Dr.Ihsanullah Orthopedic & Spine Clinic

13/12/2025

The Lauge-Hansen classification is a system for categorizing ankle fractures based on the mechanism of injury, which considers the foot's position (supination or pronation) and the direction of the deforming force (adduction, abduction, or external rotation) at the time of injury.

05/12/2025

Spinal (Spondy) Disorders

Mnemonic: Key Suffixes & Meanings

· -itis = Inflammation → Spondylitis
· -osis = Degeneration → Spondylosis (age-related wear)
· -lysis = Break/breakdown → Spondylolysis
· -listhesis = Slip/slide → Spondylolisthesis

Spondylitis

· Inflammation of the vertebrae.
· Example: Ankylosing spondylitis.

Spondylosis

· Degenerative changes in the vertebrae (similar to arthritis).
· Caused by aging or wear and tear.

Spondylolysis

· Defect or fracture in the vertebral arch (pars interarticularis).
· Common in athletes, especially gymnasts.

Spondylolisthesis

· Forward slipping of one vertebra over another.
· Often occurs as a result of spondylolysis.

29/11/2025

Test For Achilles Tendon

24/11/2025

Scaphoid fractures can be simply described as involving the distal pole or tubercle, waist, or proximal pole. (From Trumble TE: Fractures and dislocations of the carpus. In: Principles of
hand surgery and therapy, Philadelphia, 2000, WB Saunders.)🤚

23/11/2025

The ossification of bones begins with the capitate and hamate in the first year of life, followed by the triquetrum and lunate in the next few years. The remaining bones—scaphoid, trapezium, and trapezoid—ossify between ages 4 and 6. The pisiform is the last to ossify, appearing between ages 8 and 12.
Sequence of ossification
Capitate: 1–3 months
Hamate: 2–4 months
Triquetrum: 2–3 years
Lunate: 2–4 years
Scaphoid: 4–6 years
Trapezium: 4–6 years
Trapezoid: 4–6 years
Pisiform: 8–12 years

07/10/2025

https://www.facebook.com/share/19vem9QoKY/

01/10/2025

01/10/2025

I got 4 reactions and 1 reply on my recent top post! Thank you all for your continued support. I could not have done it without you. 🙏🤗🎉

01/10/2025

Reverse segond fracture
Avulsion fracture of the deep part of the medial collateral ligament from the medial tibial rim

Strongly implies PCL injury

25/09/2025

Knee osteoarthritis, patellofemoral pain, and meniscal tears are among the most common causes of knee pain.

This video shows the clinical examination technique for diagnosing meniscal tears, demonstrating both joint line palpation and the McMurray test.

25/09/2025

ECU Synergy Test -
The ECU Synergy Test serves as a specialized orthopedic examination technique for evaluating the extensor carpi ulnaris tendon, particularly when tendinitis or instability is suspected. This clinical assessment proves invaluable in diagnosing ECU tendinopathy characterized by dorsal ulnar wrist pain that can substantially compromise grip strength and overall wrist function.

The extensor carpi ulnaris muscle originates from the lateral epicondyle of the humerus and the posterior border of the ulna, with its tendon coursing through the sixth dorsal compartment at the wrist. This tendon is secured within a fibro-osseous tunnel formed by the groove on the ulnar head and the overlying extensor retinaculum. The ECU functions synergistically with the flexor carpi ulnaris to provide both ulnar deviation and essential wrist stabilization during various hand activities.

25/09/2025

🔹 Distal Femoral Osteotomy (DFO) for Valgus Correction 🔹
When treating valgus deformities, two main techniques are available:
👉 Medial Closed Wedge DFO (MCW DFO)
✅ Advantages: Direct bone-to-bone healing
⚠️ Disadvantage: Technically more demanding than LOW DFO
👉 Lateral Open Wedge DFO (LOW DFO)
✅ Advantages: Easier to perform
⚠️ Disadvantage: Risk of iliotibial band irritation
📌 Specific indication: Leg length discrepancy (ipsilateral shorter leg)
Both techniques aim to realign the mechanical axis and preserve the native joint, but the choice depends on anatomy, surgeon preference, and patient-specific factors.👍