Archive for October, 2015

Ulnar Collateral Ligament Injuries

Posted on: October 28th, 2015 by admin No Comments

Ulnar collateral ligament gets injured due to trauma or repeated actions or stress. Ulnar collateral ligament injury is very common in athletes mainly involved in tennis, badminton, javelin throwers, etc.. Fall on an out stretched hand can also lead to ulnar collateral ligament injury


–         Pain along the inner side of elbow

–         Associated swelling

–         Range of movements restricted

–         Patient often complaints that making a fist is painful


–         History and clinical examination

–         Valgus stress test

–         Crepitation

–         X- ray may show bone spurs, loose fragments, calcification

–         MRI diagnoses ligament rupture

–         Diagnostic arthroscopy


Non surgical treatment:

–         Rest

–         Ice application

–         Limb elevation

–         Analgesics and anti inflammatory


If conservative treatment fails, Arthroscopy and proceed.

Surendhar Case Summary

Posted on: October 10th, 2015 by admin No Comments

A case of poly trauma. Patient was travelling in a bus where he was hit by a lorry on 26.06.2015.Patient C/O severe pain & inability to use both lower limbs. C/O inability to stand & walk. Patient was initially treated at Govt.Hospital near Vellore where he was treated conservatively with splints, analgesics & suturing of right forearm. Patient had no H/O Loc/Ent bleed.

Patient had come at Sai ortho care hospitals for further management.

When patient was received at sai ortho care hospitals patient was observed to be in “HYPOVOLAEMIC SHOCK.” Patient was resuccitated with IV fluids & dressing of the compound wound over left femur was done. Patient was immediately shifted to ICU & was stabilized vitals was found stable. O2 support given due to de – saturation. Skin traction for both lower limbs was given. Wound swab from compound wound sent for Culture & Sensitivity.

 X – rays taken for both lower limbs. Patient was diagnosed with

  1. Fracture shaft of femur right side.
  2. Comminuted compound fracture femur left side.
  3. Fracture both bones left leg.
  4. Comminuted fracture distal tibia & fibula right side.


After stabilizing the patient, fracture fixation was planned as a 3 stage procedure.

Stage 1: (30.06.2015)

Intramedullary nailing of right femur & external fixator application of left femur with wound debridement done on 30.06.2015.B.K.Slab given for both legs.

Stage 2 : (05.07.2015)

External fixator removal & intramedullary nailing of left femur. O.R.I.F. for right ankle done on 05.07.2015.

Stage 3: (11.07.2015)

Closed locking & intramedullary nailing of left tibia done on 11.07.2015

Patient is very comfortable.Vitals are stable.

Active mobilization of all joints started.

Quadriceps strengthening exercises started.

Knee Pain

Posted on: October 8th, 2015 by admin No Comments


A pain occurs  in and around the knee joint.It affects people of all ages.

Caused by

1.Knee joint itself.

2.Some conditions affecting the soft tissues,ligaments,tendons and bursae,(ie-surrounded the knee joint)

Risk Factors for Knee Joint Pain

            1.Excess weight.

2.Over use /Repetitive motions

Eg- Jagging /long period of knee down)

Knee Joint Pain

May be

1.Ruputured ligament,

2.Medical conditions

(a) Arthritis-gout and infections

3.Chronic use/

(a)Osteo Arthrities

(b) Patellar syndromes,

(c) Tendinites

(d) Bursitees

Symptoms of Knee Joint Pain



3.Difficulty to extend the knee joint

4.Unable to bend the knee joint


6.Difficulty in walking 

Diagnosis of Knee Joint Pain

1.Radiological tests: X-Ray(find out fractures and degenerative changes)

2.MRI: Evaluate –ligament tears,cartilage damage and muscle injuries.

3.Blood tests.

If suspected- Gout arthritis and other medical conditions.

4. Removal of it fluid: (Arthrocertesis)

The fluid is that sent to the lab for evaluation for infected knee.

5.Treatment for knee joint pain:

Varied as the conditions that can cause the pain


2.Physical theraphy :Strengthening the muscle and help to avoid further worsening of an injury.

3.Corticosteroids- Help arthritis and other inflammation

4.Lubricants-Can help with movement and pain.


It from arthroscopic knee surgery to total knee replacement. The surgeons can repair many injuries and remove small pieces of loose bones and cartilage.        

Partial knee replacement: Part of the knee joint is replaced,shoter recovery than total knee replacement.

Total knee replacement: Knee is replaced with an artificial joint.

Prognosis of knee pain: Usually occurs short periods and resolve if knee joint pain be comes chronic,modern surgical techniques possible to relieve the pain and help to an active life style.

Article on Knee Replacement Surgery