50 male history of slip and fall at home today.. previous history pain in hip is there and associated with back pain.. slowly hip pain reduced.. no history of RA.. he could sit in a chair he could not walk properly even before fall also.. diagnosis and treatment..
That ankylosis makes it easy ,go for osteosynthesis with multiple ccs or DHS with antirotation screw. 2nd option- take down THR but High risk of heterotrophic ossif., hip dislocation as abductors will be compromised. I prefer osteosynthesis frst.... if not satisfied u can go with THR later after 6mnths. Thanku.
Ankylosis of Lt hip w # NOF and inferior pubic ramus. Needs THR
Ankylosis lt hip with # neck of femur. THR lt to be done
Fracture at neck of left femur and inferior ramus of left pubic bone.
A previosly ankylosed hip with a fresh fracture at neck.Fixation of fracture or THR.
Ankylosis with # neck of femur
Multiple myeloma
Fracture neck of femur
Lt hip joint OA/ ankylosis/ avascular necrosis of head of femur; osteoporosis of femur # of neck with inf Ramus of pubis # ??
Lt nof #
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Pt. 53/F, C/O pain n jt stiffness in B/L hands n feet since 7-8 yrs. H/O chicken gunia fever 7-8 yrs ago. O/e, stiffness of MCP pIP n dIP jts of both hands. Ankle n MTP jts stiffness. Clinical pic n ixns attached. Advise, Dx n rx plz.
Dr. Lukman Sheth7 Likes18 Answers - Login to View the image
51 yrs lady menopause since 3-4 yrs.teacher by profession. No H/O Koch's ,DM ,any operative H/O recurrent UTI 2yrs before took treatment and renal scaring was there so started on olmesartan 20 od which is stopped since June 2016. H/O zyloric 300 od for 2 yrs. At present uric acid and BP are normal. C/ O Low backache since Nov. 2015 which started while she was taking Root canal treatment. Took pain killers and physiotherapy but no result.so went to orthopaedic who advised MRI which was done which revealed ?TB L2 spine. So CT scan L2 done which ruled out TB. Again in Dec.2015 and Jan 2016 two MRI done which revealed L4 spondylolisthesis and no Koch's . So opinion of spine surgeon taken who advised biopsy which is negative for Koch's and malignancy. Diagnosis was compression # L2 So vertebroplasty done. Treated with calcium vit d3 and parathyroid hormone injection .inj.to continue for 6 months started in July 2016. Now some questions 1 Can it be a case of Koch's spine? 2 Can it be malignancy? 3 How to rule out above two ? 4 why there is degeneration ? as new scan is showing ?compression # L1 . 5 is there any relation to hormones ? 6 how to proceed further ? 7 can empirically start anti Koch's treatment ?
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21yrs old male labourer by profession presented with c/o backache and generalised weakness...x ray done...diagnosis and treatment please
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F32. Restricted movement and pain neck 1month.
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