Clinical Orthopaedic Diagnosis Sureshwar Pandey, Anil Kumar Pandey
INDEX
Page numbers followed by f refer to figure and t refer to table.
A
Abdomen
gross examination of 575
local condition of 576
Abducent nerve 483
Abduction 320, 324, 448
deformity, fixed 94f, 114f, 234, 323
digiti minimi 495
Abductor pollicis brevis muscle 493f
Abscess 595f
iliac 578
paravertebral 217f, 600f
periapical 553f
psoas 262, 578
pyogenic 193f
subperiosteal 47
tuberculous 596f
Acetabulum, upper part of 350f
Achilles tendinitis 408, 412, 447, 448, 457f
Achondroplasia 62, 62f
Achromia, lesions of 73f
Acid phosphatase, serum 511
Acquired ankylosis 550
Acrocephalosyndactyly syndromes 605
Acrofacial dysostoses 618
Acromegalic jaw 548
Acromioclavicular joint 91, 96
dislocation of 106
Adamantinoma 553
Adams-Oliver syndrome 604
Adduction 320, 325, 448
Adductor
muscles, contracture of 294f
tightness, autocorrection of 294f
Adipose tissue 511
Admantinoma 512
Adson's sign 225, 625
Adult respiratory distress syndrome 604
Aesthenia 17
Agnathia 547, 549
Ainhum 464f
Akinesia 242
Algodystrophy 607
Alkaline phosphatase, serum 511
Alkaptonuria 279f
Allis’ test 328, 334f
Allodynia 14
Alzheimer's disease 36, 604
Ameloblastoma 553
American Academy of Orthopaedic Surgeons 336
American Joint Committee on Cancer 516
American Orthopaedic Foot and Ankle Society Hallux Valgus Score 438
Amnesia, post-traumatic 559
Anaemia 352f, 353f, 506
Anaesthesia 184, 447, 509
Analgesia 14, 509
Analgesics, non-narcotic 280
Aneurysmal bone cyst, malignant 540f
Angiography, peripheral 586f
Angiosarcoma 511
Anhidrosis 16, 243
Ankle 416f, 418f
anteroposterior stress test of 411
clonus 238
congenital contracture of 7f
deformity of 470f
distorted development of 53f
dorsiflexors of 253
impingement sign 414, 417
jerk 238, 239f
joint 403
lateral collapse of 410
mortice 405
movements of 448f
pathology 415
sprain of 416
Ankylosing spondylitis 211, 211f, 221223, 251, 252f, 270, 271f, 277, 345, 352f, 448, 611
advanced 253f, 279
deformity of 211f, 251
secondary 251
stage of 252f, 351f
Ankylosis 27, 548, 547, 550
causes of 86t
congenital 550
fibrous 432
pre-bony 351f
types of 27, 86t
Annulus fibrosus 202
ossification of 252
Anserine tendinopathy 373
Antebrachial cutaneous nerve, lateral 487
Anterolateral soft tissue impingement syndrome 605
Anti-cyclic-citrullinated-peptide antibodies 76
Anti-rheumatic drugs, disease modifying 77
Antley-Bixler syndrome 605
Apert's syndrome 425, 425f, 605
Apley's test 389, 389f
Apprehension
sign 101, 382, 390
test 101, 390
Apraxia 240
Arachnoid mater 200
Arches, longitudinal 423
Arcuate ligaments 383
Arm-drop-sign 101
Arnold-Chiari syndrome 248, 605
Arrhythmias
cardiac 559
ventricular 559
Arterial blood gas analysis 613
Arterial diseases 632
Arteriography 391, 392
Arteriovenous malformations, pulmonary 175
Artery, peroneal 406, 406f
Arthritis 7173
acute 72
advanced tuberculous 142f, 350f
chronic 72
crystal 72, 80, 417
degenerative 83
enteropathic 79
gonococcal 79
gouty 73f, 459
monoarticular 74, 74t
multifocal pyogenic 72f
ochronotic 279f
polyarticular 74, 74t
post-viral 144
pseudoseptic 82
psoriatic 79
pyogenic 73f, 106, 193f, 535f
reactive 80
sacroiliac 270
subacute 72
subtalar 457f
degenerative 449
tuberculous 73f, 106, 142f, 350f, 390
