Monthly Archive:: June 2015

Trocar site herniation – clinical case

Trocar site herniation is a recognized complication of laparoscopic surgery. Most cases have involved 10 mm or greater port, hence the recommendation to close any port greater than 5 mm. I recently had a case of trocar

Joint swelling in child

Joint swelling in child is termed arthritis, whereas joint pain without signs of inflammation is referred to as arthralgia. Rheumatologists call pain at ligament and tendon insertions endthesopathy. Arthritis occurs in about 2 in 1000 children. The

Gait Evaluation

Gait can be evaluated at three levels of sophistication.

Imaging in Orthopedics

New imaging methods in orthopedics make musculoskeletal evaluation more rapid, precise, and complete. However, new images must be interpreted with caution. Even after 100 years of experience reading conventional radiographs, it is still difficult to separate disease

Pediatric Orthopedic Physical Examination

Pediatric orthopedic physical examination of the musculoskeletal system should include two steps: a screening examination a complete musculoskeletal evaluation performed to assess a specific complaint.

Pediatric Orthopedic Evaluation

Pediatric orthopedic evaluation leading to an accurate diagnosis is the first and important step in optimal management. Every condition requires a diagnosis, but only some require active treatment. The evaluation of the child is often more difficult

Cervical Disk Syndrome

If the cervical intervertebral disk ruptures, adjacent neural structures may be compressed. Compression of a spinal root may cause weakness and sensory loss in structures of the upper extremity innervated by that root. The severity of the

Surgical patients with pain

Patients with pain can be divided into two groups: those with diseases that limit life expectancy, such as malignant tumors (malignant or cancer pain); those with normal life expectancy (chronic benign pain).

Arteriovenous malformations of the nervous system

Arteriovenous malformations (AVMs) occur within the central nervous system as congenital anomalies that allow blood to be shunted directly from arteries to veins without an interposed capillary network. Afferent and efferent vessels are dilated, and they lead

Intracranial Aneurysms

An aneurysm is a saccular dilation of an artery that typically occurs at a branch point or curve in the artery’s course and generally points in the direction of blood flow. Usual aneurysm morphology consists of a