Calcaneus fracture
•Download as PPTX, PDF•
0 likes•60 views
- Calcaneal fractures are disruptions of the calcaneus bone, commonly caused by falls from heights. They represent 2% of all fractures and 60-75% are displaced intraarticular fractures. - Clinical features include pain, swelling, inability to bear weight, bruising, and restricted foot movement. X-rays can measure the Bohler's angle and critical angle of Gissane to determine fracture severity and displacement. - Treatment depends on fracture displacement and stability. Non-operative treatment involves rest, elevation, and gradual weight bearing for displaced fractures. Operative treatment with open reduction and internal fixation is recommended for significantly displaced or unstable fractures to restore anatomy and function.
Report
Share
Report
Share
Recommended
Management of paediatric supracondlar humeral fractures
An overview of the approach to diagnosis and treatment of supracondylar humeral fractures in children
Distal Humeral Fractures – How to Fix Them, with Correlation with Evidence
This presentation accompanied a talk given by Melbourne based Orthopaedic Surgeon Mr Ash Moaveni, FRACS, on distal humeral fractures.
http://www.melbourneshoulder.com.au
Slides include information on
- Fracture classification
- Epidemiology of Supracondylar Fractures
- Injury Evaluation
- Non-Operative Management
- Elbow Hemiarthroplasty: Indications, case example and literature
- Total Elbow Replacement: Case example and literature
- Open Reduction Internal Fixation: How to fix them, Expectations, Setup, Exposure
- Olecranon Osteotomy literature
- Technical Pearls for Internal Fixation
- Plate Positioning
- Complications
- Summary
calcaneal fracture
The document discusses calcaneal fractures, including anatomy, imaging, classifications, treatment options, complications, and outcomes. It provides three key points: 1) Calcaneal fractures result from high-energy injuries and carry long-term risks like arthritis if not treated properly. 2) Operative treatment via open reduction internal fixation (ORIF) can restore anatomy and function if complications are avoided, but the best treatment method remains controversial. 3) While studies show no significant difference in outcomes between operative and non-operative treatment, operative treatment may lower arthritis and fusion rates in select cases if complications are minimized through careful patient selection and technique.
Neck Of femur fracture.pptx
- Fractures of the femoral neck are common and serious injuries that are increasing in incidence. They can occur from low or high-energy mechanisms.
- Treatment depends on patient age and fracture characteristics. Younger patients generally undergo open reduction and internal fixation while elderly patients may be treated with hemiarthroplasty or total hip arthroplasty.
- Factors like time to surgery, quality of reduction, and implant positioning influence outcomes like avascular necrosis and nonunion. Special considerations exist for stress fractures and nonunions.
Principles of arthrotomy & arthrocentesis
A summarised guide on these often frequently carried out proceduresv - arthrocentesis & arthrotomy. Quite useful for orthopaedic residents, GPs and med students
Rotator cuff disorders, bicipital tendinopathies
The presentation includes new insight to rotator cuff anatomy, rotator cable, concept of force couple, different classifications of rotator cuff tear, signs and symptoms, special tests, non operative and operative management of rotator cuff tear, comparison of recent surgical modalities, management of irreparable cuff tears, post operative rehabilitation protocols, SLAP lesion, Parsonage Turner Syndrome
6 Calcaneum fracture
This document discusses a study on the management of intra-articular fractures of the calcaneus (heel bone) using a combined percutaneous and minimal internal fixation technique. 22 patients with this fracture were treated with minimal incision and fixation using a single cancellous screw and 2 K-wires. At follow-up of 26 months on average, all fractures had healed without complications. Patients were evaluated using the Modified Rowe Score and outcomes were rated as excellent for 10 patients, good for 10 patients, and satisfactory for 2 patients, with an average score of 80. The technique aims to minimize complications by using minimal soft tissue dissection and implants.
Lecture 33 34 parekh ankle arthritis
Ankle arthritis and ankle fusions can be performed through open, mini-open, or arthroscopic techniques. The goals of ankle fusion surgery are to create a stable, plantigrade foot that is painless. Preoperative planning involves assessing for deformities, adjacent joint arthritis, and soft tissue contractures. During the procedure, cartilage is removed and bone surfaces are prepared to promote fusion with fixation methods like screws, plates, or external fixation. Postoperative care involves restricted weight bearing to allow fusion to occur.
Recommended
Management of paediatric supracondlar humeral fractures
An overview of the approach to diagnosis and treatment of supracondylar humeral fractures in children
Distal Humeral Fractures – How to Fix Them, with Correlation with Evidence
This presentation accompanied a talk given by Melbourne based Orthopaedic Surgeon Mr Ash Moaveni, FRACS, on distal humeral fractures.
http://www.melbourneshoulder.com.au
Slides include information on
- Fracture classification
- Epidemiology of Supracondylar Fractures
- Injury Evaluation
- Non-Operative Management
- Elbow Hemiarthroplasty: Indications, case example and literature
- Total Elbow Replacement: Case example and literature
- Open Reduction Internal Fixation: How to fix them, Expectations, Setup, Exposure
- Olecranon Osteotomy literature
- Technical Pearls for Internal Fixation
- Plate Positioning
- Complications
- Summary
calcaneal fracture
The document discusses calcaneal fractures, including anatomy, imaging, classifications, treatment options, complications, and outcomes. It provides three key points: 1) Calcaneal fractures result from high-energy injuries and carry long-term risks like arthritis if not treated properly. 2) Operative treatment via open reduction internal fixation (ORIF) can restore anatomy and function if complications are avoided, but the best treatment method remains controversial. 3) While studies show no significant difference in outcomes between operative and non-operative treatment, operative treatment may lower arthritis and fusion rates in select cases if complications are minimized through careful patient selection and technique.
Neck Of femur fracture.pptx
- Fractures of the femoral neck are common and serious injuries that are increasing in incidence. They can occur from low or high-energy mechanisms.
- Treatment depends on patient age and fracture characteristics. Younger patients generally undergo open reduction and internal fixation while elderly patients may be treated with hemiarthroplasty or total hip arthroplasty.
- Factors like time to surgery, quality of reduction, and implant positioning influence outcomes like avascular necrosis and nonunion. Special considerations exist for stress fractures and nonunions.
Principles of arthrotomy & arthrocentesis
A summarised guide on these often frequently carried out proceduresv - arthrocentesis & arthrotomy. Quite useful for orthopaedic residents, GPs and med students
Rotator cuff disorders, bicipital tendinopathies
The presentation includes new insight to rotator cuff anatomy, rotator cable, concept of force couple, different classifications of rotator cuff tear, signs and symptoms, special tests, non operative and operative management of rotator cuff tear, comparison of recent surgical modalities, management of irreparable cuff tears, post operative rehabilitation protocols, SLAP lesion, Parsonage Turner Syndrome
6 Calcaneum fracture
This document discusses a study on the management of intra-articular fractures of the calcaneus (heel bone) using a combined percutaneous and minimal internal fixation technique. 22 patients with this fracture were treated with minimal incision and fixation using a single cancellous screw and 2 K-wires. At follow-up of 26 months on average, all fractures had healed without complications. Patients were evaluated using the Modified Rowe Score and outcomes were rated as excellent for 10 patients, good for 10 patients, and satisfactory for 2 patients, with an average score of 80. The technique aims to minimize complications by using minimal soft tissue dissection and implants.
