Dr Wajid Ahmad

24/12/2023

Hyperreflexia in UMNL (upper motor neuron lesion)
Exaggerated Tendon reflexes and Clonus in 12yrs old CP child with GMFS II (Gross motor Function Scale )

24/12/2023

Lachman test for ACL injury
"The Lachman test is also known under the name of Ritchie, Trillat or Lachman Trillat test and it is described as the most valid test by a meta-analysis by Benjaminse et al. (2006) with a sensitivity of 85% and a specificity of 94%". And the other thing about this test is it is less painful and it can be performed in acutely injured knees.

10/11/2023

Femoral Shaft Fractures are one of the most common pediatric orthopedic fractures and are the most common reason for pediatric hospitalization due to orthopedic injury.
Diagnosis is made with plain radiographs of the femur.
Treatment may be palvic harness, spica casting or operative depending on the fracture pattern and age of the patient.
Non operative includes
1.Pavlik harness
2.Spica casting
3. Skin traction with late spica casting
Operative Options are
1 plating
2. Flexible nail
3. k nail
And sometimes Interlock nail..

21/10/2023

Distal Radius Fractures are the most common site of pediatric forearm fractures and generally occur as a result of a fall on an outstretched hand with the wrist extended.
Diagnosis is made with radiographs of the wrist.
Treatment is generally closed reduction and casting for the majority of fractures. Surgical intervention is indicated for significantly displaced or angulated fractures in patients approaching skeletal maturity.

16/10/2023

Barton fracture: Intra-articular fracture of the distal radius with subluxation or dislocation of the radiocarpal joint in the direction of the fracture fragment.

Either the ventral (anterior/volar) or dorsal (posterior) aspect of the radiocarpal joint is fractured. These ‘shear-type’ fractures involve the articular surface of the radius. Barton’s original description delineates the posterior marginal injury (dorsal type Barton fracture) and anterior marginal injury (volar Barton or reverse Barton fracture)

Both the anterior and posterior marginal fracture dislocations of the distal radius are uncommon injuries though the volar Barton fracture type is thought to be more common than the dorsal type.

These type of Fractures are almost always managed by fixation with T Ellis plate in Butteress mode

01/05/2023

Torus fractures a, also known as buckle fractures, are incomplete fractures of the shaft of a long bone that is characterised by bulging of the cortex. They result from trabecular compression due to an axial loading force along the long axis of the bone. They are usually seen in children, frequently involving the distal radial metaphysis.

01/05/2023

To reduce properly Distal radial fractures you should meet distal radial acceptability criteria
given below.

01/05/2023

Shaft of Femur Fractures in children are Managed According to Age and pattern of Fracture..
Up to 5ys Hip spica
Up to 6 to 11 yrs flexible nail
and from 11 to 14 /15yrs K nail is best option.
plate is Applicable in All age groups

01/05/2023

Radius Ulna fracture in children is Managed conservatively with wide acceptability criteria given below

30/04/2023

24/02/2023

CRIF of Intercondylar fracture of Rt Humerus of A 55yrs old BABA ji

23/02/2023

6 yr old Pt with polytrauma
BL femur + TF rt
managed with flexible nails + DCP with MIPO ♥️