viral 84
Arthrodesis 301f, 302f
Arthrofibrosis 378
Arthrography 103, 336, 391, 392
Arthrogryposis multiplex congenita 7f, 46, 441f, 442f
Arthropathy
dysenteric 85
haemophilic 591
Arthroscopy 31, 103, 336, 391, 392, 399, 415, 452
Arthrosis 449
degenerative 278, 390, 398, 398f
Arthrotomy 103, 391
Articular cartilage, sliced fracture of 384
Articular surfaces, palpation of 373
Ascitis, malignant 576f
Asphyxia, traumatic 571
Aspiration 336, 391
biopsy 336, 391
pneumonitis 568
Aspirin 280
Astereognosis 242
Ataxia 234, 240
Athetosis 234, 242
Atlantoaxial joint 215
Atonia 244
Attention deficit hyperactivity disorder 301
Attitude 170, 287, 315, 407, 446, 547
Auscultation 390, 451, 509, 577
Autism 301
Automatic bladder 205
Avascular necrosis 336, 354
Avulsion 383
fracture, types of 138f
Axial rotation stress test 264
Axillary folds, measurement of 99f
Axillary nerve, integrity of 100
Axonotmesis 487
B
Back pain
chronic 209f
low 274, 275, 275t, 280, 597
non-specific 275, 280
Back strain, acute 214
Backache 256
causes of 275
chronic 278f
compensation 279
low 273, 278f
Bajrangbali sitting position 306
Baker's cyst 373
Ball joints 71
Ballance's sign 577
Baller-Gerold syndrome 605
Ballismus 234
Bamboo spine 252, 278
Bankart's lesion 103
Barber's pilonidal sinus 185
Barlow's test 331, 331f
Barton's disease 393
Barton's fracture 154f, 161
Basal cell carcinoma 634
Basal ganglia 242
Baseballer's elbow 122
Bathyanaesthesia 242
Battered baby syndrome 59, 605
Battered buttock syndrome 606
Baumann's angle 121
Bell's palsy 483
Benediction attitude 180, 493
Bertolotti syndrome 275, 276
Best test 234
Bicepital tendinitis 614
Biceps
brachii 285
bursa 377
femoris 373
jerk 238, 241f
Bicipital tendinitis 100, 111
Bicipital tenosynovitis 100
Bifid thumb 170
Big toe
cockup deformity of 440f
dorsiflexing 458
extension of 237f
ingrowing nail of 467f
Biglow, Y ligament of 313
Biopsy 503
open 510
Bipartite patella 382
Bizarre deformities 192f
Bladder 243
Blauth's classification 605
Blind spots 392
Blount's disease 370, 371
Blunt chest injury 573
Blunt trauma 487, 568
Body mass index 23
Bone 4
abscess 589
around knee, ossification of 361t
avascular necrosis of 589
cement implant syndrome 606
cyst
aneurysmal 511
juxta-articular 511
solitary 511
unicameral 113f, 511
cystic lesions of 525
deep palpation of 25
densitometers 32
disease 615
dissolving disease 539
graft viability 589
lymphangiomatosis of 615
marrow oedema syndrome 606
metatarsal 424
of hand, ossification of 169
progressive atrophy of 615
sarcomas, staging of 516t
spontaneous absorption of 615
tumour 505, 512, 517t
benign 514t
classification of 507
malignant 516
primary 506, 511t, 590
secondary 506, 590
Bony
ankylosis 349f
components 153, 405
cortex 594
growths, benign 397
lesions 384
loose bodies 384
metastasis, early detection of 589
palpation 374
points, fixed 316
Borrelia vincentii 631
Botulinum-A toxin 294f
Bound foot deformity 468, 468f
Boutonniere deformity 178, 179f
Bow knee 367f, 368f, 369, 369f, 370, 370f
congenital 369f
Bow leg 368f, 369f, 370
rachitic bilateral 44f
Bowel diseases 79
Bowing deformity, posterior 60f
Bowler's thumb 183
Bowstring test 227
Boxer's elbow 619
Brachalgia 15, 224
Brachial palsy 487
Brachial plexus 489491, 501