Lecture 33 34 parekh ankle arthritis
Ankle arthritis and ankle fusions can be performed through open, mini-open, or arthroscopic techniques. The goals of ankle fusion surgery are to create a stable, plantigrade foot that is painless. Preoperative planning involves assessing for deformities, adjacent joint arthritis, and soft tissue contractures. During the procedure, cartilage is removed and bone surfaces are prepared to promote fusion with fixation methods like screws, plates, or external fixation. Postoperative care involves restricted weight bearing to allow fusion to occur.
I. a. # calc 2015 vaibhav gandhi
This document discusses calcaneus fractures, which make up 60% of tarsal bone fractures. It notes that calcaneus fractures often result in a varus deformity of the heel with widening, loss of height, and subtalar joint incongruency. The document outlines treatment objectives for calcaneus fractures, including re-establishing bone height and alignment. It describes the minimally invasive surgery (MIS) technique for treating calcaneus fractures with percutaneous fixation, which has benefits over open reduction including lower risk of wound complications and faster healing. The document presents several case studies of calcaneus fractures treated with MIS and notes complications can include swelling, wound problems, and malunion.
Pearls and pitfalls with im nailing of proximal tibia fractures
This document discusses the challenges of intramedullary (IM) nailing of proximal tibia fractures. It notes a reported malalignment rate of 44-84% with IM implants. Key points include recognizing troublesome fracture patterns, the importance of preoperative planning and imaging, starting point selection, and use of adjunctive techniques like clamps, blocking wires/screws, and unicortical plates to help maintain reduction during nailing. Proper application of reduction principles can help reduce risk of angular deformities, the most common complication.
Biceps Tendon Repair - Endobutton
- The study evaluated the outcomes of 17 patients who underwent distal biceps tendon repair using an EndoButton technique with an average follow-up of 4.25 years.
- Results found no wound complications, nerve palsies, or functionally limiting heterotopic ossification. Patients regained near normal elbow range of motion and strength on objective testing.
- Subjective outcomes using DASH scores averaged 9.5, indicating minimal disability, and 14 of 15 patients returned to pre-injury recreational activities. The study concluded the EndoButton technique provides a safe and effective repair allowing early motion and return to normal upper extremity function.
Management of Distal Biceps Injuries in Athletes
Bryan L. Reuss, M.D., presents "Management of Distal Biceps Injuries in Athletes" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.
Stiff Finger
บรรยายในการประชุมวิชาการ Regional Hand Meeting 2018
ระหว่างวันที่ 16-17 สิงหาคม 2561 ณ โรงพยาบาลสมเด็จพระบรมราชเทวี ณ ศรีราชา
Amputation principles
This document outlines the principles of amputation, including definitions, indications, classifications, pre-operative preparations, operative techniques, post-operative care, complications, rehabilitation, prosthetics, and follow-up. It notes that amputation involves removing a limb or part of a limb by trauma, constriction or surgery. The pre-operative assessment determines the appropriate level of amputation based on factors like blood supply. The surgery involves dividing muscles and bones above the intended level and creating skin flaps for coverage. Post-operative care focuses on rehabilitation, residual limb shaping, and prosthetic fitting to maximize patient function and independence.
L15 calcaneus
Fractures of the calcaneus can cause long-term disability if not treated properly. While the best treatment method is controversial, operative treatment via open reduction internal fixation may provide better outcomes than non-operative treatment by restoring anatomy and preventing malunion. However, operative treatment also carries risks of wound complications. Treatment must be individualized based on the injury pattern, patient characteristics, and surgeon experience to weigh the risks and benefits of operative versus non-operative management.
Principle management fracture forearm (shaft and distal end radius) in children
1) Fractures of the forearm, especially the distal radius, are very common in children.
2) Treatment depends on the type and location of the fracture, with nondisplaced fractures often treated with casting alone and more displaced fractures sometimes requiring closed or open reduction and fixation.
3) Acceptable alignment thresholds differ based on patient age, with younger children having more flexibility, but angulation over 15 degrees or rotation over 45 degrees often warrant surgical intervention.
Management of open fracture true ppt
This document discusses the historical basis and current management of open fractures. It reviews key figures like Desault who coined the term "debridement" and emphasized early debridement to prevent infection. Current management involves thorough debridement and irrigation, antibiotic administration, initial wound management, and definitive stabilization of the fracture, either through external or internal fixation depending on the injury. Proper initial management and wound care can help prevent complications and allow for later reconstruction if needed.
Pre op planning for shoulder arthroplasty
This document provides an overview of the pre-operative planning process for shoulder arthroplasty. It discusses 4 key steps: 1) clinical assessment using a cluster approach including history, exam, and investigations; 2) assessment of bone stock using x-rays, CT scans, and the Walch classification system; 3) assessment of rotator cuff status using CT, ultrasound, and MRIs; and 4) choosing the correct implant based on the individual patient's anatomy and bone loss classification. Advanced techniques discussed include 3D printing, patient-specific instrumentation, and custom implants to best address individual patient factors.
Orthopedics for nurses
This document provides an overview of the management of musculoskeletal trauma and problems. It discusses various topics including fractures, joint dislocations, contusions, sprains, strains, osteomyelitis, and low back pain. For fractures specifically, it describes the types of fractures, clinical manifestations, diagnostic tests, management including reduction, immobilization, and nursing care. It also discusses complications that can arise from fractures like infection, compartment syndrome, venous thrombosis, and fat embolism syndrome. Treatment for hip fractures is also outlined.
Acetabular Fractures
Acetabular fractures are serious orthopedic injuries that occur when the femoral head is driven through the acetabulum, sometimes resulting in hip dislocation. They require rapid treatment and often surgery due to difficult access and proximity to blood vessels and nerves. Patients typically experience intense pain, swelling, deformity, and limited range of motion. While traction and immobilization are initial treatments, most patients need open reduction and internal fixation surgery to precisely realign the bones and prevent long-term issues. Major post-operative concerns include blood clots, infections, and avascular necrosis of the femoral head. Extensive physical therapy focuses on range of motion, strength, and mobility exercises to aid recovery.
Principles of fracture managemnet
This document discusses principles of fracture management in polytrauma patients. It outlines the priorities in polytrauma management as saving life, limb, joints, and restoring function. The primary and secondary surveys are described, following ATLS protocols of airway, breathing, circulation, disability, and exposure. Definitive fracture management includes options of closed or open reduction and external or internal fixation using various implants like plates, nails, screws, wires, and external fixators. Modes of management depend on the fracture type and include observation, immobilization, closed or open reduction with casting or fixation.
Joint dislocations for medical student
This document describes a case of acute anterior shoulder dislocation in a young Thai male patient. On physical exam, the patient had pain and limited range of motion in his right shoulder. Tests like Dugar's sign and Ruler's sign were positive, confirming shoulder dislocation. An x-ray showed dislocation of the humeral head. The patient was given pain medication and his shoulder was reduced manually. His shoulder was then immobilized for 3 weeks to prevent redislocation.
Ankle fracture
- The patient is a 31-year-old Thai woman who slipped and fell on tile, injuring her right ankle.
- Physical examination revealed swelling and tenderness around the right ankle with limited range of motion due to pain. X-rays showed a closed fracture of both the medial and lateral malleoli (bimalleolar fracture) of the right ankle.
- The patient was diagnosed with a closed bimalleolar fracture of the right ankle. She was placed in a posterior short leg splint.
