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Approach to Acutely Altered Mental State in Cirrhosis (Hepatic Encephalopathy) @medflutter_ 🔍 Step 1: Exclude & Treat Alternative Causes Check: Blood glucose, ABG, biochemistry, toxicology, septic screen, neuroimaging, psychiatry review. ⚡ Step 2: Identify & Correct…
Case based Learning @medflutter_ A 65-year-old male with a history of vertebral fracture due to osteoporosis presented to the outpatient clinic for follow-up the morning after receiving his first intravenous infusion of zoledronic acid. He complained of generalized fatigue,…
22-year-old has recurrent muscle cramps and carpopedal spasms What is this finding? What is the underlying condition?
Example of the “Gull Wing” Sign: Seen in an elderly woman with an anterior column fracture, showing acetabular dome impaction. The medial femoral head sits medial to the ilioischial line. The lateral gull wing edge is the intact articular dome; the medial edge reflects the…
My example of how bell clapper screws help prevent translation deformity. Fracture aligned with clamp but when released it coronally translated (red). Reclamped & used bell clapper screw (blue) that narrowed proximal canal, allowing no more shift. Paper: pubmed.ncbi.nlm.nih.gov/30086037/
Four Stages of Perilunate Dislocations (Mayfield Classification) Stage I: Scaphoid dissociation, volar radioscaphoid displacement Stage II: Dorsal capitate dislocation, lunocapitate dissociation Stage III: Perilunate dislocation, lunotriquetral disruption (lunate aligned with…
Proximal Femur Geometry and Mechanics Centre of rotation (C) lies just below the greater trochanter tip. Neck-shaft angle: 125°–135°. Greater trochanter tip: ~2–2.5 times the femoral head radius from C. Anatomical axis: 9° to midsagittal plane, 5°–7° to mechanical axis.…
Cotton’s test is used to evaluate for a high ankle sprain with a sensitivity of 73%, specificity of 100%! Click/ follow to learn more! Read: wikism.org/Cotton_Test Watch: youtube.com/watch?v=N-g8Hp… #SportsMedicine #Orthopedics #PhysicalTherapy #AthleticTraining #Rehab…
Anatomy of the Distal Radius: Includes the six dorsal extensor compartments located at the level of the extensor retinaculum.
Koch’s diagram shows that the lateral and medial cortices in the subtrochanteric region endure tension and compressive stresses, respectively
The closed fist sign evaluates for carpal tunnel syndrome with a sensitivity of 61% and specificity of 92%! Click/ follow to learn more! Watch: wikism.org/Closed_Fist_Si… Read: youtube.com/watch?v=WYLlt3… #SportsMedicine #Orthopedics #PhysicalTherapy #AthleticTraining #Rehab…
Frozen shoulder: painful, frustrating, and often mismanaged. This Deep Dive unpacks: — Why timing matters — When to inject, stretch, or scope — Common traps in diagnosis and treatment 🎥 youtube.com/watch?v=_krLMW… 🌐 deepdiveortho.com 🎧 podcasts.apple.com/gb/podcast/dee… 🎧…
Elbow Alignment Overview: In the coronal plane, the lateral column angles ~20° and the medial column ~45° from the shaft, creating a net carrying angle of ~15°. The capitellar facet positions the forearm in 3–8° internal rotation (frontal plane) and ~40° (sagittal plane).…
The “safe zone” for internal fixation of the radial head/neck. There is a nonarticulating portion of the radial head (highlighted in yellow) in which it is safe to place hardware without the risk of impingement. This safe zone is centered straight lateral with the forearm…
Here are intraop & postop images of yesterday's case by Dr. Jan Szatkowski @orthotraumamd and @IU_Health. INTRA-ARTICULAR DISTAL TIBIA FRACTURE IN 40F PROCEDURE: ORIF OF INTRA-ARTICULAR DISTAL TIBIA FRACTURE, ORIF FIBULA Here is the link to the clinical presentation and the…
Olecranon Fractures (Mayo Classification) Type IA: Non-displaced, non-comminuted Type IB: Non-displaced, comminuted Type IIA: Displaced, stable, non-comminuted Type IIB: Displaced, stable, comminuted Type IIIA: Displaced, unstable, non-comminuted Type IIIB: Displaced,…
Four Types of Capitellum Fractures (Bryan and Morrey Classification) Type I — Complete osteochondral (Hahn-Steinthal) fracture Type II — Anterior osteochondral with minimal subchondral bone (Kocher-Lorenz) Type III — Comminuted compression (Grantham) fracture Type IV — Coronal…
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