integrity of 100
palsy, complete 490f
Brachydactylism 171
Brachymetacarpia 171
Brachymetatarsia 425, 434
Bradymetacarpia 425
Brain
development of 199
injuries 561t
MRI of 599f
Breast 506
Broca lesion 102
Brodie's abscess 55, 63f
Bronchus 506
Broom test 130
Brown's tumour 511
Brown-Séquard syndrome 205, 242, 606
Bryant's sign 100
Bryant's triangle 328, 328f
digital 328
fallacies of 328
geometrical 328
reverse 328
Buccal mucosa 548
Buerger's disease 18, 316, 460
Buerger's phenomenon 17
Bulge test 375
Bunnell test 178
Burdach, tract of 206
Burn
contracture 12f
electrical 633f
ulcers 632
Bursa
anserinus 377
around knee joint 360, 376
inflammation of 408
Bursitis
infrapatellar 377f
olecranon 122f, 144
pre-Achilles 408, 448, 457
prepatellar 377f
retrocalcaneal 408, 457
subacromial 101, 614
C
Cachexia 506
Caisson's disease 354
Calcaneal
apophysitis 469f
fasciitis 447, 457
fat pad 423
Calcaneo-cavo-valgus deformity 291f, 446f
X-ray of 445f
Calcaneocavus foot 431f
Calcaneocuboid joint degenerative arthritis 449
Calcaneovalgus foot, footprint of 446f
Calcaneum 537f
giant cell tumour of 461
melanoma of 461, 538f
osteomyelitis of 469f
Calcaneus deformity, measurement of 451
Calcaneus foot 426f, 427, 499
Calcar femorale 313
Calcium pyrophosphate
crystals 460
dihydrate 399
Calf muscles, post-infective contracture of 455
Callaway's test 99
Callosities, types of 456, 456t
Caloric reflex 559
Canal stenosis 592
lumbar 595f
Cancellous bone 594
Cancer chemotherapy 354
Candle bone disease 8f
Capillary hydrostatic pressure, pulmonary 604
Capital epiphysis 349f
bilateral slipped 351f
fragmentation of 352f
Capitellum, hypoplasia of 619
Capsular irritation sign 111
Capsular tear
avulsion, posterior 399f
haematoma 338
Capsulitis 614
Caput ulna syndrome 606
Carcinoma 507, 539f, 553
jaw 554f
metastatic 538f, 553
prostate 269f
Carcinomatosis lung 538f
Card test 449, 449f, 495, 495f
Cardiac tamponade 568
Caries
spine 209f, 217f, 218f, 224, 249, 262, 279, 578
tooth 554f
Carpal bones 169
Carpal tunnel syndrome 163, 165, 176, 493, 598, 606
causes of 165
stages of 164t
Carpopedal spasm 235
Cartilaginous structures 359
Catel-Manzke syndrome 606
Cauda equina 202f, 595f, 601f
lesion 244
syndrome 252, 253, 256, 607
causes of 256
Causalgia 15, 499
Cavovarus deformity 440f
Cementoma 553
Cenani-Lenz syndactyly syndrome 607
Central cord syndrome 607
Central fracture dislocation 338, 591f
Cephalothoracopagus 6f
Cerebellar tremor 19
Cerebral
compression 561
concussion 561
irritation 558, 561
palsy 12f, 183f, 228, 289, 290, 292, 293f, 294f, 295, 295f, 301, 307, 365, 455
neurologically 291
Cervical
compression test 224, 224f
movements, passive testing of 220
osteoarthritis 247
region 96f, 245
rib syndrome 152, 486
roots stretch test 224
spine 213f, 220, 220f, 221f, 222
MRI of 596f
spondylosis 247
vertebrae 247f
Cervicodorsal
junction 222
spine 93
Chair test 130
Charcot arthropathy 143f, 366, 379f, 380f
Charcot foot 475
Charcot gait 234
Charcot joint 240
Charcot-Marie-Tooth disease 455, 607
Charley horse syndrome 381, 610
Chauffeur's fracture 161, 161f
Cheap class syndrome 611
Cheiropathy, diabetic 179
Chemotherapy 506
neoadjuvant 529f
Chest
acute traumatic conditions of 569t
compression test 568
expansion, measurement of 223