Orthopaedic Trauma - The Basics
This document provides an overview of orthopaedic trauma and fracture management. It defines the golden hour of trauma and describes the ATLS protocol. It discusses the primary and secondary surveys for trauma patients. Key aspects of fracture assessment and basic fracture mechanics are reviewed. The stages of fracture healing and factors affecting healing are outlined. Methods for maintaining fracture reduction both externally (casts, traction, external fixators) and internally (wires, pins, plates, nails, screws) are summarized.
Other techniques in hand fracture treatment
This document discusses techniques for fracture fixation and conservative management of hand fractures. It describes how K-wires and external fixators can be used for fracture fixation, noting their pros and cons. The principles of non-operative fracture treatment focus on maintaining anatomical alignment and functional stability. Conservative management is generally used for stable, isolated fractures to prevent displacement and promote healing, requiring splinting and range of motion exercises.
Assessment and Management of Frozen Shoulder
The Arm Clinic's Mr Mike Walton presents his thoughts on assessment and management of Frozen Shoulder. Presentation for The Arm Clinic educational event #stiffshoulder at The Wilmslow Hospital, 29th April 2016.
Abstract of strabismus surgery
It's revolutionary outstanding technique about squint surgery based on myectomy without suture under local anesthesia
neglected proximal humerus fractures-a surgical challenge, dr mohamed ashraf...
neglected proximal humerus fractures are a nightmare for trauma surgeons due to its poor outcome.dr mohamed ashraf enumerate and demonstrate the surgical challeneges and tips and tricks of surgical management of these fractures
Calcaneal fractures --sito--29th aug 2015
1. Calcaneal fractures often result from high-energy injuries and are associated with long-term morbidity if not treated properly.
2. Operative treatment with open reduction and internal fixation can provide good outcomes, but complications must be avoided.
3. Treatment should be individualized based on the fracture pattern and characteristics of the patient.
Effect of Posterior Tibial Slope on Reconstructed ACL Following Single ACL Re...
Effect of Posterior Tibial Slope on Reconstructed ACL Following Single ACL Reconstruction and Medial Opening Wedge Osteotomy-Dr. Ashok S et al
More Related Content
What's hot
I. a. # calc 2015 vaibhav gandhi
This document discusses calcaneus fractures, which make up 60% of tarsal bone fractures. It notes that calcaneus fractures often result in a varus deformity of the heel with widening, loss of height, and subtalar joint incongruency. The document outlines treatment objectives for calcaneus fractures, including re-establishing bone height and alignment. It describes the minimally invasive surgery (MIS) technique for treating calcaneus fractures with percutaneous fixation, which has benefits over open reduction including lower risk of wound complications and faster healing. The document presents several case studies of calcaneus fractures treated with MIS and notes complications can include swelling, wound problems, and malunion.
Pearls and pitfalls with im nailing of proximal tibia fractures
This document discusses the challenges of intramedullary (IM) nailing of proximal tibia fractures. It notes a reported malalignment rate of 44-84% with IM implants. Key points include recognizing troublesome fracture patterns, the importance of preoperative planning and imaging, starting point selection, and use of adjunctive techniques like clamps, blocking wires/screws, and unicortical plates to help maintain reduction during nailing. Proper application of reduction principles can help reduce risk of angular deformities, the most common complication.
Biceps Tendon Repair - Endobutton
- The study evaluated the outcomes of 17 patients who underwent distal biceps tendon repair using an EndoButton technique with an average follow-up of 4.25 years.
- Results found no wound complications, nerve palsies, or functionally limiting heterotopic ossification. Patients regained near normal elbow range of motion and strength on objective testing.
- Subjective outcomes using DASH scores averaged 9.5, indicating minimal disability, and 14 of 15 patients returned to pre-injury recreational activities. The study concluded the EndoButton technique provides a safe and effective repair allowing early motion and return to normal upper extremity function.
Management of Distal Biceps Injuries in Athletes
Bryan L. Reuss, M.D., presents "Management of Distal Biceps Injuries in Athletes" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.
Stiff Finger
บรรยายในการประชุมวิชาการ Regional Hand Meeting 2018
ระหว่างวันที่ 16-17 สิงหาคม 2561 ณ โรงพยาบาลสมเด็จพระบรมราชเทวี ณ ศรีราชา
Amputation principles
This document outlines the principles of amputation, including definitions, indications, classifications, pre-operative preparations, operative techniques, post-operative care, complications, rehabilitation, prosthetics, and follow-up. It notes that amputation involves removing a limb or part of a limb by trauma, constriction or surgery. The pre-operative assessment determines the appropriate level of amputation based on factors like blood supply. The surgery involves dividing muscles and bones above the intended level and creating skin flaps for coverage. Post-operative care focuses on rehabilitation, residual limb shaping, and prosthetic fitting to maximize patient function and independence.
L15 calcaneus
Fractures of the calcaneus can cause long-term disability if not treated properly. While the best treatment method is controversial, operative treatment via open reduction internal fixation may provide better outcomes than non-operative treatment by restoring anatomy and preventing malunion. However, operative treatment also carries risks of wound complications. Treatment must be individualized based on the injury pattern, patient characteristics, and surgeon experience to weigh the risks and benefits of operative versus non-operative management.
Principle management fracture forearm (shaft and distal end radius) in children
1) Fractures of the forearm, especially the distal radius, are very common in children.
2) Treatment depends on the type and location of the fracture, with nondisplaced fractures often treated with casting alone and more displaced fractures sometimes requiring closed or open reduction and fixation.
3) Acceptable alignment thresholds differ based on patient age, with younger children having more flexibility, but angulation over 15 degrees or rotation over 45 degrees often warrant surgical intervention.
Management of open fracture true ppt
This document discusses the historical basis and current management of open fractures. It reviews key figures like Desault who coined the term "debridement" and emphasized early debridement to prevent infection. Current management involves thorough debridement and irrigation, antibiotic administration, initial wound management, and definitive stabilization of the fracture, either through external or internal fixation depending on the injury. Proper initial management and wound care can help prevent complications and allow for later reconstruction if needed.
Pre op planning for shoulder arthroplasty
This document provides an overview of the pre-operative planning process for shoulder arthroplasty. It discusses 4 key steps: 1) clinical assessment using a cluster approach including history, exam, and investigations; 2) assessment of bone stock using x-rays, CT scans, and the Walch classification system; 3) assessment of rotator cuff status using CT, ultrasound, and MRIs; and 4) choosing the correct implant based on the individual patient's anatomy and bone loss classification. Advanced techniques discussed include 3D printing, patient-specific instrumentation, and custom implants to best address individual patient factors.
Orthopedics for nurses
This document provides an overview of the management of musculoskeletal trauma and problems. It discusses various topics including fractures, joint dislocations, contusions, sprains, strains, osteomyelitis, and low back pain. For fractures specifically, it describes the types of fractures, clinical manifestations, diagnostic tests, management including reduction, immobilization, and nursing care. It also discusses complications that can arise from fractures like infection, compartment syndrome, venous thrombosis, and fat embolism syndrome. Treatment for hip fractures is also outlined.
Acetabular Fractures
Acetabular fractures are serious orthopedic injuries that occur when the femoral head is driven through the acetabulum, sometimes resulting in hip dislocation. They require rapid treatment and often surgery due to difficult access and proximity to blood vessels and nerves. Patients typically experience intense pain, swelling, deformity, and limited range of motion. While traction and immobilization are initial treatments, most patients need open reduction and internal fixation surgery to precisely realign the bones and prevent long-term issues. Major post-operative concerns include blood clots, infections, and avascular necrosis of the femoral head. Extensive physical therapy focuses on range of motion, strength, and mobility exercises to aid recovery.
