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Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Diatesis Pubic Symphysis - Case Presentation
This document discusses the management of diastasis pubic symphysis, beginning with an introduction to the condition, epidemiology, etiology, assessment, management, prognosis, and a case study. Diastasis pubic symphysis is defined as the separation of normally joined pubic bones without fracture. It is most commonly caused by pregnancy and delivery. Assessment involves pelvic x-rays and pain/functional scales. Conservative management includes pelvic support, physical therapy, and medications. Prognosis is typically good if addressed promptly with proper management. A case study demonstrates successful treatment of a woman's severe diastasis pubic symphysis over 5 weeks using these conservative approaches.
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2) Numerous clinical tests used to assess each muscle are outlined, such as Jobb's test for supraspinatus and Gerber's lift-off test for subscapularis.
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Nerve compression syndrome, also known as entrapment neuropathy, occurs when a peripheral nerve is compressed, causing mechanical damage. Carpal tunnel syndrome is a common example, where the median nerve is compressed as it passes through the carpal tunnel in the wrist. Symptoms include tingling, numbness, and pain in the fingers innervated by the median nerve that is worsened at night. Physical exams and tests like Phalen's maneuver, Tinel's sign, and nerve conduction studies can help diagnose CTS. Treatment involves splinting, medications, injections, or carpal tunnel release surgery if conservative measures fail.
Spondylolisthesis and DDx
1) Spondylolisthesis is the forward slippage of one vertebra over another, usually occurring at L5-S1. It is commonly caused by defects in the pars interarticularis (spondylolysis), which allows stress fractures and slippage.
2) Common symptoms include low back pain exacerbated by movement and radiating pain or numbness in the legs. Physical exam may reveal tenderness over the slipped vertebrae, muscle spasms, and limited flexion.
3) Diagnosis is made through imaging like x-rays, CT, or MRI. X-rays can grade the percentage of slippage. CT and MRI better visualize defects and any impinge
An Introduction to the McKenzie Method
Dr. Robin McKenzie developed the McKenzie Method for treating back pain mechanically without surgery or medication. The method involves assessing a patient's pain response to various spinal movements to determine the underlying problem. Treatment focuses on specific exercises that centralize the pain by improving spinal mechanics. Exercises may involve extension, flexion, or lateral movements. The goal is to reduce pain and improve range of motion over several weeks with a home exercise program. Precautions are taken for certain conditions like spinal stenosis or recent trauma. The McKenzie Method provides an alternative to medication for many back pain issues.
Conus medullaris and cauda equina syndrome
This document discusses conus medullaris syndrome and cauda equina syndrome, two conditions that result from compression of the spinal cord or nerve roots in the lower back. It describes the differences in presentation and symptoms between the two syndromes. Specifically, conus medullaris syndrome affects the sacral cord segment and roots, presents suddenly and bilaterally, and can cause early urinary and fecal incontinence. Cauda equina syndrome affects the lumbosacral nerve roots, presents gradually and unilaterally, and tends to cause more severe radicular pain and late onset of bowel dysfunction. The document also outlines various causes of the syndromes and methods for investigating and relieving cord compression.
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1) The document discusses various techniques for radiofrequency treatment of sacroiliac joint and discogenic pain, including cooled radiofrequency denervation of sacral lateral branches and dorsal rami, as well as intradiscal biacuplasty.
2) Studies show cooled radiofrequency denervation provides 50-79% pain relief in 57-64% of patients with sacroiliac joint pain at 3-6 month follow-up. Intradiscal biacuplasty uses internally cooled bipolar radiofrequency to heat the posterior disc annulus to 55-60°C to treat discogenic pain.
3) The techniques aim to denervate pain fibers while monitoring temperature to avoid excessive
Lateral release for anterior knee pain
Lateral release for anterior knee pain without instability. Outcome evaluation at long term follow up.
PDF Disfunción sacroiliaca evaluación y manejo
This article reviews sacroiliac joint dysfunction as a source of low back and pelvic pain. There are no widely accepted guidelines for diagnosing or treating sacroiliac joint dysfunction due to variability in symptoms, limited objective testing options, and incomplete understanding of biomechanics. Pain from the sacroiliac joint can radiate to the buttocks, groin, and lower limbs in various patterns. The most reliable diagnostic technique is pain relief following local anesthetic injection into the joint. Most patients respond to non-operative treatment, while those who do not may be candidates for operative stabilization of the joint.
Patellar resurfacing compared with nonresurfacing in tka
This study compared patellar resurfacing versus non-resurfacing in total knee arthroplasty (TKA) patients over 10 years. At initial follow-up, resurfacing reduced anterior knee pain but this effect diminished over time. By 10 years, there was no significant difference in outcomes like function, range of motion, or satisfaction between the resurfaced and non-resurfaced groups, though non-resurfaced patients reported less anterior knee pain. While resurfacing lowered revision rates in the short term, outcomes were similar between groups in the long run. Factors like pre-existing pain, patella degeneration, obesity, and gender did not predict which patients would benefit most from resurfacing.