injuries 568
gross assessment of 565
wall 568
Chiene's test 329, 329f
Chikungunya 85
Childress Duck-Waddle test 390
Chinese foot binding 468f
Chin-on-chest deformity 211f
Chlamydia trachomatis 80
Chondroblastoma 511
Chondroblasts 511
Chondrocalcinosis 385, 385f, 586
Chondroma 509, 511
Chondromalacia 382
patella 384, 390, 400
Chondromatosis, synovial 385f, 390
Chondrosarcoma 511, 533f, 538f
juxta-cortical 511
Chordoma 512
Chorea 234, 242
Christian-Weber syndrome 138
Church prayer sitting position 306
Chvostek's sign 235
Ciliospinal reflex 559
Cine-radiography 245, 391, 392, 452
Circadian rhythms 15
Cirrhosis
alcoholic 175
biliary 175
liver 354
Clark's test 376
Claudication, neurogenic 18, 18t
Claustrophobia 599
Claw foot 434, 435, 469f
static 435
Claw hand 176, 180
types of 177f
Claw toe 434
Cleft hand 171
bilateral 150f, 172f
typical 172f
X-ray of 172f
Cleft lip, congenital 7f
Cleft palate, congenital 7f
Clench teeth 548
Clergyman's knee 377
Clinodactyly 191f
Clostridium botulinum, bacterium 295
Club hand
congenital 149f
radial 171
Clubfoot 424, 444, 444f, 452, 453, 453t, 462f
bilateral 442f
deformities 453t
early 455
grades of 453
idiopathic 453, 453t
congenital 455
late onset 455
mild 443f
moderate 443f
severe 443f, 444f
very late-onset 455
very severe 443f
Cobb's method 245, 245f
Coccydynia 270
Coccygodynia 270
Cold abscess 109f, 143f, 154f, 193f, 215, 217f, 218f, 269f, 318f
tracking of 217f219f
types of 217f
Cold fire burn 462, 465f
Cold injuries 632
Collagen
arthropathy 132, 268, 394, 551
diseases 367, 487
vascular disorders 354
Collateral ligament
integrity of 387
medial 387, 411f
tear 383
Colles fascia 262
Colles fracture 148, 155, 155f, 159161, 180f
reverse 160f
Compartment syndrome 128, 455, 608
anterior 608
chronic 607
lateral 608
superficial posterior 608
Complete gait cycle, basics of 229f
Compression
fractures, osteoporotic 278
syndrome 416, 486
test 568
Computer assisted orthopaedic surgery 5
Condylomata 263f
Consciousness, level of 558, 559
Constriction
band, congenital 442f
ring, congenital 47
Contractures
assessment of 297
grading of 297t
Conus medullaris 201, 202
Convex pes valgus, congenital 425, 428f, 433
Coracoacromial arch 111
Coracoiditis 102
Cord
bladder 205
syndrome, anterior 604
Core needle biopsy 510
Corticospinal tracts 604
Corticosteroids 77
Costoclavicular syndrome 100
Cothymia 36
Cover up test 370, 371
Coxa plana 336, 354
Coxa valga 313
Coxa vara 313, 345
Cozen's test 130, 131f
Craig's test 333
Cranial fossa
anterior 561
middle 561
posterior 561
Cranial nerves, broad assessment of 483t
Craniodiaphyseal dysplasia syndrome 609
Craniovertebral region, MRI of 596f
C-reactive protein 30
Crepitus 155
Crohn's disease 79
Crossed-straight leg-raising test 225
Crowned dens syndrome 592
Cruciate ligament 361, 383
Crush syndrome 609
Cryptophthalmos-syndactyly syndrome 610
Cubital fossa 124, 137f
Cubital tunnel syndrome 131, 494, 610
Cubitus recurvatum 125f
Cubitus valgus 120f, 121
deformity 140f
measurement of 127
Cubitus varus 120f, 121f, 127
deformity 121f
measurement of 127
Culcaneum, pathological fracture of 469f
Curly toes 424, 439
Cushing's syndrome 610, 610f
Cutaneous nerve, lateral 485f, 500, 501
Cyanosis 243
Cycle-spoke injury 416f, 417f
Cystic fibrosis 175
