Dr Wajid Ahmad

Radial nerve is branch of posterior cord of bracial plexus with root values C5, 6,78,( T1).
This nerve can be injured at diffrent levels
1. In axilla ( in saturday night palsy)
2. At spiral (radial groove) of Humerus with humeral shaft fracture
3. Just below elbow at proximal radius in form of PIN(posterior interosseous Nerve ,terminal motor branch of Radial Nerve)

FAT PAD SIGN

Supracondyler humeral fracture is very common fracture of humerus found in Child age group.
Two types of classification exist
1st based on mechanism of injury
Flexion variety
Extension variety

2nd based on displacement
Type 1 undisplaced
Type 2 angulated (only 1 cortical break)
Type 3 completely displaced
Important thing in type 1 sometimes no cortical break is seen in Lateral view you can only see Anterior and posterior fat pad sign and
You can appreciate this FAT PAD SIGN (lucent areas) in this figure given below in Lateral view. (Xray of 4yr aged child)
And cortical break can be appreciated in AP view

How to treat the Vit D and calcium deficiency in otherwise normal person??
Sun bathing is the easiest way to obtain vit D.
While mil and Yougurt is good source of Calcium

Humerus is one of the longest bones in body. Related to this bone are many nerves.
DISLOCATION OF SHOULDER may cause Axillary Nerve injury..
Shaft of the Humeral fracture may cause radial nerve injury.
And Supracondylar intercondyler fracture may cause ULNAR or MEDIAN or both these nerves injury.
A22 yr Labourer presented with Inability to Flex the elbow after 45days of manipulations by Pehalwan(Quack) after trauma to elbow.
Examination showed deformed swollen elbow with Radial Nerve neuropraxia.
Xray showed Distal humeral Shaft fracture.
OPEN REDUCTION INTERNAL FIXATION Done from posterior approach with RECCON PLATE+1/3rd TUBULAR PLATE illiac crest bone graft

An orthopedic surgeon should have art of Plastic surgery..
AS Orthopedic surgery is Sister of Plastic surgery😉

lifestyle changes that can help people with arthritis
1. Weight loss :maintaining a healthy weight reduce the risk of developing arthritis and can reduce symptoms if already present.
Eating a healthy diet is important for weight loss.
2. Choosing a diet with lots of antioxidants, such as fresh fruits, vegetables, and herbs, can help reduce swelling. some Other inflammation-reducing foods include fish and nuts.

3. Avoid the fried foods, processed foods, dairy products, and high intakes of meat.

4. Regular exercise will keep your joints flexible.
5. Swimming is often a good form of exercise for people with arthritis because it doesn’t put pressure on your joints the way running and walking do.
6. Staying active is important, but you should also be sure to rest when you need to and avoid overexerting
7. the head tilt, neck rotation, and other exercises to relieve pain in your neck
finger bends and thumb bends to ease pain in your hands
8. leg raises, hamstring stretches, and other easy exercises for knee arthritis
9. donot Sqaut
10. Offer your prayers sitting on chair
11. donot sit on the ground
12. Do Quadriceps strengthening excercises
13. avoid regular massaging on the affected joint

Long leg cast to the same pt with Patellar fracture having extensor mechanism intact..
Long leg cast on the leg is applied from above mid.thigh to the leg up to distal end with ankle joint spared

This post is for my colleagues and juniors
Not every pt with patellar fractures needs fixation. AS in this case this 29 yrs male presented with Hx of RTA, his bike collided with rikshaw and his knee struc directly to side bar of rikshaw. XRAYs showed Fracture patella but his extensor mechanism of knee joint was intact.
So he was aplied Long leg cast..

Photos from Dr Wajid Ahmad's post

Joining EzShifa in Islamabad

Alhamdulillah for my setup...

Osteoarthritis is the most common form of arthritis in the knee. It is a degenerative,"wear-and-tear" type of arthritis that occurs most often in people 50 years of age. Age is a major risk factor for osteoarthritis of the knee, young people can get it, too. For some individuals, it may be hereditary. For others, osteoarthritis of the knee can result from injury or infection or even from being overweight.
Symptoms of osteoarthritis of the knee may include:
1. Pain that increases when you are active, but gets a little better with rest
2. Swelling
3. Feeling of warmth in the joint
4. Stiffness in the knee, especially in the morning or when you have been sitting for a while
5. Decrease in mobility of the knee, making it difficult to get in and out of chairs or cars, use the stairs, or walk
6. Creaking, crackly sound that is heard when the knee moves

Osteoarthritis is the most common form of arthritis (inflammation of joints), affecting millions of people worldwide. It occurs when the protective cartilage that cushions the ends of your bones wears down over the time. Osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine.