Wednesday, 3 November 2021

squatting leading to dislocation in TKR

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Conventional TKR is not designed for squatting. Even high flexion designs are reported to lead to earlier PF problems and wear.
Sunday, 5 September 2021

meniscal repair augmented with synovial to improve the healing in a complex degenerate tear

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Menisectomy have been clearly shown to give poor long term results. Hence methods to augment and enchance repair by multiple sutures, BMAC,...
Saturday, 4 September 2021

2 MONTH OLD DISLOCATED KNEE WITH CELLULITIS IN THE SHIN

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fell 2 months after TKR and dislocated the knee. pt (BmI 35) with recurrant cellulitis on the ipsilateral tibial shin shin which is asymptom...
Tuesday, 24 August 2021

Greater tuberosity fracture ain’t benign

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mri revealed a bankart"s lesion which was not suspected as the pt came 2 weeks post injury due to the pandemic. hence scopic bankarts...
Sunday, 22 August 2021

Distal biceps tendon Rupture in an active persons dominant Arm

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3 week old injury- Middle aged male injured rt elbow while batting sustained a bruise and swelling rt arm positive hook and squeeze test...
Saturday, 3 July 2021

When will we get Sodium mri to asses proteoglycans

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Wonder if the overload of neutraceuticals for joint preservation can be objectively checked by chemical MRI ie Sodium MRI  
Tuesday, 22 June 2021

Greater tuberosity fractures in young adult

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The incidence of dislocation of shoulder in greater tuberosity fractures are not clear.  vice-versa is  20 percent. The chance of instabilit...
Saturday, 5 June 2021

MRI taken 2 months after Primary Repair of all in a clinically stable knee

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the ligament appear taut  and near iso-intense  

Reverse Hill sach's after anterior instabilty repair

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12 months post anterior bankart  recon for a non engaging Hillsach's  Patient presented with severe pain when he woke up. MRI revealed e...
Monday, 31 May 2021

extensor mechanism failures post knee replacement

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Causes of extensor apparutus dysfunction  Patellar  fractures quadriceps tendon rupture patellar tendon rupture patellar button loosening Pa...
Thursday, 27 May 2021

Synovium - The omentum of knee

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 If one can harvest synovium derived MSC to augment  meniscal healing we could find a way in avascular tears. Below is a potential technique...

Atypical peri-prosthetic fracture due to longterm use of bisphosphonates)

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   Young patient post renal transplant on long term use of oral bisphosphonates post bilateral staged THR at 2 year intervals.  Classic feat...
Friday, 21 May 2021

Arthroscopic Assisted Lateral Condyle elevation + Percutaneous CC Screw fixation Tibia

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 Scoping  within  a few days with  low gravity flow or pressure  and using the shaver in front of the scope to suck out the clots  to see in...