Cystic swellings around knee 376
Cystica 249, 249f
Cysticercus 256
Cysts
dental 552, 554f
dentigerous 553, 554f
fluid-filled 587
solitary 550f
submental 555f
superiosteal 192
D
Dactylytis
pyogenic 174f
tuberculous 173f, 174f
de Quervain's disease 152f, 155, 155f, 163
Dead leg 610
Decompression 500
Deep posterior compartment syndrome 608
Deep vein thrombosis 611
Degenerative joint disease, non-nodal non-erosive 83
Dejerine-Sottas disease 166
Deltoid ligament 411
Deltoid muscle 114f
bilateral congenital contracture of 113f
contracture of 93
Dementia, clinical syndrome of 607
Dense collagen fibrous tissue 40
Depression 550
De-Quervain's disease 20
Dermatomyositis 78, 138f
Desmoplastic fibroma 511
Diabetes mellitus 165, 240
Diabetic foot
disorders 471
evaluation 477
infection 474
surgery 476
syndrome 610
ulcers 473
classification of 476
Diabetic muscle infarct syndrome 611
Diabetic nerve compression syndrome 611
Diaphragm, rupture of 572
Diaphyseal aclasis 149f
Diaphysis 40
Diastematomyelia 455
Diastrophic dwarfism 455
Diffuse idiopathic skeletal hyperostosis syndrome 611
Digital rays, severe suppression of 171f
Digitless hand 171f
Digitus quintus varus 439, 439f
Dinner fork deformity 148
Direct pressure tenderness 215, 215f
Disc prolapse, diagnosis of 276
Discectomy 276
Discoid meniscus 380
Dislocation, anterior 316, 338
Distal epiphyses, osteochondritis of 458
Distal phalanx 424
Distal polyarthritis
deforming symmetrical 75
nondeforming symmetrical 77
Distal radioulnar joint
ballottement of 153
instability of 153
Distal synovial uniaxial pivot radioulnar joint 156
Distraction test 224, 264, 389, 389f
Distress syndrome, respiratory 81
Dolichostenomelia 171
Doll's eye phenomenon 559
Dorsal spine 221
Dorsal spinocerebral tract 206
Dorsalis pedis artery 408
Dorsiflexion 156, 410, 448
Dorsolumbar
caries spine 207f
region
acute gibbus of 211f
spine of 256f
scoliosis, structural 208f
Double crush syndrome 611
Dowager's hump 63, 211
Down syndrome 46, 455, 611
Drawer sign, anterior 388, 411
Drawer test 387, 387f
Drop thumb deformity 180f
Drummer's palsy 180f
Drunkers gait 233
Duchenne muscular dystrophy 235, 303
Duck gait 232
Duga's test 100, 100f
Dupuytren's contracture 180, 181f, 182, 182f
Dupuytren's disease 20, 180
Dye allergy 392
Dyschondroplasia 54f, 365
Dyschromia, lesions of 73f
Dysdiadochokinesia 240
Dyskinesia 234, 235
Dysplasia
fibrous 112, 353f, 511, 527f
hypohidrotic ectodermal 610f, 615
Dystonia 234, 237, 242
musculorum deformans 228
E
Economy class syndrome 611
Edward's syndrome 612
Egawa's test 495
Egg-shell crackling 153
Egyptian foot 446f
Ehlers-Danlos syndrome 612, 612f
Elbow
affections of 132
ankylosed 126f
chronic septic arthritis of 143f
congenital dislocation of 144f
corresponding injuries of 132t
dislocation of 134, 136
hyperextension of 125f
joint 117, 119, 122f
posterolateral dislocation of 137f
movements of 125f
old dislocated 137f
old injury of 137f
ossification around 119, 120f
pathological dislocation of 143f
posterior dislocation of 137f
snapping 125
Electrodactyly ectodermal dysplasia clefting syndrome 612
Electromyography 502
Elephantiasis 65f, 635f
advanced filarial 634f
filarial 65f, 462, 465f
post-traumatic 66f
Ellis-Van Creveled syndrome 612
Ely's test 334