Principles of fracture managemnet
This document discusses principles of fracture management in polytrauma patients. It outlines the priorities in polytrauma management as saving life, limb, joints, and restoring function. The primary and secondary surveys are described, following ATLS protocols of airway, breathing, circulation, disability, and exposure. Definitive fracture management includes options of closed or open reduction and external or internal fixation using various implants like plates, nails, screws, wires, and external fixators. Modes of management depend on the fracture type and include observation, immobilization, closed or open reduction with casting or fixation.
Joint dislocations for medical student
This document describes a case of acute anterior shoulder dislocation in a young Thai male patient. On physical exam, the patient had pain and limited range of motion in his right shoulder. Tests like Dugar's sign and Ruler's sign were positive, confirming shoulder dislocation. An x-ray showed dislocation of the humeral head. The patient was given pain medication and his shoulder was reduced manually. His shoulder was then immobilized for 3 weeks to prevent redislocation.
Ankle fracture
- The patient is a 31-year-old Thai woman who slipped and fell on tile, injuring her right ankle.
- Physical examination revealed swelling and tenderness around the right ankle with limited range of motion due to pain. X-rays showed a closed fracture of both the medial and lateral malleoli (bimalleolar fracture) of the right ankle.
- The patient was diagnosed with a closed bimalleolar fracture of the right ankle. She was placed in a posterior short leg splint.
Orthopaedic Trauma - The Basics
This document provides an overview of orthopaedic trauma and fracture management. It defines the golden hour of trauma and describes the ATLS protocol. It discusses the primary and secondary surveys for trauma patients. Key aspects of fracture assessment and basic fracture mechanics are reviewed. The stages of fracture healing and factors affecting healing are outlined. Methods for maintaining fracture reduction both externally (casts, traction, external fixators) and internally (wires, pins, plates, nails, screws) are summarized.
Other techniques in hand fracture treatment
This document discusses techniques for fracture fixation and conservative management of hand fractures. It describes how K-wires and external fixators can be used for fracture fixation, noting their pros and cons. The principles of non-operative fracture treatment focus on maintaining anatomical alignment and functional stability. Conservative management is generally used for stable, isolated fractures to prevent displacement and promote healing, requiring splinting and range of motion exercises.
Assessment and Management of Frozen Shoulder
The Arm Clinic's Mr Mike Walton presents his thoughts on assessment and management of Frozen Shoulder. Presentation for The Arm Clinic educational event #stiffshoulder at The Wilmslow Hospital, 29th April 2016.
Abstract of strabismus surgery
It's revolutionary outstanding technique about squint surgery based on myectomy without suture under local anesthesia
neglected proximal humerus fractures-a surgical challenge, dr mohamed ashraf...
neglected proximal humerus fractures are a nightmare for trauma surgeons due to its poor outcome.dr mohamed ashraf enumerate and demonstrate the surgical challeneges and tips and tricks of surgical management of these fractures
What's hot (20)
Pearls and pitfalls with im nailing of proximal tibia fractures
Pearls and pitfalls with im nailing of proximal tibia fractures
Principle management fracture forearm (shaft and distal end radius) in children
Principle management fracture forearm (shaft and distal end radius) in children
neglected proximal humerus fractures-a surgical challenge, dr mohamed ashraf...
neglected proximal humerus fractures-a surgical challenge, dr mohamed ashraf...
Similar to Calcaneus fracture
Calcaneal fractures --sito--29th aug 2015
1. Calcaneal fractures often result from high-energy injuries and are associated with long-term morbidity if not treated properly.
2. Operative treatment with open reduction and internal fixation can provide good outcomes, but complications must be avoided.
3. Treatment should be individualized based on the fracture pattern and characteristics of the patient.
Effect of Posterior Tibial Slope on Reconstructed ACL Following Single ACL Re...
Effect of Posterior Tibial Slope on Reconstructed ACL Following Single ACL Reconstruction and Medial Opening Wedge Osteotomy-Dr. Ashok S et al
Rotator cuff syndrome
This document summarizes rotator cuff syndrome and arthroscopic subacromial decompression (ASAD). It discusses the anatomy and biomechanics of the rotator cuff. Common causes of rotator cuff pathology include impingement, tendinopathy, and tears. Conservative treatment includes physiotherapy and injections. ASAD is recommended for refractory stage 2 or 3 impingement, involving bursectomy, coracoacromial ligament release, and acromioplasty. Long-term studies show ASAD provides pain relief, improved function, and prevents future rotator cuff tears in the majority of patients. Patient selection, accurate diagnosis, and surgical technique affect outcomes.
Calcaneal fractures
This document provides an overview of fractures of the calcaneus bone. It begins with background, noting that calcaneus fractures make up about 2% of fractures and most commonly occur in males aged 21-45 from falls or car accidents. While treatment results have historically been poor, operative fixation can provide better long-term outcomes than conservative care for displaced intra-articular fractures. The document then covers anatomy, classifications, mechanisms of injury, imaging, treatment approaches including closed reduction, open reduction and internal fixation, complications, and take-home points.
AJM Sheet: Calc Fracture
The document provides detailed information on calcaneal fractures, including epidemiology, classification systems, imaging, treatment approaches, and complications. Some key points:
- Intra-articular fractures account for approximately 75% of calcaneal fractures.
- Sanders classification is most commonly used, dividing fractures into 8 types based on number of fragments and location of fracture lines seen on CT scan.
- Goals of treatment are to restore calcaneal height, width, and alignment as well as achieve anatomic reduction of joints. Treatment may include closed reduction, ORIF, external fixation, or arthrodesis.
- Common complications include wound healing issues, post-traumatic arthritis, nerve damage, and mal
AJM SHEET: CALC FRACTURE
The document provides detailed information on calcaneal fractures, including epidemiology, classification systems, imaging, treatment approaches, and complications. Some key points:
- Intra-articular fractures account for approximately 75% of calcaneal fractures.
- Sanders classification is most commonly used, dividing fractures into 8 types based on number of fragments and location of fracture lines seen on CT scan.
- Goals of treatment are to restore calcaneal height, width, and alignment as well as achieve anatomic reduction of joints. Treatment may include closed reduction, ORIF, external fixation, or arthrodesis.
- Common complications include wound healing issues, post-traumatic arthritis, nerve damage, and mal
Pelvic ring fractures
This document discusses pelvic ring fractures. It begins with an introduction noting the high mortality rate, especially for open fractures and those with significant blood loss. It then covers the anatomy of the pelvis, associated injuries, classification systems for fractures, signs and symptoms, diagnostic imaging, management of hemorrhage including pelvic binding, angiography and embolization, and initial surgical techniques like preperitoneal packing and colostomy. Pelvic ring fractures can be life-threatening due to risk of severe bleeding, so rapid diagnosis and stabilization are important for treatment.
Upper extremity (shoulder fracture
This document discusses classifications and treatment principles for fractures of the upper extremity, including the proximal humerus, clavicle, scapula, and acromioclavicular joint. It outlines the AO, Neer, and other classifications for proximal humerus fractures and describes treatment indications for closed reduction, open reduction internal fixation, arthroplasty, and other approaches. It also discusses classifications for clavicle shaft fractures, distal clavicle fractures, scapular fractures, and acromioclavicular joint injuries and notes surgical indications. Throughout, it emphasizes important radiographic views and parameters for evaluating these injuries.
