Clubfoot — Ponseti Technique
Correct deformities in **CAVE** order: **C**avus → **A**dductus → **V**arus → **E**quinus. Use **Ponseti casting** with abduction and supination around talar head; avoid...
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Comprehensive guide to orthopaedic screws covering screw anatomy and geometry, cortical and cancellous screws, lag screws and the lag technique, locking screws, cannulated screws, headless compression screws, malleolar and positional screws...
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Correct deformities in **CAVE** order: **C**avus → **A**dductus → **V**arus → **E**quinus. Use **Ponseti casting** with abduction and supination around talar head; avoid...
Autosomal dominant **FGFR3** mutation → rhizomelic limb shortening with normal trunk, macrocephaly. Neonates risk **foramen magnum stenosis** and central apnea; screen in...
Failure of mineralization at the growth plate → metaphyseal cupping, fraying, and splaying with genu varum/valgum. Differentiate **nutritional vitamin D deficiency** from...
High‑grade intramedullary osteosarcoma affects metaphyses of long bones in adolescents (distal femur, proximal tibia, proximal humerus). Workup: **X‑rays**, **MRI with co...
First‑time dislocation: non-op unless loose bodies/osteochondral fracture or gross instability. Recurrent instability → MPFL reconstruction; address bony factors (TT‑TG d...
Lenke classification guides fusion levels using curve type, lumbar modifier, and sagittal modifier. Bracing is effective in skeletally immature (Risser 0–2) with 25–40° c...
Scheuermann disease: rigid structural kyphosis with ≥3 adjacent vertebrae wedged ≥5° and Schmorl nodes. Post‑TB kyphosis is angular with short apex, often severe and prog...
SC joint dislocations: anterior (more common, often stable after reduction) vs posterior (rare but life‑threatening due to mediastinal compression). Posterior dislocation...
Rockwood I–VI classification based on AC/CC ligament disruption and clavicle displacement. I–II: non-op (sling, rehab). III: controversial; IV–VI: surgery. Surgical optio...
Pediatric equivalent of ACL tear — bony avulsion of tibial eminence. Meyers–McKeever Types I–III (and IV comminuted) guide management. Type I: cast in extension; II–III/I...
Red‑red (peripheral) zone heals best; red‑white intermediate; white‑white avascular. Vertical longitudinal (bucket handle) tears in young → repair; complex/degenerative t...
High‑energy axial load injures distal tibial plafond with severe soft‑tissue compromise. Standard of care is staged protocol: **span → scan → settle → ORIF**. Restore len...