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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25

Orthopaedic Tutorials

@Ortho_Tutorials

11 months

Ochsner Test The patient is asked to join his or her hands with the fingers interlocked. If median nerve palsy is present, the patient will be unable to flex the index and middle fingers due to partial paralysis of the flexor digitorum profundus.

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

The Straight Leg Raise (SLR) test is commonly used to identify disc pathology or nerve root irritation, as it mechanically stresses lumbosacral nerve roots. It also has specific importance in detecting disc herniation and neural compression

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Orthopaedic Tutorials

@Ortho_Tutorials

8 months

Fall from height injuries need thorough assessment as many different regions of the skeleton may be affected. The greater the height, the more like the patient is to sustain multiple fractures throughout their skeleton. #OrthoEnthusiast #orthopedicsurgery #orthopedics #Osces

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Orthopaedic Tutorials

@Ortho_Tutorials

9 months

A reverse Bennett fracture-dislocation is a fracture-dislocation of the base of the 5th metacarpal bone. It is pathologically and radiographically analogous to the Bennett fracture of the thumb.

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Orthopaedic Tutorials

@Ortho_Tutorials

5 months

Fracture of the anteroinferior glenoid fossa. Minimally displaced fracture through the tip of the coracoid process. Glenoid fractures are uncommon, accounting for ~10% of scapular fractures Case: #OrthoTwitter

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

Dynamic hip screws (DHS) are a femoral head-sparing orthopedic device used to treat femoral neck fractures. It is sometimes referred to as a pin and plate. Photo courtesy 📸 : @Radiopaedia #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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Orthopaedic Tutorials

@Ortho_Tutorials

10 months

Ankle - Malleolar Fracture Weber B #OrthopedicQuestion #TestYourKnowledge #OrthoEnthusiast #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

The O'Donoghue unhappy triad comprises three types of soft tissue injury that frequently tend to occur simultaneously in knee injuries. O'Donoghue described the injuries as: 1) Anterior cruciate ligament tear 2) Medial collateral ligament injury 3) Medial meniscal tear

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21

Orthopaedic Tutorials

@Ortho_Tutorials

8 months

𝐒𝐩𝐨𝐧𝐝𝐲𝐥𝐨𝐥𝐢𝐬𝐭𝐡𝐞𝐬𝐢𝐬 𝐫𝐞𝐟𝐞𝐫𝐬 𝐭𝐨 𝐭𝐡𝐞 𝐝𝐢𝐬𝐩𝐥𝐚𝐜𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐯𝐞𝐫𝐭𝐞𝐛𝐫𝐚𝐥 𝐛𝐨𝐝𝐲, 𝐢𝐧 𝐫𝐞𝐥𝐚𝐭𝐢𝐨𝐧 𝐭𝐨 𝐢𝐭𝐬 𝐢𝐧𝐟𝐞𝐫𝐢𝐨𝐫 𝐯𝐞𝐫𝐭𝐞𝐛𝐫𝐚. ⦾ 𝐑𝐞𝐭𝐫𝐨𝐥𝐢𝐬𝐭𝐡𝐞𝐬𝐢𝐬: Posterior displacement of vertebral body relative to the

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22

Orthopaedic Tutorials

@Ortho_Tutorials

7 months

𝐇𝐚𝐦𝐦𝐞𝐫 𝐓𝐨𝐞 is a lesser toe deformity characterized by PIP flexion, DIP extension and MTP slight extension. 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 is made clinically with the presence of a rigid or flexible lesser toe with PIP flexion, DIP extension and MTP slight extension. @Radiopaedia

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22

Orthopaedic Tutorials

@Ortho_Tutorials

5 months

Unicameral bone cysts (UBC), also known as simple bone cysts (SBC) are common benign non-neoplastic lucent bony lesions that are seen mainly in childhood and typically remain asymptomatic. Case:

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23

Orthopaedic Tutorials

@Ortho_Tutorials

10 months

A rocker bottom foot (also known as a congenital vertical talus) is a congenital anomaly of the foot. It is characterised by a prominent calcaneus/heel and a convexly rounded sole. It results from a dorsal and lateral dislocation of the talonavicular joint.

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Orthopaedic Tutorials

@Ortho_Tutorials

10 months

Segond fracture is a small avulsion fracture of lateral tibial condyle, which is usually associated with anterior cruciate ligament tear Photo 📸 @Radiopaedia

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Orthopaedic Tutorials

@Ortho_Tutorials

7 months

The humeral head is dislocated anteriorly and inferiorly with the anteroinferior margin of the glenoid, with some flattening of the corresponding part of the humerus.

