Archive for April, 2016


Posted on: April 18th, 2016 by admin No Comments


Osgood-Schlatter disease is a common cause of knee pain in growing adolescents. It is an inflammation of the area just below the knee where the tendon from the kneecap (patellar tendon) attaches to the shinbone (tibia).

Osgood-Schlatter disease most often occurs during growth spurts, when bones, muscles, tendons, and other structures are changing rapidly. Because physical activity puts additional stress on bones and muscles, children who participate in athletics — especially running and jumping sports – are at an increased risk for this condition. However, less active adolescents may also experience this problem.




Painful symptoms are often brought on by running, jumping, and other sports-related activities. In some cases, both knees have symptoms, although one knee may be worse than the other.

  • Knee pain and tenderness at the tibial tubercle
  • Swelling at the tibial tubercle
  • Tight muscles in the front or back of the thigh



Treatment for Osgood-Schlatter disease focuses on reducing pain and swelling. This typically requires limiting exercise activity Untill the patient can enjoy activity without discomfort or significant pain afterwards. In some cases, rest from activity is required for several months, followed by a strength conditioning program. However, if the patient does not have a large amount of pain or a limp, participation in sports may be safe to continue.

  • Stretching exercises. Stretches for the front and back of the thigh (quadriceps and hamstring muscles) may help relieve pain and prevent the disease from returning.
  • Non-steroidal anti-inflammatory medication. Drugs like ibuprofen and naproxen reduce pain and swelling.

Wound dehiscence

Posted on: April 16th, 2016 by admin No Comments


Its is an surgical complication. In which wound ruptures along surgical suture and also known as abdominal wound dehiscence. Its describe partial or complete post-operative separation of an abdominal wound closure.


  • It is an sub-acute infection.
  • Infection at the wound area.
  • Injury to the wound area.
  • Pressure on the sutures.
  • Weak tissue or muscle at the wound area.



  • Bleeding
  • Pain
  • Swelling
  • Redness
  • Fever
  • Opened wound
  • Broken suture


Risk Factor

  • Obesity
  • Hypertension
  • Over aged
  • Usually in female
  • Poor nutrition
  • Diabetes mellitus
  • Smoking
  • Surgical error
  • Long term use of corticosteroids.
  • Incorrect suture technique used to close operative area.


Wound Complication

  • Wound infection.
  • Chronic wound.
  • Hematoma.



  • Drug theraphy.
  • Antibiotics.
  • Medical treatment.
  • Surgical intervention.
  • Surgical removal of contaminated dead tissue.
  • Re-suturing.



  • To reduce stress on the wound edges.
  • Diabetes should to be control.
  • Cover the suture with sterile strips.
  • Use the antibiotics and clean the wound regularly.