Emphysema
mediastinal 568
subcutaneous 568
surgical 568
Empyema 571
Enchondroma 174f, 175f
Enchondromatosis 175
Endocarditis, infective 175
Enneking's classification 512
Enneking's system 516, 516t
Enthesopathy 589
Enzyme-linked immunosorbent assay 31
Epicondylar
fracture, medial 138
region, palpation of 122
tunnel 501
Epicondylitis
lateral 129
medial 131, 141
Epineurium 485
Epiphyseal growth plate 40
Epiphysis 40
Eponychial fold, infection of 185
Equino-cavo-varus
deformity 462f
foot, severe 429f
Equinovarus deformities 454
acquired 453t
congenital 453t
Equinus deformity 233
measurement of 450
Erb's palsy 182, 487, 489f, 491
Erichson's sign 335
Erythema nodosum 632
Erythrocyanosis frigida 634
Erythrocyte sedimentation rate 30
Evan's classification 340t
Eve's disease 553
Ewing's sarcoma 50, 462, 464f, 511, 517, 534f, 535f, 590
Excessive lateral pressure syndrome 619
Exomphalos, congenital 369f
Exostosis 513f
multiple 508f, 509, 513f
solitary 526f, 527f
subungal 467
Extensor carpi ulnaris 147f, 285
Extensor digiti minimi 147f
Extensor digitorum 147f, 158, 158f, 285
longus 230, 408
tendon of 164f, 405
Extensor hallucis longus 230, 253, 408
tendon of 405
Extensor indicis 147f
Extensor pollicis longus 157, 158f, 285
tendon, rupture of 180f
Extensor retinaculum syndrome 612
External oblique abdominis 285
External snapping hip 314
Extracorporeal shock-wave
lithotripsy 111
therapy 141, 457
Extraforaminal disc 253
Extraperitoneal rupture 577
Eyes 251
F
Fabella 385
Faber manoeuvre 227, 227f, 333
Facial
expression 13f
nerve palsy 483
Factitious hand syndromes 613
Failed back surgery syndrome 613
Fajersztajn test 225, 226, 226f
Fallacies 221, 323, 331
Fanatic life syndrome 279
Fan-belt injury 623f
Fanconi anaemia 613
Fanconi syndrome 613
Fan-shaped deltoid ligament 405
Fascicles 284
Fat emboli syndrome 613
Faulty posture, curve of 211
Feet, congenital malformations of 424
Felty's syndrome 77, 613
Femoral condyles 374, 374f
Femoral head
anterior landmark of 314
deformed 351f
vascular supply of 340f
Femoral neck, anteversion of 334f, 370, 371
Femoral nerve 500, 501
stretch test 227, 227f
Femorotibial angle 361
Femur 395f
congenital
acute bowing of 66f
anterolateral bowing of 63f
lower diaphysis of 526f
neck of 340f
old fracture neck of 336
Ferguson's method 245, 246f
Festinant gait 233
Fever, rheumatic 78, 551
Fibres 284
Fibrodysplasia ossificans progressiva 138
Fibro-fatty soft tissue mass 623f
Fibroma
chondromyxoid 511
non-ossifying 511
Fibromyalgia syndrome 614
Fibro-osseous compartments 147f
Fibroproliferative disease, benign 180
Fibrosarcoma 511
Fibrositis syndrome 614
Fibrotic contracture 318f
Fibrous dysplasia, endocrinopathic 618
Fibula
congenital pseudoarthrosis of 47
mimicking osteosarcoma of 533f
overgrowth of 64f
upper end of 527f
Fibular tunnel syndrome 486, 613
Figure of 4 test 227, 227f
Filum terminale 200, 202
Fine needle aspiration cytology 510
Finger
bilateral congenital flexion contracture of 150
deformities of 179f
duplication of 170
flexion reflex 238
flexor sheath of 185f
normal movements of 188t
post-burn contracture of 126f
pulps 184
quadriceps 233
snapping 182
tip 193f
Finkelstein's test 155
Fire arm injury 490
First metatarsal insufficient syndrome 614
