Case Studies

1. ACJ(Acromioclavicular Joint) Reconstruction with Loop Endobutton.

(An AC Joint injury, otherwise known as a shoulder separation, is a traumatic injury to the AC joint with disruption of the ligaments.

Diagnosis is made with bilateral focused shoulder radiographs to assess for AC and CC interval widening.

Treatment is immobilization or surgical reconstruction depending on patient activity levels, degree of separation, and degree of ligament injury.)

2. Articular lateral plateau tibia fracture.

In surgical treatment, the goal is the reduction of the articular surface and stable fixation. The subchondral defect in the metaphysis is usually grafted with bone from the iliac crest to support the elevated articular surface.

3. Rotator cuff tears are a very common source of shoulder pain and decreased motion that can occur due to both traumatic injuries in young patients as well as degenerative disease in elderly patients.

Diagnosis can be suspected clinically with provocative tests of the supraspinatous, infraspinatous, teres minor and subscapularis, but confirmation requires an MRI of the shoulder.

Treatment can be nonoperative or operative depending on the chronicity of symptoms, severity of the tear, degree of muscle fatty atrophy, patient age and patient activity demands.

4. Proximal humerus GT avulsion fracture,

The surgical procedures for avulsion fractures of the humeral greater tuberosity include screw fixation, suture anchor fixation, and plate fixation,

5. Humeral shaft fractures are common fractures of the diaphysis of the humerus, which may be associated with radial nerve injury.

Diagnosis is made with orthogonal radiographs of the humerus.

Treatment can be nonoperative or operative depending on location of fracture, fracture morphology, and association with other ipsilateral injuries

6. Smiling face child - supracondylar humerus fracture.

7. Total Hip Replacement Surgery. (THR)

During hip replacement, a surgeon removes the damaged sections of the hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. This artificial joint (prosthesis) helps reduce pain and improve function.

8. Tibial fractures are the most common long bone fracture.

Diagnosis is confirmed by plain radiographs of the tibia and adjacent joints.

Treatment is generally operative with intramedullary nailing. In rare cases, external fixation or ORIF is more appropriate depending on the location and orientation of the fracture.

9. Patella Fractures

They are traumatic knee injuries caused by direct trauma or rapid contracture of the quadriceps with a flexed knee that can lead to loss of the extensor mechanism.

Diagnosis can be made clinically with the inability to perform a straight leg raise and confirmed with radiographs of the knee.

Treatment is either immobilization or surgical fixation depending on fracture displacement and integrity of the extensor mechanism.

10. Femoral shaft fractures

They are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures.

Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures.

Treatment generally involves intramedullary nailing which is associated with >95% union rates.

11. Clavicle fracture

Midshaft Clavicle fractures are common traumatic injuries caused by a direct impact to the shoulder girdle and is most commonly seen in young, active adults.

Diagnosis can be made radiographically with AP and cephalic tilt clavicle x-rays.

Treatment is nonoperative or operative based on patient activity and demands, along with degree of displacement, shortening, and comminution

12. ACL Reconstruction surgery

Peroneus longus tendon autograft can be an appropriate autograft for ACL Reconstruction surgery due to its strength, larger graft diameter, and avoiding potential complications of hamstring autograft obtained from the knee region.

13. ALL inside ACL reconstruction.

The all-inside ACL reconstruction technique is a relatively new development in ACL surgery.

This technique include closed-socket tunnels, dual suspensory graft fixation, decreased bone

removal, and smaller skin incisions.

14. Tibial fractures are the most common long bone fracture.

Diagnosis is confirmed by plain radiographs of the tibia and adjacent joints.

Treatment is generally operative with intramedullary nailing. In rare cases, external fixation or ORIF is more appropriate depending on the location and orientation of the fracture.

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