Few days back we happened to see a rare case of congenital deformity of foot where great toe and index toe were very big while rest of 3 toes were normal in size, we advised her x-ray of foot and found that her all of the phalanges and meta tarsal bone of first two toes were enlarged and subs tending an angle. This patient was advised for plastic surgery later on. See the photographs of her foot from different views and see the x- ray findings. Credit of this case goes to Dr. Anurag Shukla a great skilled orthopaedician from India. Read more...
Calcaneal fracture is also known as Lover’s fracture may be due to the fact that it is commonly seen in those who jump from great height so as to escape from lover’s husband. Read more...
Many times you must have heard through media that Master Blaster Sachin Ramesh Tendulkar is not fit now a days, due to some injury. Have you ever thought how this fitness test is carried out? Fitness test include following seven points, if any sportperson satisfy these norms he is said to fit and can resume his sport activities, the criteria is
1. He should be able to jump from a height of one meter.
2. Full range of motions should be present at all joints, like elbow joint, shoulder joint, knee joint, etc and there should be no pain.
3. Person should be able to run without limping.
4. He should be able to extend the knee with 20 lb X 10 in 45 seconds.
5. He should be able to lift 45 lb X 10 in 45 seconds.
6. He should be able to do full press up.
7. He should be able to sit in squatting postion. Read more...
Most common causes of fracture of tibia and fibula are like blunt trauma, road traffic accidents, sports like hockey, football, baseball, basektball.
The tibia is the main weight-bearing bone of the lower leg, so a tibial fracture is more serious than a broken fibula. There’s not much tissue around the tibia, and therefore not as much blood supply to the bone. Consequently, it takes longer to heal. Read more...
Ganglion is a cystic swelling commonly seen over dorsum of wrist, but may be present at other parts, ganglion is formed as mucoid degeneration of tendon sheath or joint capsule takes place.
Generally there are no symptoms related to ganglion, however sometimes they become painful. Read more...
Neurofibromatosis is a genetic disorder associated with cutaneous, neurological and orthopaedic manifestations. Clinical diagnosis requires at least 2 criteria out of 7 given below
1. Cafe au lait spots.
2. Multiple Freckles.
3. Two or more typical neurofibroma or one plexiform fibroma.
4. Two or more iris hamartomas also known as Lisch nodules.
5. Optic nerve glioma.
6. Sphenoid dysplasia or pseudoarthrosis.
7. Family history.
Below is the patient of neurofibromatosis type 1 see his video, you can see multiple neurofibroma tumors on whole of body we have tried to elicit button hole sign in video. Read more...
Guttate Psoriasis is characterized by small (0.5-1.5 cm in diameter) lesions which are tear drops in shape, many in numbers, scaly, red or pink in colour, spread all over body but mostly on trunk, but also seen in limbs and scalp. Read more...
Auspitz’s sign is the sign seen in lesions of psoriasis, here you need a glass slide, with slide scrub the lesion, first silvery white micaceous scales are released, when scraping is continued, a membranous structure is seen , if we continue scraping pin point bleeding is seen all of the three things when present indicates Auspitz’s sign is positive. Auspitz’s sign is named after Henrich Auspitz. Read more...
Fixed drug reactions are basically drug reaction occuring at the same site on the body after taking few drugs to which patient is sensitive, below is the photograph of a patient who came to us with hyperpigmented macular patches on body, which were diagnosed as fixed drug reaction, below you can see the photograph, fixed drug reaction can of following types Read more...
Molluscum Contagiosum is a viral infection caused by POX VIRUS (DNA virus), there are no alternate host other than man, its highly infective disease spread by contact, even fomites can spread so do not use towels used by infected person.
Its higher incidence is seen in school going childrens, sexually active people, or those whose immune system is weak. Read more...