Presentation, patient education02102011
- The sacroiliac (SI) joint is a common but overlooked cause of lower back pain, accounting for up to 15-30% of cases. It connects the sacrum to the pelvis and is a common site for injury or inflammation.
- Diagnosing SI joint pain can be challenging as symptoms often mimic other back issues. Imaging may be misleading and diagnostic SI joint injections are usually needed. Physical exams like distraction, compression, and Patrick's tests can help identify SI joint involvement.
- Treatment begins conservatively with physical therapy, bracing, medications, and SI joint injections. For those who fail conservative care, minimally invasive surgery like radiofrequency ablation or SI joint fusion
Spine_ Management of Si Joint Dysfunction
This document discusses sacroiliac (SI) joint dysfunction, including:
1. It is a degenerative condition of the SI joint that results in lower back pain and accounts for 15-30% of outpatient lower back pain cases.
2. Risk factors include previous lumbar fusion, pregnancy, pelvic trauma, and iliac crest bone graft harvesting. Pathophysiology can involve intraarticular, extraarticular, or idiopathic mechanisms.
3. Diagnosis is based on history, physical exam including provocative tests, and SI joint infiltration. Differential diagnosis includes lumbar spinal stenosis, disc disease, and hip issues.
Case discussion 5
This patient is a 22 year old man who presented with an anterior knee dislocation after tripping. On examination, he has an obvious knee deformity, shortened limb, inability to dorsiflex or move toes, and decreased sensation on the dorsum of the foot. X-rays show an anterior knee dislocation without fracture. Immediate management includes analgesia, traction to reduce deformity, splinting, and checking vascular status. Further assessment is needed to evaluate for additional injuries. Surgical management may be required for open dislocations, irreducible dislocations, or vascular injuries. The goals of treatment are restoration of stability and range of motion through either conservative immobilization or surgical repair/reconstruction of ligaments.
groin injuries in athletes
groin injuries are common but neglected in orthopaedics and sports injuries field as region is an enigma as too mant structures are present in a small space. the present PPT describes approach and management of groin injuries
Patella Instability
Patella dislocation is a common problem in the young. Recurrence of dislocation can be significant problem causing pain and discomfort. The assessment and guidelines towards non-surgical and surgical treatment options are discussed here.
Gp talk
The document discusses common shoulder and elbow problems and their management. It covers conditions like subacromial impingement, rotator cuff tears, frozen shoulder, shoulder instability, and arthritis for the shoulder. For the elbow, it discusses lateral epicondylitis, medial epicondylitis, cubital tunnel syndrome, and olecranon bursitis. It provides details on diagnosis, conservative treatment, surgical indications, and rehabilitation for many of these conditions.
Beverland D. Surgical Factors Influencing Rom
The document discusses several factors that can influence range of motion (ROM) after knee arthroplasty surgery:
1) Surgical technique factors like thoroughly removing osteophytes, restoring proper joint alignment and posterior condylar offset, avoiding excess release of the medial collateral ligament, and closing the surgical wound in extension rather than flexion.
2) Rehabilitation protocols, including early use of continuous passive motion and adherence to post-operative physical therapy.
3) Patient factors such as pre-operative ROM, obesity, and underlying diagnosis of rheumatoid arthritis or osteoarthritis.
4) Potential treatments for stiff knees after surgery include manipulation under anesthesia and revision procedures to address issues like internal rotation of the femoral component
PCL Posterior Cruciate Ligament Knee Injury: Is it Benign I Dr.RAJAT JANGIR ...
PCL Posterior Cruciate Ligament Knee Injury: Is it Benign I Dr.RAJAT JANGIR ...Dr.RAJAT JANGIR Orthopaedic surgeon Jaipur
PCL Posterior Cruciate Ligament Knee Injury: Is it Benign I Dr.RAJAT JANGIR JAIPUR
#aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo
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#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'Lumbar Disc Herniation Naneria Part 2
The document discusses the management of lumbar disc herniation with free fragments. It states that over 50% reduction in fragment size on follow-up MRI is clinically significant, and larger fragments have better chances of reduction and clinical outcome with conservative treatment. Conservative treatment is the initial protocol, including bed rest and avoidance of sitting and traction. Surgery may be considered if conservative treatment fails or neurological deficits increase.
Rotator Cuff Evidence Update
This document provides an overview of rotator cuff disorders and evidence related to diagnosis and management. Key points include:
- Rotator cuff tears can be caused by mechanical or degenerative factors and progress from tendinosis to partial or full thickness tears.
- Physical exams have low diagnostic accuracy for tears but clusters of tests may help. Investigations like ultrasound and MRI can better identify soft tissue pathology.
- Factors like age, tear size, tendon retraction and fatty infiltration affect outcomes, with larger/retracted tears and more fatty changes correlating to poorer prognosis.