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

Milking Maneuver is a elbow ligamentous injury test which evaluates the anterior and posterior bundle of the ulnar collateral ligament (Valgus instability).

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19

Orthopaedic Tutorials

@Ortho_Tutorials

6 months

𝐒𝐜𝐡𝐦𝐨𝐫𝐥 𝐧𝐨𝐝𝐞𝐬 refer to protrusions of the cartilage of the intervertebral disc through the vertebral body endplate and into the adjacent vertebra. #OrthoTwitter

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20

Orthopaedic Tutorials

@Ortho_Tutorials

5 months

Transcervical fractures are one of three types of femoral neck fractures: the other two are subcapital and basicervical. Case: #OrthoX #orthotwitter

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

Instability tests - Lichtman test Position: The patient puts his/her forearm in pronated position and relaxes his/her hand. Test: The therapist supports the hand of the patient. He performs an ulnar and radial deviation while he compresses the carpus to the radius.

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Orthopaedic Tutorials

@Ortho_Tutorials

1 year

To perform the Hawkins-Kennedy test according to its original description, have the patient in sitting position with the affected arm in ninety degrees of shoulder flexion and the elbow flexed to ninety degrees.

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Orthopaedic Tutorials

@Ortho_Tutorials

1 year

Mallet Finger is a finger deformity caused by disruption of the terminal extensor tendon distal to DIP joint Diagnosis is made clinically with a presence of a distal phalanx that rests at ~45° of flexion with lack of active DIP extension. ...

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19

Orthopaedic Tutorials

@Ortho_Tutorials

8 months

𝐇𝐞𝐦𝐢𝐩𝐥𝐞𝐠𝐢𝐜 𝐆𝐚𝐢𝐭 The patient stands with unilateral weakness on the affected side, arm flexed, adducted and internally rotated. Leg on same side is in extension with plantar flexion of the foot and toes. When walking, the patient will hold his or her arm to ...

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19

Orthopaedic Tutorials

@Ortho_Tutorials

10 months

Volkmann's ischemic contracture is a permanent shortening of forearm muscles, usually resulting from injury, that gives rise to a claw-like deformity of the hand, fingers, and wrist. It is more common in children.

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

The piano key sign test is used to assess the stability of the distal radio-ulnar joint (DRUJ)

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Orthopaedic Tutorials

@Ortho_Tutorials

5 months

The mass was surgically resected. The radial neurovascular bundle was associated with the mass and carefully peeled from the mass during surgery. Pathology was consistent with schwannoma. #OrthoTwitter

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Orthopaedic Tutorials

@Ortho_Tutorials

9 months

Malgaigne fracture is an unstable type of pelvic fracture, which involves one hemipelvis, and results from vertical shear energy vectors. One of the clinical features is shortening of the leg on the affected side. Diastasis of the pubic symphysis and urethral injuries may coexist

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

Elbow Dislocations are common elbow injuries which can be characterized as simple or complex depending on associated injury to nearby structures. Diagnosis can be made with plain radiographs. CT studies can be helpful to evaluate for loose bodies or for surgical planning.

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Orthopaedic Tutorials

@Ortho_Tutorials

6 months

This is a case of grade 2 open tibial and fibula shaft fractures. The patient underwent surgical debridement and reduction with the application of an external fixator. Definitive fixation was done 12 days later, and a recommended 2-week orthopedic follow-up was given.

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Orthopaedic Tutorials

@Ortho_Tutorials

6 months

𝐊𝐧𝐨𝐰𝐧 𝐡𝐢𝐬𝐭𝐨𝐫𝐲 𝐨𝐟 𝐩𝐬𝐨𝐫𝐢𝐚𝐭𝐢𝐜 𝐚𝐫𝐭𝐡𝐫𝐢𝐭𝐢𝐬. Both interphalangeal ankylosis and pencil-in-cup deformities are demonstrated in these images. Case: #OrthoTwitter

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Orthopaedic Tutorials

@Ortho_Tutorials

7 months

𝐀𝐜𝐡𝐢𝐥𝐥𝐞𝐬 𝐓𝐞𝐧𝐝𝐨𝐧 𝐑𝐮𝐩𝐭𝐮𝐫𝐞𝐬 are common tendon injuries that occur due to sudden dorsiflexion of a plantarflexed foot, most commonly associated with sporting events.

