Apresentação sobre deformidades no pulso devido a Exostoses multiplas hereditárias.
Apresentação feita pelo Dr. Jeff Auyeung, cirurgião consultor do Hospital Universitário de North Dunham.
MADELUNG
AND MULTIPLE EXOSTOSES
Jeff Auyeung
Consultant Hand Surgeon
University Hospital of North Durham
Please find the power point on Fracture of Talus with well diagrammatic explanation from very reliable sources. If you need such a power point on different topics related with MBBS then please write it on comment section. Thank you
Tendoachilles rupture and its managementRohan Vakta
Achilles tendon is the strongest tendon of body. There are many causes of its rupture. It can be acute or chronic rupture. Management of chronic rupture by semitendinosus tendon is mentioned here.
Please find the power point on Fracture of Talus with well diagrammatic explanation from very reliable sources. If you need such a power point on different topics related with MBBS then please write it on comment section. Thank you
Tendoachilles rupture and its managementRohan Vakta
Achilles tendon is the strongest tendon of body. There are many causes of its rupture. It can be acute or chronic rupture. Management of chronic rupture by semitendinosus tendon is mentioned here.
MCQs(Multiple choice questions) on this ppt are more suitable for medical students; however, medical professionals those who are preparing for postgraduate examinations also can refresh essential basics in anatomy, as they provide useful knowledge in the relevant subject area in general. Hence, it is recommended you to go through these videos and gather some information to gain success in future medical and surgical field examinations.
https://youtu.be/fPiVGtHLHRc
Dr. Kelsey Lena’s CMC Pediatric Orthopedic X-Ray Mastery Project: September C...Sean M. Fox
Dr. Kelsey Lena is Emergency Medicine Resident and interested in pediatric emergency medicine and medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, and supervision of Dr. Danielle Sutton, a Pediatric Emergency Medicine specialist, and Dr. Virginia Casey, a Pediatric Orthopedic Surgeon, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
- Buckle Fracture
- Greenstick Fracture
- Displaced Radial and Ulnar Fractures
- Non-Displaced Radial and Ulnar Fractures
- Comminuted Radial Fractures
- Monteggia Fracture
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...Sean M. Fox
Dr. Haley Dusek is an Emergency Medicine Resident and interested in pediatric emergency medicine and medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, and supervision of Dr. Danielle Sutton, a Pediatric Emergency Medicine specialist, and Dr. Virginia Casey, a Pediatric Orthopedic Surgeon, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
• Tufts fracture
• Mallet fracture
• Seymour fracture
• Volar Plate Injury
• Base fracture
• Phalangeal neck
• Condyle fracture
• Phalanx dislocations
High Yield surgery MCQ episode 3 (NEET PG, NEET SS, INI CET, FMGE)Think Surgery
Visit our telegram channel for daily MCQ
https://t.me/thinksurgery
This is part 3 of MCQ series, covering wide range of topics from surgery.
Many such questions are asked in NEET PG, NEET SS, INI CET and FMGE exams.
Questions are set from standard textbooks like Bailey and Love, and Sabiston textbook of surgery.
Do like the presentation and don’t forget to join our telegram channel for daily MCQ.
fractures and dislocations is a very important topic for pg entrance.....so all about it has been discussed in detail as required for pg entrance....do make use of it...
MCQs(Multiple choice questions) on this video are more suitable for medical students; however, medical professionals those who are preparing for postgraduate examinations also can refresh essential basics in anatomy, as they provide useful knowledge in the relevant subject area in general. Hence, it is recommended you to go through these videos and gather some information to gain success in future medical and surgical field examinations.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: September CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
• Non-accidental Trauma (NAT)
• Hyperinflated Lungs
• Esophageal Foreign Body
• Neonatal Pulmonary Abscess
• Neonatal Pneumatocele
• Tuberculosis
• Interstitial Lung Disease of Prematurity
• Disseminated Neonatal HSV
• Aspirated Foreign Body
paediatric injuries around the elbow
supracondylar elbow injuries
pulled elbow in paediatric age r
radiological signs around elbow in supracondylar fracture humerus
MCQs(Multiple choice questions) on this ppt are more suitable for medical students; however, medical professionals those who are preparing for postgraduate examinations also can refresh essential basics in anatomy, as they provide useful knowledge in the relevant subject area in general. Hence, it is recommended you to go through these videos and gather some information to gain success in future medical and surgical field examinations.