L14 talus fxs & dislocation
1) Fractures of the talus are difficult to treat due to its complex anatomy and poor blood supply, which can lead to complications like avascular necrosis.
2) Hawkins classification is commonly used to describe talar neck fractures and predict risk of avascular necrosis, with type III fractures having the highest risk.
3) Treatment goals are anatomic reduction, stable fixation to allow early motion, and prevention of complications.
4) Surgical techniques may include closed or open reduction, internal fixation with screws or plates through one or two incisions, and occasionally arthrodesis or excision of small fragments.
Management of knee dislocation
The document discusses knee dislocations, including classifications, clinical assessment, management, and complications. It provides details on examining patients, investigating injuries, treating acute injuries with reduction and stabilization, and managing with surgery or conservatively. Surgical reconstruction is generally preferred over repair and aims to restore joint stability and kinematics through techniques like staged or single procedures and various graft options.
Ortho Journal Club 7 by Dr Saumya Agarwal
Ortho Journal Club 7 by Dr Saumya AgarwalCentral Institute of Orthopaedics, Safdarjang Hospital and VMMC, New Delhi
The document discusses a minimally invasive technique called percutaneous calcaneoplasty for treating displaced intraarticular calcaneal fractures as an alternative to open reduction internal fixation. The technique involves closed reduction of fracture fragments under fluoroscopy followed by stabilization with balloon-assisted augmentation of bone cement or calcium phosphate. A retrospective study of 11 patients treated with this method found excellent or good clinical outcomes in 10 patients with union in 2-3 months and no wound complications. The study concludes percutaneous calcaneoplasty can provide stable reduction without plating and allow for early function recovery and short hospital stays.Calcaneal fracture 101 bedru mohammed15168tyr42.pptx
Calcaneal fractures can have poor outcomes and significantly impact patient function. Treatment has evolved from non-operative to operative management. Key points include:
1) Fractures are classified based on involvement of the subtalar joint and CT imaging is important for accurate classification.
2) Surgical treatment goals include restoring height, width, axis alignment and joint congruity.
3) Operative approaches include extensile lateral, sinus tarsi, and medial approaches. Complications of surgery include infection, malunion, and nerve damage.
4) Non-operative and operative treatments can have equal functional outcomes but surgery has higher risks; outcomes depend on surgeon experience and anatomic restoration.
Clavicle and scapular fracture
Fracture in clavicle and scapula and approach to their management
clavicle fracture
scapula fracture
Dr Kuldeep Singh
AIIMS Bhopal
Ortho resident
05. clavicle injuries
This document reviews injuries to the clavicle, acromioclavicular joint, and sternoclavicular joint. It begins by reviewing the anatomy of these areas. It then discusses imaging and classifications of fractures of the clavicle, injuries to the acromioclavicular joint, and injuries to the sternoclavicular joint. For each type of injury, the document reviews treatment options such as nonoperative treatment versus surgical repair or reconstruction. Complications are also discussed.
Share Acromioclavicul-WPS Office.pptx
This document discusses injuries to the acromioclavicular joint, sternoclavicular joint, and scapula. It describes the anatomy, mechanisms of injury, classifications, clinical and radiographic evaluation, treatment options including non-operative and operative management, and potential complications for each type of injury. Surgical procedures are outlined for repair or reconstruction depending on the severity of the injury.
CALCANEAL FRACTURE AND ITS DETAILS WITH MALUNION
Calcaneal fractures are the most common tarsal bone fractures and often result from high-energy injuries like falls. Diagnosis is made through foot x-rays and CT scan, with CT being essential for surgical planning. Treatment depends on the fracture displacement, alignment, soft tissue injury, and patient risk factors. Options include non-operative cast immobilization for non or minimally displaced fractures, as well as closed or open reduction with internal fixation for significantly displaced fractures to restore the heel's anatomy and function. Complications can include nonunion, arthritis, nerve damage, and malunion requiring further surgery.
Shoulder and ankle instability
This document discusses shoulder and ankle injuries. Regarding shoulders, it describes the anatomy and stabilizers of the shoulder joint. It discusses classifications for shoulder instability and common associated lesions like Bankart and Hill-Sachs lesions. For ankles, it outlines the prevalence and classifications of ankle sprains and fractures. It provides guidance on clinical examination, imaging and management considerations for various ankle injuries.
L08 tibial plateau
1) Fractures of the tibial plateau can be complex injuries involving both bone and soft tissues. Accurate reduction of the articular surface is important but other factors like alignment, ligament stability, and meniscal integrity also influence outcomes.
2) Surgical treatment may involve open reduction and internal fixation with plates and screws or less invasive options like percutaneous plating and hybrid external fixation to minimize soft tissue disruption.
3) Patient factors like age, comorbidities, and the specific fracture pattern help determine the best treatment which can range from non-operative management to internal fixation, external fixation, or a combination approach.
ROTATOR CUFF TEAR SHOULDER PAIN ATHRITIS ARTHROSCOPY I Dr.RAJAT JANGIR JAIPUR
ROTATOR CUFF TEAR SHOULDER PAIN ATHRITIS ARTHROSCOPY I Dr.RAJAT JANGIR JAIPURDr.RAJAT JANGIR Orthopaedic surgeon Jaipur
ROTATOR CUFF TEAR SHOULDER PAIN ATHRITIS ARTHROSCOPY KEYHOLE SURGERY I Dr.RAJAT JANGIR JAIPUR
#aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo
Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur
#allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon
To Know more about ACL Injury, Click the links below:
1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all"
https://youtu.be/oWkIr8IXvr8
2. Everything about ACL Injury tear surgery in Hindi I
https://youtu.be/bqpjkAkwZ14
3. Best Screw for ACL tear surgery in Hindi
https://youtu.be/1LGpU1NHiIs
4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir
https://youtu.be/SIAPWiMbOqs
5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ?
https://youtu.be/NEJRPKskJTI
6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ?
https://youtu.be/EXpgy19Jxzw
7. PRP injection therapy in Partial ACL TEARs
https://youtu.be/qyG1EYgS87E
Dr.RAJAT JANGIR(Asso Prof.)
Senior Consultant Arthroscopy and Joint Replacement
(Specialist in Shoulder Knee Hip Surgery)
Ligament and Joints Clinic
67/34 Mansarovar Jaipur
Whatsapp: shorturl.at/gnAEP
Appointment: +91 8104855900
Email: ligamentsurgeon@gmail.com
Google Page: https://g.page/KNEE-Shoulder-SURGERY?...
Facebook: https://www.facebook.com/Ligamentandj...
* Vast experience and specialisation in the field of Arthroscopy and sports surgery.
* M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad
* Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea
* Diploma in Sports Medicine from InternationaI Olympic Committee
* Invited as Athlete Medical Doctor at Rio Olympic 2016
* Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete
Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'JC on CALCANEUM FRACTURE
1) The document discusses calcaneal fractures, which are the most common tarsal bone fractures, usually caused by an axial load.
2) CT scans and X-rays are used to classify the fractures based on the Sanders and Essex-Lopresti classifications, which identify involvement of the posterior facet joint.
3) Treatment depends on the classification and displacement. Non-operative treatment is used for non-displaced fractures while operative treatment with open reduction and internal fixation is used for displaced intra-articular fractures to restore the anatomy.
