Page 1 of 1: ortho

deepti · Credits: 3273 My Scrapbook

A forty yr old man with acute onset of low backache
radiating to rt lower limb , slrt> 40 ,weakness of
extensor hallusis longus on rt side ,sensory loss
in the 1st web space of the rt foot , & brisk knee
jerk .what's the diagnosis -
a pid L 4 -5
b spondylosis L 5 -s1
c lumbar canal stenosis
d spondylolisthesis L4-5
ans. given is lumbar stenosis with a explanatn that disease
has to a generalised involving whole of lumbar spine (ehl-L5 & S1 ,
knee jerk-L2 3 4 ) but can lumbar stenosis be acute?

drpsg · Credits: 6208 My Scrapbook

LOOK WHAT APPLES orthopaedics HAS TO SAY ABT LUMBAR CANAL STENOSIS

THE PT IS USUALLY A MAN AGED OVER 50 Y COMPLAINS OF ACHING HEAVINESS NUMMBNESS AND PARAESTHESIA IN THE THIGH AND LEGS IT COMES ON ONLY AFTER STANDING UPRIGHT OR WALKING 5 TO 10 MINS AND IS CONSISTENTLY RELIEVED BY SITTING SQUATTING OR LEANING AGAINST THE WALL

SO THE SYMPTOMS CAN PRESENT ACUTELY

MOST COMMON CAUSE OF CANAL STENOSIS IS SPONDYLOLITHESIS AT L4/L5

jeejan · Credits: 79189 My Scrapbook My Reading List 262569 Books

A pre- existing low grade LCS with acute PID L4-L5 could also give the same clinical picture

wolverine · Credits: 106 My Scrapbook

[font=tahoma]The “safe zone” for placement of hardware in a radial head fracture is 100 degrees centered over the coronal equator, with the forearm held in what position?
A. neutral rotation D. 45 degrees of pronation
B. 45 degrees of supination E. full supination
C. full pronation
[/font]

wolverine · Credits: 106 My Scrapbook

During a fall, which position of the forearm results in an Essex-Lopresti injury?
A. neutral D. pronation
B. full supination E. varus
C. midsupination

wolverine · Credits: 106 My Scrapbook

The use of monocortical screws in plate fixation of a fracture can be as effective as bicortical screws, provided that:
A. they are used in cancellous bone
B. the plate itself has little contact with the bone
C. the screw heads are locked into the hole on the plate
D. the screws are not removed after the fracture has healed

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