First ray insufficiency syndrome 614
Fissures, deep 65f
Fistulae, arteriovenous 634
Five fingers quadriceps 290f
Fixators 29
Fixed deformities, correction of 295
Fixed flexion deformity 321, 322, 379
Flaccid flat feet 431
Flail chest 568, 570
Flail lower limbs 291f
Flat foot 423, 428f, 431, 431f
anterior 423
congenital rigid 433
flexible 431, 432
rigid 432f
spastic 432f
Flexion 324, 448
contracture, congenital 122f
limitation of 378
range
free active 322
free passive 322
Flexor carpi
radialis 164f
ulnaris 158, 164f, 495
calcific tendinitis of 162
Flexor digitorum
longus 409
tendon of 405
profundus 189f, 285
sublimis 285
Flexor hallucis longus 409
tendon of 405
Flexor tendons 169, 170f
Floating patella 375
Fluid, synovial 70, 81
Fluorodeoxyglucose 590
Fluorosis 45f
Foetal surveillance techniques 452
Follicular odontome 553
Foot 421
angle 229
arches of 423
bones, ossification of 424
broad divisions of 423t
callosity of 456t
circumferential measurement of 450f
congenital contracture of 7f
control of 423
deformities 365f, 425, 469f, 470f
complex 442
typical attitudes of 289
distorted development of 53f
dorsiflexion deformity of 434f
dorsum of 463f
drop gait 232
equinus 425, 426f
eversion deformity of 434f
everted 427, 430f
evolution of 422
haemangiosarcoma of 462, 465f
hyperplasia of 462
hyperpronation of 431
intrinsics of 285
inverted 429f
length of 423
longitudinal measurement of 450f
melanoma of 537f
movements of 448f
pathology 452
pes planus 428f, 431f
pes valgus 428f, 431f
plantar aspects of 447
post-burn contracture of 470f
sole of 465f, 499
Footprint 451
electrical recording of 452
Footwear
examination of 446f, 447f, 451
sole of 451
Forearm 496
joints 126f
movements of 156
Forefoot 423
abduction of 434, 434f, 448
adduction of 433, 434f, 448
Egyptian type of 442
normal alignment of 434f
types of 442
Forestier's disease 611
Fossae
iliac 317f, 318
infraclavicular 96
infrapatellar 375f, 376f
palpation of 26
Four score coma scale 559t
Fracture 55, 344f
acetabulum 269f
around shoulder 105
cervicothoracic regions 592
classification of 56t, 340t
clavicle 93, 106
comminuted 600f
complicated status of 58t
complications of 60
condylar 384, 400
dislocation 107f, 136, 269f, 416f
epiphyseal 384
features of 58
femoral neck 233
first rib 572
forearm 191f
head and neck of radius 138
healing 57t
incomplete 381
intra-articular 59
jaw 551
juxta-articular 59
lateral condyle of humerus 140
leg bones, congenital 43f
long bones 55
malunited 9f
mandible 551
metatarsals 459
multiple 9f, 605
ribs 568
neck femur 313,316, 338, 340f
of sternum 568
olecranon 141
osteoporotic 64
patella 381, 381f, 383, 400
types of 381ff
pathological 59, 506, 538f
pelvis 338
radial styloid process 161f
scaphoid 161
single ribs 568
stellate 381
sternum 569
subluxation 114f
supracondylar 133, 134f, 496
surgical neck of humerus 107f
thoracic regions 592
thoracolumbar regions 592
tibial
spine 399f
tuberosity 383
transchondral 385
transverse 381
trochanter 338, 341f, 342f
trochanteric 316
types of 134f, 340f
unstable 341f
Frankel, white line of 394
Frantic life syndrome 614
Freeman-Sheldon syndrome 455, 614
Freiberg's disease 458, 459f
Friction test 390
Froin's syndrome 614
Froment's sign 495, 495f
Frozen shoulder syndrome 110, 614