Similar to Calcaneus fracture (20)
Effect of Posterior Tibial Slope on Reconstructed ACL Following Single ACL Re...
Effect of Posterior Tibial Slope on Reconstructed ACL Following Single ACL Re...
Calcaneal fracture 101 bedru mohammed15168tyr42.pptx
Calcaneal fracture 101 bedru mohammed15168tyr42.pptx
ROTATOR CUFF TEAR SHOULDER PAIN ATHRITIS ARTHROSCOPY I Dr.RAJAT JANGIR JAIPUR
ROTATOR CUFF TEAR SHOULDER PAIN ATHRITIS ARTHROSCOPY I Dr.RAJAT JANGIR JAIPUR
More from PratikDhabalia
Wrist drop
The radial nerve innervates the extensor muscles of the forearm and hand. Damage to the radial nerve causes wrist drop where the patient is unable to extend the wrist and fingers, impairing grasping. Symptoms include pain, numbness, weakness of hand grip and drooping of the wrist and fingers. Diagnosis involves assessing range of motion, imaging tests and electrodiagnostic tests. Treatment depends on the underlying cause but may include medications, injections, bracing and physical therapy.
Tourniquets
Tourniquets are devices used to control blood flow to an extremity during surgery. Various types of tourniquets have been developed throughout history including the Esmarch bandage and modern pneumatic tourniquets. Proper tourniquet placement and pressure are important to minimize complications like nerve injury, muscle injury, and bleeding. Tourniquet time should be limited to 1.5-2 hours to avoid local and systemic effects. Complications can be further reduced by following precautions during tourniquet application and use.
Torticollis
Torticollis is a twisting of the neck that can have several causes. In newborns, it is often due to injuries during birth or fetal positioning, while in older children it may result from neck injuries, infections, or other conditions. The document discusses the main types and causes of torticollis, including congenital muscular torticollis in newborns, self-limiting torticollis, trauma, infections, tumors, and certain drugs. Ultrasound is often used to diagnose congenital cases in newborns, while CT and MRI are used to diagnose other causes like trauma, infections, or tumors in older children. Treatment depends on the underlying cause but may include stretching, physical therapy
Thoracic outlet syndrome
Thoracic outlet syndrome occurs when the blood vessels or nerves in the thoracic outlet - the space between the lower neck and upper chest - become compressed. This can cause pain and numbness in the shoulders and neck as well as reduced pulse. It is commonly caused by anatomical variations like cervical ribs or muscle abnormalities that reduce the space available to the neurovascular structures passing through. Diagnosis involves clinical tests like Adson's maneuver and imaging like MRI. Treatment ranges from physiotherapy and analgesics for mild cases to surgical removal of the first rib and scalene muscles for more severe or progressive cases.
Tennis elbow
Tennis elbow, also known as lateral epicondylitis, is a tendinopathy of the common extensor tendon near the lateral epicondyle of the elbow. It results from repetitive microtears in the tendon due to overuse from activities involving forceful wrist extension. Clinically, it presents as lateral elbow pain that worsens with activities like handshaking or turning a doorknob. Physical examination reveals tenderness over the lateral epicondyle. While most cases resolve with conservative treatment like rest, NSAIDs, bracing, and physical therapy within 6-12 months, surgical debridement may be considered for persistent or recurrent cases.
Tendo achilles
The Achilles tendon connects the calf muscles to the heel bone and is active during walking, running, and jumping. It is vulnerable to rupture, which commonly occurs in the watershed area 2-6cm above the heel in males ages 25-50 during sports. Diagnosis involves physical exam findings like inability to raise the toes and a gap or defect being felt. Treatment options include immobilization in a cast or surgical repair, with the goal of restoring proper tension and length. Post-operative care focuses on protecting the repair during healing over 6 months using casts, braces, and physical therapy.
Surgical site infections
Surgical site infections occur when bacteria enter through an incision made during surgery. They are classified as superficial, deep, or organ/space infections. Common causative agents include Staphylococcus aureus and Streptococcus pneumoniae. Factors that increase risk include patient health issues like malnutrition or diabetes as well as surgical factors like poor technique, inadequate prophylactic antibiotics, or an unclean operating environment. Diagnosis involves clinical signs plus lab and imaging tests. Treatment consists of antibiotics, wound debridement, and drainage. Prevention strategies focus on proper patient preparation, strict sterile techniques in the operating room, and careful post-operative wound care.
Spinal cord tractography
Diffusion tensor imaging (DTI) and fiber tractography are MRI techniques that can be used together to non-invasively visualize spinal cord tracts. DTI measures the anisotropic diffusion of water in tissue to infer the orientation of white matter tracts. Fiber tractography then generates 3D reconstructions of the tracts. This technique provides information about spinal cord injuries or other pathologies. However, it faces challenges from motion artifacts and has limitations when tracts converge or cross or are non-homogeneous. Despite this, DTI tractography can be used to prognosticate outcomes from spinal cord deformities, injuries, tumors, or myelopathies. Two case studies are described, one with a C6 burst fracture
Spina ventosa
Spina ventosa is a form of tuberculous dactylitis that affects the short tubular bones of the hands and feet in children. It occurs secondary to tuberculosis infection and presents as swelling and tenderness of the affected bone. Investigations may show leukocytosis and elevated inflammatory markers. Chest x-rays and bone x-rays can identify periosteal reaction, lytic lesions, or sclerosis. Biopsy is needed to confirm the diagnosis. A case report described a 13-year-old girl with left index finger pain, weight loss, and loss of appetite who was found to have spina ventosa on biopsy along with a tuberculoma seen on brain MRI. She was started on antitub
Snapping hip syndrome
There are three main types of snapping hip: external, internal, and intra-articular. External snapping hip is caused by increased tension in the iliotibial band over the greater trochanter with repeated flexion and extension. Internal snapping hip involves snapping of the iliopsoas tendon over the femoral head. Intra-articular snapping hip is caused by labral tears or loose bodies in the hip joint. Conservative treatments include rest, stretching, strengthening, and therapies like cold compression, while operative options involve procedures like Z-plasty of the iliotibial band or arthroscopic surgery to address intra-articular issues.
Scurvy
- Scurvy is a disease caused by vitamin C deficiency that results from a lack of vitamin C in the diet for several weeks. It impairs collagen formation and causes hemorrhaging in tissues.
- Symptoms include bleeding gums, loose teeth, bruising of the skin, and bone fractures. In infants, scurvy can cause pseudoparalysis and swelling over bones from subperiosteal hemorrhaging.
- Diagnosis is based on low vitamin C blood levels and x-ray findings of bone changes like the white line of Fraenkel. Treatment involves vitamin C supplementation in doses of at least 200mg daily until recovery is complete.
Screws in orthopedics
This document provides an overview of screws in orthopedic surgery. It discusses the history of screw development from ancient times through modern innovations in materials. The anatomy of a screw is described in detail, including the head, shaft, thread, tip, and special features like pitch, diameter, and cannulation. Different types of screws are compared based on their properties and intended uses in cortical versus cancellous bone. Special screw designs like Herbert screws, lag screws, and dynamic hip screws are also briefly mentioned.
Sacral chordoma
Sacral chordoma is a rare, slowly growing malignant tumor that arises from remnants of the notochord, usually occurring in the sacrum. It accounts for 1-4% of all malignancies and is the most common primary malignancy of the sacrum. Patients typically experience lower back pain worsening with sitting in their 5th-7th decade. Imaging shows a destructive lytic lesion in the sacrum. Complete surgical resection is the primary treatment, but recurrence is common due to the locally aggressive nature, leading to poor long-term survival rates.
