ORTHOPAEDICS

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IMP POINTS

The term ORTHOPAEDICS was coined by sir NICHOLAS ANDREY Stance phase muscles- quadriceps and gastrosoleus. Ortolanis test is used for CDH/DDH WADDLING GAIT- gluteal muscle weakness ANTALGIC GAIT- painful hip gate
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Congenital deformities

In B/L CDH- shentons line broken & trenelenburg test is positive. Tx of CTEV should begin soon after birth MI pathology in CTEV- cong. TN dislocation. Successful tx of CTEV- triple arthrodesis
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SPRINGELS DEFORMITY-

CONTDDD.

Child with 3.25 yrs + CTEV- PM ST release Von-rosen splint is used for- CDH MC deformity in CDH- small head of femur. Vertical talus- rocker bottom feet Carpal bone # +median nerve invlunate Pseudoarthrosis at talonavicular

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DEVELOPMENT DISORDERS

Trident hand- achondroplasia sheperds crook deformity- fibrous dysplasia Bone dysplasia faulty development Jaw tumour- caffeys disease

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