https://youtu.be/lqLu7SEXJCs
this is a complete and comprehensive presentation on the congenital hand anomalies. An important object in the field of plastic and reconstructive surgery
CONFERENCE
ON
Multiple Hereditary Exostoses
Insights Into Pathogenesis
November 3-5, 2005
Shriners Hospital of Houston
6977 Main Street
Houston, Texas
and the
Houston Marriott Medical Center
6580 Fannin Street
Houston, Texas
Sponsored By:
The Shriners Hospital
The National Institutes of Health
American Association of Enchondroma Diseases
March of Dimes Birth Defects Foundation
The Orthopaedic Research Society
The MHE Coalition
Gene Dx, DNA Diagnostic Services
The Mizutani Foundation for Glycoscience
Organizers: Dan Wells, Ph.D., Jacqueline Hecht, Ph.D., Sarah Ziegler
Abstract: This study was undertaken to characterize pain in
individuals with hereditary multiple exostosis (HME). Two hundred
ninety-three patients with HME completed a questionnaire designed
to assess pain as well as its impact on their life. Eighty-four percent of
participants reported having pain, indicating that pain is a real
problem in HME. Of those with pain, 55.1% had generalized pain.
Two factors were found to be associated with pain outcome: HMErelated
complications and surgery. Individuals who had HME-related
complications were five times more likely to have pain, while those
who had surgery were 3.8 more likely to have pain. No differences
were found between males and females with respect to pain, surgery,
or HME-related complications. The results of this study indicate that
the number of individuals with HME who have pain has been
underestimated and that pain is a problem that must be addressed
when caring for individuals with HME.
Key Words: hereditary multiple exostosis, pain, exostoses, osteochondromas,
support group
(J Pediatr Orthop 2005;25:369–376)
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
3. MADELUNG
This is excessive radial and palmar angulation of
the distal radius
Caused by growth disturbance of palmar and
ulnar part of distal radius physis
Often a bony lesion in palmar and ulnar part of
physis or abnormal ligament connecting distal
radius to lunate (Vicker’s Ligament)
Girls>Boys
Present 6 -13 years of age
4. MADELUNG – CLINICAL FINDINGS
Prominent distal ulna
Shorter forearm than normal
Often little functional problem
5. MADELUNG – X RAYS
Excess palmar and radial
angulation
Ulna Plus
6. MADELUNG - TREATMENT
None if asymptomatic
Options:
Physiolysis +/- release of Vicker’s ligament
Dome osteotomy
Radial Closing wedge and ulnar shortening
Radial Osteotomy and distal ulna resection
Radial Osteotomy and Sauve Kapandji
7.
8. HEREDITARY MULTIPLE
EXOSTOSES
Also known as Diaphyseal Aclasia
AD – high but variable penetrance
Do not confuse with Multiple Enchondroma –
Ollier’s disease
EXT gene at fault
Involves long bones, pelvis, scapula, ribs and
vertebrae
11. EXOSTOSES
CLASSIFICATION – FOREARM
DEFORMITY
Masada Classification
Type I – Distal Ulna Exostoses, Radial head in
joint
Type II – Distal Ulna Exostoses, Radial head
dislocated
Type III- Distal Radius Exostoses with short
radius
12.
13. HEREDITARY MULTIPLE
EXOSTOSES
SURGERY
Indication – Pain, Nerve compression, decrease
ROM, Deformity, Possible Malignant
Transformation
Options:
Excision – beware may regrow
Hemiepiphyseodesis with staples
Lengthening of ulna – acute vs distraction
techniques
One bone forearm if all fails
16. MCQ
1 The most common type of Thumb duplication
according to the Wassell Classification is
A Type I
B Type II
C Type III
D Type IV
E Type V
17. MCQ - Answers
1 The most common type of Thumb duplication
according to the Wassell Classification is
A Type I
B Type II
C Type III
D Type IV
E Type V
18. MCQ
2 A Child presents to you with syndactyly of the left
Middle and Ring finger. According to Swanson’s
classification is this
A Failure of formation
B Duplication
C Undergrowth
D Overgrowth
E Failure of differentiation
19. MCQ - Answers
2 A Child presents to you with syndactyly of the left
Middle and Ring finger. According to Swanson’s
classification is this
A Failure of formation
B Duplication
C Undergrowth
D Overgrowth
E Failure of differentiation
20. MCQ
3 In the formation of the upper limb, differentiation of
the limb bud into arm, forearm and hand is under
control of
A HOX genes
B ZPA
C Wnt pathway
D LMX genes
E Shh genes
21. MCQ - Answers
3 In the formation of the upper limb, differentiation of
the limb bud into arm, forearm and hand is under
control of
A HOX genes
B ZPA
C Wnt pathway
D LMX genes
E Shh genes
22. MCQ
4 You are called to the labour ward to review a child
with congenital hand deformity. You are told that
the parents are of African descent. The most likely
abnormality you expect to see is
A Thumb duplication
B Radial Club hand
C Post-axial duplication
D Ulnar Club Hand
E Hypoplastic Thumb
23. MCQ - Answers
4 You are called to the labour ward to review a child
with congenital hand deformity. You are told that
the parents are of African descent. The most likely
abnormality you expect to see is
A Thumb duplication
B Radial Club hand
C Post-axial duplication
D Ulnar Club Hand
E Hypoplastic Thumb
24. MCQ
5 You are planning to release multiple syndactyly in a child.
The 2nd, 3rd and 4th webspaces are syndactylysed. The
most appropriate surgery is:
A Release of all syndactyly in one sitting
B Release of 2nd and 3rd in one sitting and 4th at a later
date
C Release of 2nd & 4th in one sitting ad 3rd at a later date
D Release of 3rd & 4th in one sitting and 2nd at a later date
E Release of one syndactyly at a time
25. MCQ - Answers
5 You are planning to release multiple syndactyly in a child.
The 2nd, 3rd and 4th webspaces are syndactylysed. The
most appropriate surgery is:
A Release of all syndactyly in one sitting
B Release of 2nd and 3rd in one sitting and 4th at a later
date
C Release of 2nd & 4th in one sitting ad 3rd at a later date
D Release of 3rd & 4th in one sitting and 2nd at a later date
E Release of one syndactyly at a time
26. MCQ
6 Camptodactyly is most commonly caused by
A Volar skin deficiency.
B Volar plate contractures.
C Abnormalities of the palmar fascia and Landsmeer
ligament.
D Articular deformity of the proximal
interphalangeal joint.
E Anomalous lumbrical and superficialis insertions.
27. MCQ – Answers
6 Camptodactyly is most commonly caused by
A Volar skin deficiency.
B Volar plate contractures.
C Abnormalities of the palmar fascia and Landsmeer
ligament.
D Articular deformity of the proximal
interphalangeal joint.
E Anomalous lumbrical and superficialis insertions.
28. MCQ
7 Madelung deformity is
A Excessive radial and dorsal angulation of distal
radius
B Excessive length of ulnar
C Excessive length of radius
D Excessive radial and palmar angulation of distal
radius
E Excessive length of distal radius
29. MCQ – Answers
7 Madelung deformity is
A Excessive radial and dorsal angulation of distal
radius
B Excessive length of ulnar
C Excessive length of radius
D Excessive radial and palmar angulation of distal
radius
E Excessive length of distal radius
30. MCQ
8 Differentiation of the limb bud into ulnar and radial
side is controlled by
A Apical Ectodermal Ridge
B Zone of Polarising Activity
C Wingless type signalling centre
D Fibroblast Growth Factor
E BMP 2
31. MCQ – Answer
8 Differentiation of the limb bud into ulnar and radial
side is controlled by
A Apical Ectodermal Ridge
B Zone of Polarising Activity
C Wingless type signalling centre
D Fibroblast Growth Factor
E BMP 2
32. MCQ
9 You have a child with a mild hypoplastic thumb. You
are planning to perform a Huber transfer. This
involves
A Transfer of EIP to restore opposition
B Transfer of FDS Ring to restore Thumb Adduction
C Transfer of EIP to restore Thumb Adduction
D Transfer of ADM to restore Opposition
E Transfer of ADM to Thumb Flexion
33. MCQ – Answer
9 You have a child with a mild hypoplastic thumb. You
are planning to perform a Huber transfer. This
involves
A Transfer of EIP to restore opposition
B Transfer of FDS Ring to restore Thumb Adduction
C Transfer of EIP to restore Thumb Adduction
D Transfer of ADM to restore Opposition
E Transfer of ADM to Thumb Flexion
34. MCQ
10 The most common congenital hand
anomaly is
A Symbrachydactyly
B Camptodactyly
C Syndactyly
D Polydactyly
E Constriction Ring Syndrome
35. MCQ – ANSWERS
10 The most common congenital hand
anomaly is
A Symbrachydactyly
B Camptodactyly
C Syndactyly
D Polydactyly
E Constriction Ring Syndrome