Introduction: Femoral trochanteric fractures are the most common fractures of old age. Due to the fracture there is a change in the neck shaft angle which if not restored can lead to further disability. In this study we evaluated the immediate post-operative neck shaft angle achieved in surgically fixed intertrochantric fracture of femur using DHS and PFN and compared it with the normal side. Material & Method:This observational study was performed on 30 patients, with a mature skeleton, with an intertrochantric fracture of femur who got operated within a period of one year. AP view of Xray pelvis with bilateral hip in 15 degree internal rotation was done in the supine position after surgery. Morphometric measurements bilaterally on digital X-ray machine (CR system) using DIACOM software were done. All the data was analyzed for evaluation of neck shaft angle in non-fractured side and the restoration/change in neck shaft angle on the operated side after surgical fixation. Result: In our study the average neck shaft angle of normal side of femur was found to be 121.17±6.88 degrees and that of the operated side was found to be 125.32±10.12 degrees. Discussion: With DHS we were not able to restore the anatomical NSA due to the valgus reduction but with PFN we were able to restore.
Distal Radius fractures (DRFs) are recognized as complex injuries with prognosis depending on several variables which include the fracture type and the method of treatment. Some mal-alignment of the distal Radio-Ulnar and Radio-Carpal joint has been estimated to occur in up to 71% of patients following a DRF. The Lidstrom scoring system is utilized to radiologically evaluate the DRFs in comparison to the normal side in the same individual. In this study we have assessed the Lidstrom score of DRFs at prereduction i.e. at the time presentation, at immediate post reduction and at follow-up at 7-10 days after reduction and after 6 weeks of reduction. The effect of various methods of reduction and stabilization in distal radius fractures was assessed, and we found that the conservative method of treatment of DRFs is most commonly opted for and gives good results. The most common AO fracture pattern in younger individual was 23B2 in the elderly was 23A2. The incidence of displacement for individual parameters was found to vary with age and severity of fracture pattern. We found there is a high propensity of post reduction re-displacement if wrist mobilization is not restricted till the time of union, even in operatively fixed pts. The most common cause of DRFs in young Males is road traffic accident, while in females is due to fall on outstretched hand.
Milwaukee shoulder syndrome is a progressively destructive shoulder arthropathy mostly seen in mostly women over 70 years age. It is associated with severe pain and generalized restriction of joint movements, usually associated with rotator cuff tear. A 85 years old female presented to our hospital with chief complain of pain and decreased range of movements in both shoulder joints. Investigations were done including FNAC and Biopsy which could not identify any evident cause. Therefore diagnosis was made on clinico-radiological bases and patient was managed. Surprisingly patient had relief with plain NSAID's compared to opioids.
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