Orthopaedics

Ultrasound Case 088

by Dr James Rippey, last update April 7, 2019

I stepped off my back decking into a hole the dog had carefully manicured in the lawn. A combination of plantar flexion and inversion resulted in a rather swollen ankle you see in the first image. I managed it conservatively but at 6 weeks it still felt a bit boggy and unstable. A case of physician scan thyself

Vincenz Czerny

by Dr Mike Cadogan, last update March 27, 2019

Biography Born 19 November 1842 in Trautenau, Böhmen, Austro-Hungarian Empire Died 3 October 1916 in Heidelberg, Germany Medical Eponyms Czerny operation (aka Cholecystopexy) Czerny pillar suture used in the operative treatment of congenital inguinal hernia in children Key Medical Attributions 1879 – performed the first vaginal total hysterectomy 1880 – introduced pyelolithotomy as a treatment […]

Paget’s disease of bone

by Dr Elliot Davis, last update March 27, 2019

Paget’s disease of bone is a metabolic disorder of the bone, resulting in deformation and pain. It most commonly affects the axial skeleton; pelvis, lumbo-sacral spine, skull, femur and tibia. Diagnostic imaging is a key part of modern day diagnosis, and many cases are in fact incidental findings.

Dislocated? Put your shoulder into it!

by Justin Hensley, MD, last update February 8, 2019

Shoulder dislocations. Few procedures are more fulfilling in the emergency department. A little intra-articular lidocaine, some ketamine (always the answer), some propofol, and you’ve nearly instantaneously fixed a painful condition. Thankfully we’ve moved on from the barbaric techniques pictured below. But this blog isn’t about reducing a shoulder in the emergency department using procedural sedation. […]