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Orthopaedic Tutorials

@Ortho_Tutorials

6 months

𝐌𝐞𝐭𝐚𝐩𝐡𝐲𝐬𝐞𝐚𝐥 𝐂𝐡𝐨𝐧𝐝𝐫𝐨𝐝𝐲𝐬𝐩𝐥𝐚𝐬𝐢𝐚 is a heterogeneous group of congenital disorders caused by variety of mutations leading to metaphyseal changes of the tubular bones with normal epiphyses. #OrthoX Thread 🧵

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Orthopaedic Tutorials

@Ortho_Tutorials

10 months

Subcapital fracture is the most common type of intracapsular neck of femur fracture. The fracture line extends through the junction of the head and neck of femur.

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

Chauffeur fractures (also known as Hutchinson fractures or backfire fractures) are intra-articular fractures of the radial styloid process. The radial styloid is within the fracture fragment, although the fragment can vary markedly in size. 📸: @Radiopaedia

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Orthopaedic Tutorials

@Ortho_Tutorials

9 months

The combination of radial head fracture, coronoid process fracture and dislocation of the elbow joint is referred to as 'terrible triad'. Treatment is by open reduction and internal fixation (ORIF) or radial head arthroplasty.

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Orthopaedic Tutorials

@Ortho_Tutorials

8 months

𝐏𝐮𝐥𝐥𝐞𝐝 𝐞𝐥𝐛𝐨𝐰 𝐬𝐲𝐧𝐝𝐫𝐨𝐦𝐞, 𝐨𝐫 𝐧𝐮𝐫𝐬𝐞𝐦𝐚𝐢𝐝'𝐬 𝐞𝐥𝐛𝐨𝐰, refers to a traumatic radial head subluxation in respect to the annular ligament. These injuries are usually seen in children younger than 5 years old, with a peak incidence between ...

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Orthopaedic Tutorials

@Ortho_Tutorials

10 months

Intertrochanteric Fracture #OrthopedicQuestion #TestYourKnowledge #OrthoEnthusiast #orthopedicsurgery #orthopedics #medicaleducation #medstudent #osces #surgery

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15

Orthopaedic Tutorials

@Ortho_Tutorials

11 months

The belly-press test is used to isolate the subscapularis muscle, to test the subscapularis muscle for tear or dysfunction. It is often used as an alternative to the lift-off test, when the lift-off test can’t be performed 📷: @ambossmed

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14

Orthopaedic Tutorials

@Ortho_Tutorials

6 months

This represents a case of a 𝐩𝐫𝐨𝐱𝐢𝐦𝐚𝐥 𝐩𝐡𝐚𝐥𝐚𝐧𝐱 𝐟𝐫𝐚𝐜𝐭𝐮𝐫𝐞. The patient was given a splint and an orthopedic follow-up in 6 weeks. After follow-up, he was advised to engage in finger range of motion as tolerated. Case: #Orthopedics

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16

Orthopaedic Tutorials

@Ortho_Tutorials

8 months

Scapular fractures are often associated with other injuries due to the high energy trauma that is usually the underlying cause: •Clavicle fracture •Rib fracture •Sternal fracture •Spinal fracture •Pneumothorax and/or pulmonary contusion •Brachial plexus injury

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Orthopaedic Tutorials

@Ortho_Tutorials

6 months

A case of a healing AIIS avulsion fracture injury based on the history of the precipitating incident a few months back. The young rugby player however continued playing through the pain over the period likely delaying his healing. #orthotwitter

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Orthopaedic Tutorials

@Ortho_Tutorials

5 months

There is abnormal periosteal reaction along the posterior aspect of the distal femur on the lateral view. In the correct clinical context, hypovitaminosis C would be a possible diagnosis. #OrthoTwitter

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

In the present case, there is a periprosthetic fracture around a dynamic condylar screw (DCS) used to treat a previous proximal femoral fracture. Periprosthetic fractures are complications usually associated with joint replacements, such as in knee or hip arthroplasties, ...

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Orthopaedic Tutorials

@Ortho_Tutorials

11 months

Bilaterally it's decreased the width of the plantar arch with Costa Bertani angle of 150 ° (VN <125 °). Verticalized articulation astragalus scaphoid. Valgus hindfoot and misalignment astragalus heel.

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Orthopaedic Tutorials

@Ortho_Tutorials

6 months

This represents a case of buckle fracture. The patient underwent close reduction, and a short arm case was applied to the left upper extremity. Orthopedic follow-up was recommended in 4 weeks. Case: #orthotwitter

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