Robotics in orthopedics
This document discusses the use of robots in orthopaedic surgery. It describes how robotic systems can improve accuracy of bone cuts and component placement compared to manual surgery. Both autonomous and haptic robotic systems are presented. Applications discussed include unicondylar knee replacement using the Mako robotic arm and spinal pedicle screw placement using the Renaissance system. While robotic surgery may provide benefits like increased accuracy, it also has drawbacks such as high costs and long-term outcomes have not proven superiority over manual techniques.
Reverse shoulder arthroplasty
Reverse shoulder arthroplasty involves replacing the humeral head and glenoid fossa with prosthetics to alter the center of rotation and increase deltoid tension and function. It is indicated for rotator cuff tear arthropathy, proximal humeral fractures in the elderly, failed shoulder replacements, and other conditions. The procedure involves an deltopectoral approach to expose the joint, removal of the humeral head and shaping of the glenoid, then implantation of the glenosphere and humeral cup components. Outcomes are best for osteoarthritis and worse for trauma or revision cases. Complications can include infection, nerve injury, implant loosening or breakage.
Prolapsed intervertebral disc
The intervertebral disc consists of three main components: the cartilage end plates, the nucleus pulposus, and the annulus fibrosus. Degeneration of the intervertebral disc is a natural aging process but can be exacerbated by factors like poor nutrition, trauma from sports or injuries, and biomechanical factors related to posture and repetitive microtrauma. The degenerative process typically begins with softening of the nucleus pulposus and weakening of the annulus fibrosus, which can lead to protrusion or extrusion of the nucleus through tears in the annulus. Eventually fibrosis and calcification may occur as the body attempts to repair the degenerated disc.
Pre operative care
The document outlines the steps involved in pre-operative care, which includes conducting a pre-anaesthetic checkup of the patient's medical history and current health status. A series of blood investigations, imaging tests like ECG, ultrasound, and radiological tests are performed. The patient's medication needs and consent for the procedure are also addressed. The pre-operative preparation involves both physical and psychological preparation of the patient by explaining the procedure and potential complications to calm them before surgery.
Plantar fascitis
Plantar fasciitis is a painful condition caused by inflammation of the plantar fascia, a thick ligament connecting the heel to the toes. The pain is usually felt on the bottom of the foot near the heel and is worst upon waking or after long periods of sitting. Repeated microtears in the fascia from overuse can cause degeneration and inflammation. Risk factors include obesity, excessive running or prolonged standing, especially with inadequate foot support. Treatment focuses on reducing inflammation and strain through stretching, orthotics, night splints, and physical therapy exercises.
Pigmented villonodular synovitis
Pigmented villonodular synovitis is an idiopathic overgrowth and pigmentation of the synovial membrane that most commonly affects the knee joint. It presents with pain, swelling, stiffness, and recurrent atraumatic hemorrhaging in the joint. Diagnosis is made through arthroscopic biopsy showing characteristic chocolate-colored lesions. Treatment involves surgical synovectomy or radiation therapy, with recurrence being a potential complication.
Pes cavus
This document defines and describes cavus foot, including its causes, clinical features, diagnosis, and treatment options. A cavus foot has an abnormally high arch and accompanying toe deformities. Causes include neuromuscular conditions like Charcot-Marie-Tooth disease and polio. Clinical features include a high arch and clawing of the toes. Diagnosis involves physical exam and x-rays. Treatment depends on flexibility and severity but may include tendon lengthening, osteotomies, and joint fusions to correct deformities in the forefoot, midfoot, and hindfoot. The goal is to create a plantigrade foot.
More from PratikDhabalia (20)
Recently uploaded
skeleton System.pdf (skeleton system wow)
🔥🔥🔥🔥🔥🔥🔥🔥🔥
إضغ بين إيديكم من أقوى الملازم التي صممتها
ملزمة تشريح الجهاز الهيكلي (نظري 3)
💀💀💀💀💀💀💀💀💀💀
تتميز هذهِ الملزمة بعِدة مُميزات :
1- مُترجمة ترجمة تُناسب جميع المستويات
2- تحتوي على 78 رسم توضيحي لكل كلمة موجودة بالملزمة (لكل كلمة !!!!)
#فهم_ماكو_درخ
3- دقة الكتابة والصور عالية جداً جداً جداً
4- هُنالك بعض المعلومات تم توضيحها بشكل تفصيلي جداً (تُعتبر لدى الطالب أو الطالبة بإنها معلومات مُبهمة ومع ذلك تم توضيح هذهِ المعلومات المُبهمة بشكل تفصيلي جداً
5- الملزمة تشرح نفسها ب نفسها بس تكلك تعال اقراني
6- تحتوي الملزمة في اول سلايد على خارطة تتضمن جميع تفرُعات معلومات الجهاز الهيكلي المذكورة في هذهِ الملزمة
واخيراً هذهِ الملزمة حلالٌ عليكم وإتمنى منكم إن تدعولي بالخير والصحة والعافية فقط
كل التوفيق زملائي وزميلاتي ، زميلكم محمد الذهبي 💊💊
🔥🔥🔥🔥🔥🔥🔥🔥🔥
Educational Technology in the Health Sciences
Plenary presentation at the NTTC Inter-university Workshop, 18 June 2024, Manila Prince Hotel.
Wound healing PPT
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
NIPER 2024 MEMORY BASED QUESTIONS.ANSWERS TO NIPER 2024 QUESTIONS.NIPER JEE 2...
NIPER JEE PYQ
NIPER JEE QUESTIONS
MOST FREQUENTLY ASK QUESTIONS
NIPER MEMORY BASED QUWSTIONS
THE SACRIFICE HOW PRO-PALESTINE PROTESTS STUDENTS ARE SACRIFICING TO CHANGE T...
The recent surge in pro-Palestine student activism has prompted significant responses from universities, ranging from negotiations and divestment commitments to increased transparency about investments in companies supporting the war on Gaza. This activism has led to the cessation of student encampments but also highlighted the substantial sacrifices made by students, including academic disruptions and personal risks. The primary drivers of these protests are poor university administration, lack of transparency, and inadequate communication between officials and students. This study examines the profound emotional, psychological, and professional impacts on students engaged in pro-Palestine protests, focusing on Generation Z's (Gen-Z) activism dynamics. This paper explores the significant sacrifices made by these students and even the professors supporting the pro-Palestine movement, with a focus on recent global movements. Through an in-depth analysis of printed and electronic media, the study examines the impacts of these sacrifices on the academic and personal lives of those involved. The paper highlights examples from various universities, demonstrating student activism's long-term and short-term effects, including disciplinary actions, social backlash, and career implications. The researchers also explore the broader implications of student sacrifices. The findings reveal that these sacrifices are driven by a profound commitment to justice and human rights, and are influenced by the increasing availability of information, peer interactions, and personal convictions. The study also discusses the broader implications of this activism, comparing it to historical precedents and assessing its potential to influence policy and public opinion. The emotional and psychological toll on student activists is significant, but their sense of purpose and community support mitigates some of these challenges. However, the researchers call for acknowledging the broader Impact of these sacrifices on the future global movement of FreePalestine.
How to Fix [Errno 98] address already in use
This slide will represent the cause of the error “[Errno 98] address already in use” and the troubleshooting steps to resolve this error in Odoo.