- Initial management focuses on rest, analgesics and physiotherapy, with surgery for failed non-operative treatment. Surgical techniques like
BASEM 2012 poster
This study aimed to establish the prevalence of shoulder pain (SP) in cervical spinal cord injury (SCI) patients admitted to a spinal injury unit (SIU) in the UK. The study reviewed medical records of 28 patients admitted within 6 months of SCI between 2011-2012. 71.4% of patients reported SP on admission, which decreased to 50% on discharge. Time from injury and length of rehabilitation did not influence SP. 75% of patients whose SP improved had incomplete SCI. This study showed an overall 21.4% reduction in SP from admission to discharge at the SIU.
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
The document summarizes a study on the mini-open Latarjet procedure for patients with failed arthroscopic Bankart repair for recurrent shoulder instability. 24 patients underwent the mini-open Latarjet procedure and were followed for a minimum of 2 years. Results found satisfactory range of motion, functional outcomes, and low recurrence rates. Complications were minor. The study concludes the mini-open Latarjet is an effective option for challenging cases of recurrent instability after failed soft tissue repair due to significant bone loss.
Lower Back Pain - Part 2
Low back pain is very common, affecting 50-80% of adults at some point. It is the leading cause of disability in the US, costing $50 billion annually. While most cases resolve within 6 weeks, pain and disability may persist longer in up to 12-72% of patients. Risk factors include poor physical fitness, obesity, smoking, and hard physical labor. Mechanical low back pain makes up 90% of cases and involves overuse or injury of back structures, while 10% have non-mechanical systemic causes. Diagnosis involves history, exam, and sometimes imaging to identify pain generators and rule out serious causes requiring prompt treatment. Initial treatment focuses on remaining active, over-the-counter medications,
High tibial osteotomy- All you need to know
This document discusses high tibial osteotomy (HTO), a surgical procedure to treat varus deformity and medial compartment osteoarthritis of the knee. It outlines the indications, contraindications, surgical techniques, preoperative planning, alignment goals, and complications of HTO. The goals of HTO are to relieve pain, improve function, and extend the life of the knee joint for active patients who are too young for knee replacement surgery. Attention to patient selection, preoperative planning, surgical accuracy, and rehabilitation are important for achieving successful outcomes.
Degenerative Spondylolisthesis
The document discusses degenerative spondylolisthesis, including its definition, classification, risk factors, clinical presentation, imaging findings, non-operative and operative treatment options, and guidelines for treatment. Key points include that it most commonly affects L4-L5, is more common in females, clinical symptoms do not always correlate with radiographic progression, non-operative treatment is usually initial approach, and decompression with fusion may improve outcomes over decompression alone for single-level disease.
Management of Primary Traumatic Shoulder Instability
This document discusses the management of primary traumatic shoulder instability through a presentation by Dr. J.R. Rudzki. Some key points discussed include:
- Age is a primary risk factor for recurrence, with rates of 100% in patients <10 years old and 79% in patients aged 20-30 years old.
- Surgical stabilization may have better outcomes than conservative treatment for young, active patients based on data from randomized controlled trials.
- For first-time dislocators, arthroscopic Bankart repair reduces the risk of recurrent instability by 76-82% compared to non-operative management.
- Factors like glenoid bone loss, large Hill-Sachs lesions, and capsular
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Lorangerie 23 10 12 00 Leonardo Kapural (SIMPOSIO OPTIKA).ppt
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L.rudolf 1.8.11 presentation
- 1. SACROILIAC JOINT DYSFUNCTION ADJACENT SEGMENT DISORDERS LEONARD RUDOLF,MD LEBANON, NEW HAMPSHIRE
- 11. LS FUSION AND THR PRIOR TO SIJF
- 12. LS FUSION WITH IILIAC CREST GRAFT
- 13. L4-S1 FUSION WITH SIJ CONFIRMED PG
- 24. 5-S1 FUSION/4-5 FUSION RESIDUAL PAIN
- 25. SIJ CONFIRMED PG
- 26. R SIJF WITH PAIN RELIEF
- 28. 2 Yrs s/p L4-S1 FUSION
- 30. SIJ CONFIRMED AS POST FUSION PG
- 31. RIGHT SIJ FUSION WITH PAIN RESOLVED
- 37. RIGHT SIJ FUSION
- 38. LEFT SIJ FUSION
- 42. 3 MONTH POST OP AP
- 43. 1 YEAR POST OP AP
- 45. 3 MONTH POST OP AP
- 46. 12 MONTH POST OP AP
- 48. 1 YEAR CT SAGITAL IMAGE
- 49. 1 YEAR SAGITAL CT
- 54. S/P LS FUSION WITH SIJ PAIN
- 55. INTRA-OP AP
- 56. INTRA-OP LATERAL
- 57. POST OP CORONAL CT
- 58. POST OP SAGGITAL CT
- 59. INTRA OP AP
- 60. INTRA OP LATERAL
- 61. POST OP AXIAL CT
- 62. POST OP CORONAL CT
- 63. PRIOR ILIAC CREST GRAFT
- 64. PRIOR ILIAC CREST GRAFT