Clinical Cases in Orthopaedics & Traumatology Prof. Mayil Vahanan Natarajan ‘M.S.Orth. (Ma's) M.Ch.Trauma (L'pool) Ph.D. (Orth. Oneo,) D.Sc, RAMS. D.Sc. (Hon,) Orthopaedic Surgeon & Padma Laureate Millennium President, Indian Orthopaedic Association Tamil Nadu Orthopaedic Association & Asia Pacitic Musculo Skeletal Tumour AssociationFOREWORD Orthopaedics is both an art and science. The accurate diagnosis and management of any condition depends upen good history and thorough clinical examination Majority of the undergraduate and post-graduate students are ill at ease when confronted with a difficult clinical situation, The exhaustive textbooks available tail to deliver the important clinical points in a nutshell. In this practical guide | have tried to give a simple approach to the common clinical cases encountered in Orthopaedics in a simple, lucid and easily readable style so that it is less intimidating to the beginner. This book is net intended to be a complete textbook or an exhaustive encyclopedia, It attempts to indicate the important “not to miss” points in clinical examination, so that the students can follow, improve on them and help themselves to become a “Master” - giving the fruition to the most needy - our patients | take this opportunity to invite constructive criticism for refining this effort thank Dr. K.R, Venkateshwar, Dr. R. Prabhakar, Dr. R.A. Shashidhar, Dr. S.H. Jaheer Hussain, Dr, Mohamed Sameer, Dr, Navin and Dr. Viswanath for their sincere and devoted contribution. also thank God Almighty and my Beloved parents for their Divine blessings without which | would not stand where | am. May Good Befall all, Ocean: Rating Prof. Mayil Vahanan Natarajan Orthopaedic Surgeon & Padma Laureate M.S.Orth, Ma's) M.Ch.Trauma (L’pool) Ph.D. (Orth. Oneo,) DSc RAMS. DSe.(Hon) Head & Heart, Dept. of Orthopaedic Surgery Govt. General Hospital & Madras Medical College Chennai - 600 003. INDIA