CHUYÊN ĐỀ ÔN TẬP VÀ PHÁT TRIỂN CÂU HỎI TRONG ĐỀ MINH HỌA THI TỐT NGHIỆP THPT ...
CHUYÊN ĐỀ ÔN TẬP VÀ PHÁT TRIỂN CÂU HỎI TRONG ĐỀ MINH HỌA THI TỐT NGHIỆP THPT ...Nguyen Thanh Tu Collection
https://app.box.com/s/qspvswamcohjtbvbbhjad04lg65waylfHow to Download & Install Module From the Odoo App Store in Odoo 17
Custom modules offer the flexibility to extend Odoo's capabilities, address unique requirements, and optimize workflows to align seamlessly with your organization's processes. By leveraging custom modules, businesses can unlock greater efficiency, productivity, and innovation, empowering them to stay competitive in today's dynamic market landscape. In this tutorial, we'll guide you step by step on how to easily download and install modules from the Odoo App Store.
CapTechTalks Webinar Slides June 2024 Donovan Wright.pptx
Slides from a Capitol Technology University webinar held June 20, 2024. The webinar featured Dr. Donovan Wright, presenting on the Department of Defense Digital Transformation.
Gender and Mental Health - Counselling and Family Therapy Applications and In...
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Benner "Expanding Pathways to Publishing Careers"
This presentation was provided by Rebecca Benner, Ph.D., of the American Society of Anesthesiologists, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
A Free 200-Page eBook ~ Brain and Mind Exercise.pptx
(A Free eBook comprising 3 Sets of Presentation of a selection of Puzzles, Brain Teasers and Thinking Problems to exercise both the mind and the Right and Left Brain. To help keep the mind and brain fit and healthy. Good for both the young and old alike.
Answers are given for all the puzzles and problems.)
With Metta,
Bro. Oh Teik Bin 🙏🤓🤔🥰
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
Andreas Schleicher, Director of Education and Skills at the OECD presents at the launch of PISA 2022 Volume III - Creative Minds, Creative Schools on 18 June 2024.
مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
مصحف أحرف الخلاف للقراء العشرةأعد أحرف الخلاف بالتلوين وصلا سمير بسيوني غفر الله له
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Whether you're new to SEO or looking to refine your existing strategies, this webinar will provide you with actionable insights and practical tips to elevate your nonprofit's online presence.
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
Practical manual for National Examination Council, Nigeria.
Contains guides on answering questions on the specimens provided
Recently uploaded (20)
NIPER 2024 MEMORY BASED QUESTIONS.ANSWERS TO NIPER 2024 QUESTIONS.NIPER JEE 2...
NIPER 2024 MEMORY BASED QUESTIONS.ANSWERS TO NIPER 2024 QUESTIONS.NIPER JEE 2...
THE SACRIFICE HOW PRO-PALESTINE PROTESTS STUDENTS ARE SACRIFICING TO CHANGE T...
THE SACRIFICE HOW PRO-PALESTINE PROTESTS STUDENTS ARE SACRIFICING TO CHANGE T...
CHUYÊN ĐỀ ÔN TẬP VÀ PHÁT TRIỂN CÂU HỎI TRONG ĐỀ MINH HỌA THI TỐT NGHIỆP THPT ...
CHUYÊN ĐỀ ÔN TẬP VÀ PHÁT TRIỂN CÂU HỎI TRONG ĐỀ MINH HỌA THI TỐT NGHIỆP THPT ...
How to Download & Install Module From the Odoo App Store in Odoo 17
How to Download & Install Module From the Odoo App Store in Odoo 17
CapTechTalks Webinar Slides June 2024 Donovan Wright.pptx
CapTechTalks Webinar Slides June 2024 Donovan Wright.pptx
Gender and Mental Health - Counselling and Family Therapy Applications and In...
Gender and Mental Health - Counselling and Family Therapy Applications and In...
A Free 200-Page eBook ~ Brain and Mind Exercise.pptx
A Free 200-Page eBook ~ Brain and Mind Exercise.pptx
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
مصحف القراءات العشر أعد أحرف الخلاف سمير بسيوني.pdf
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
Calcaneus fracture
- 1. Calcaneal fracture Dr Shikhar Singh
- 2. Calcaneal fractures - 2% of all fractures - 60-75% of them are displaced intraarticular fractures - 10% have associated spine fractures - 26% have other extremity injuries -90% occur in young men(21 to 45 yrs)
- 3. Posterior Facet Anterior and Middle Facets
- 6. Mechanism of Injury •High energy ─ MVA ─ fall from a height •Lateral process of talus acts as wedge •Impaction fracture
- 7. CLINICAL FEATURES C/O pain swelling not able to bear weight On Examination– >marked swelling >ecchymosis blisters >tenderness & movements restricted >other foot and spine also should examined
- 8. Exam • Note condition of skin • Open fractures • Fracture Blisters •Threatened skin (pressure from displaced fracture fragments) • Neurovascular exam
- 9. Displaced PosteriorFacet Flattened Bohler’sAngle Bohler’s Angle Xray measurements Bohler’s angle • Normal 25-40 degrees • Severity (lower Bohler’s angle) correlates with outcome
- 10. Xray Measurements • Critical Angle of Gissane • Normal 120-145 degrees • Change in angle indicates change in relationship between posterior, medial, and anterior facets F Critical Angle of Gissane
- 11. If only the lateral half of the posterior facet is fractured and displaced a split in the articular surface will be seen as a double density
- 12. Broden’s View Helpful intra-op • Posterior facet • Check intraarticular displacement • Positioning A. 20° IR view (mortise) B. 10°- 40° plantar
- 13. Essex-Lopresti • Described two distinct fracture patterns Joint-Depression Tongue-Type Posterior Tuberosity NOT attached to Posterior Facet Posterior Tuberosity attached to Posterior Facet
- 14. Classifications • Essex-Lopresti •Sanders: • Based on CT findings • Coronal plane • # joint fragments • 2 = type II • 3 = type III • 4 or more = type IV • Predictive of results
- 15. Classification • Intra-articular fractures 60-75% • Extra-articular fractures 25-30% Anterior process fractures. Avulsion fractures of the tuberosity. Medial process fractures. Sustentaculum tali and body fractures.
- 16. Goals of Treatment •Restore Anatomy •Restore Function
- 17. OPERATIVE vs. NON-OP TREATMENT Canadian Calcaneus Registry R. Buckley et al., JBJS, 2002 The following did better with surgery: • Women • Age <29 years • Non-Work-Comp • Bohler angle <10˚ • Comminuted fracture • Large initial joint step off
- 18. Treatment : Non-Operative • Non- / minimally displaced fractures (<2mm intra- articular displacement) • Patients with significant risk factors for complications with operative treatment • NWB X 12 weeks • Early ROM of ankle, hindfoot and midfoot • Prevent equinus contracture (splint or Fx Brace)
- 19. Timing of Surgery • Wrinkle Test • when the patient dorsiflexes and everts the foot • If skin wrinkling is seen no edema is present, the test is positive patient is ready for surgery
- 20. Indications for ORIF • Displaced intra-articular fractures • Displaced fractures of calcaneal tuberosity • Fracture-dislocations of calcaneus • Selected open fractures of calcaneus
- 21. Complications Malunion Varus Shortened foot Peroneal impingement Shoewear problems
- 22. Complications •Stiffness ─ Prevention (early ROM) •Subtalar arthritis ─ NSAIDs ─ Subtalar fusion