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Orthonotes
by the.bonestories

Category: General

Trigger Finger & de Quervain
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Trigger finger: stenosing tenosynovitis of flexor tendon sheath (A1 pulley). Symptoms: painful clicking/locking of finger; risk in diabetics, RA. De Q...

Foot & Ankle — Hallux Valgus
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Lateral deviation of great toe with medial eminence (bunion). Risk factors: female gender, footwear, ligamentous laxity, pes planus. Clinical: pain, c...

Musculoskeletal Infections — Algorithm
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Spectrum: cellulitis, abscess, septic arthritis, osteomyelitis. Principles: Early recognition, debridement, targeted antibiotics, stabilization, soft‑...

Bone & Joint Infections in HIV
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HIV patients prone to bacterial (Staph aureus), mycobacterial (TB), fungal infections. Salmonella is a classic cause of osteomyelitis in HIV, especial...

Charcot Arthropathy — Neuroarthropathy
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Neuropathic osteoarthropathy due to sensory/autonomic neuropathy—diabetes most common cause. Eichenholtz stages: I (fragmentation), II (coalescence),...

Sterility & Theatre Protocols
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Goal: prevent surgical site infections (SSI). Airflow: laminar, HEPA, positive pressure. Staff: gown, glove, mask, restrict movement. Instruments: aut...

Amputation — Levels & Prosthetics
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Level selection balances wound healing potential, prosthetic energy cost, and function. Upper limb: transmetacarpal, wrist disarticulation, trans‑radi...

Orthoses — Lower Limb (KAFO/AFO)
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AFO: ankle-foot support in drop foot, CP, polio. KAFO: supports knee in quadriceps paralysis, SCI. Types: rigid, hinged, leaf-spring (AFO); locked, dr...

Imaging — CT & MRI Essentials
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CT: excellent for cortical bone, 3D recon. MRI: excellent for marrow, soft tissue, ligaments, cartilage. CT indications: complex fractures (pelvis, ac...

Orthopaedic Implants — Materials & Corrosion
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Common alloys: 316L stainless, cobalt‑chrome, titanium (Ti‑6Al‑4V). Corrosion mechanisms: fretting at modular junctions, crevice under plates, galvani...