Fusobacterium ulcerans 631
Fuzzy lesions 586
G
Gadolinium-labelled diethylenetriamine penta-acetic acid 597
Gaenslen's test 264, 265, 265f
Gait
abnormal 229
antalgic 232, 233
ataxic 233
base of 229
calcaneus 233
cerebellar 234
circumduction 232, 234
crouch 232
dragging 232
equinus 232
helicopod 232
hemiplegic 232
hysterical 234
internal rotation 232
in-toeing 232
knee 290f
knock knee 233
lathyriatic 232
out-toeing 232
painful 233
quadriceps 233
recognised patterns of 232
reeling 233
short leg 233
short limb 233
short shuffling 233
spastic 232
stamping 233
stiff hip 233
stiff knee 234
Galeazzi's sign 328, 334, 334f
Gallbladder 576
Ganglion
around wrist 163
intraosseous 511
Gangrene tissue 476
Gardens four grades 340f
Gardner's syndrome 614
Gas gangrene, acute 61f
Gastrocnemius 411
calcifying tendinitis of 399
tear 412
Gaucher's disease 354
Gauvain's sign 333
Genee-Wiedemann syndrome 618
Genome 33
Genu recurvatum 372f, 395f
angle of 371
bilateral 372f
congenital 371f
deformity 371
gait 233
unilateral 372f
Genu valgum 363f, 364, 364f366f, 369
bilateral 365, 365f
causes of 365
idiopathic 366f, 368
measurement of 380
rachitic bilateral 45f, 365f, 366f
Genu varum 364, 364f, 365, 369, 369f, 370
bilateral rachitic 367f, 368f
fallacies of 370
idiopathic bilateral 367f
measurement of 380
Genucom 392
Germ cell tumour, nonseminomatous 542f
Giant cell tumour 45, 111, 152f, 163, 176f, 397, 470f, 511, 517, 526f530f, 532f, 591f, 592f
malignant 527f, 528f
typical 527f
Giant osteochondroma 513f
Gland
axillary 539f
group of 124
Glasgow coma scale 559, 559t
Glenohumeral articulation 91
Glenohumeral joint 91, 110, 614
Glenoid fossa 92
Glide test 382
Glomus tumour 184, 468
Glossopharyngeal nerve 484
Glossy fibroma 506
Gluteal artery, inferior 228
Gluteal lurch 288
Gluteus maximus 285, 359f
atrophy of 228
contracture 317f, 318f
gait 233
Gluteus medius 285
gait 233
Goldthwaite's sign 264, 266, 266f
Golfer's elbow 122, 141
Goltz-Gorlin syndrome 615
Gomphosis 70
Goose foot 377
Goose neck deformity 180f, 182
Gordon's sign 237f
Gorham's diseases 615
Gorham's massive osteolysis 615
Gorham-Stout syndrome 539, 615
Gout 80, 165
Gouty tophi, typical 460f
Gower's sign 302, 302f
Granulocyte scintigraphy 32
Granuloma, eosinophilic 511
Great spinal artery of Adamkiewcz 200
Greater trochanter 317f
anteversion of 334f
palpation of 334f
Grecian foot 442, 446f
Green-Anderson growth-remaining chart 46
Greenstick fractures 55, 588
Grinding test 389, 389f
Grotesque deformity 12f
Guillain-Barrè paralysis 455
Guillain-Barrè syndrome 299
Guinea worm 632f
Gum epulis 552
Gunshot injuries 487, 568
Guthrie cards 31
Guthrie test 31
Guttman's test 243, 502
Guyon's canal 148, 485f, 495
Guyon's tunnel 501
H
Haemangioendothelioma 511, 531f, 532f
Haemangioma 114f, 256, 278, 397, 511, 526f, 580f, 634
large vessels 526f
osseous 531f
Haemangiomatosis 615
Haemangiomatous mass 114f
Haemangiopericytoma 511
Haemarthrosis, fibrinous organisation of 390
Haematoma 587
organising 133
subperiosteal 395f
Haemopericardium 571
Haemophilia 366, 390, 393, 395
Haemophilus influenzae 81
Haemopneumothorax 570
Haemoptysis 568
Haemorrhage
extradural 562
intracerebral 562
subarachnoid 562
subdural 562
Haemorrhagic disease 366
Haemothorax 568, 570
Haglund's deformity 457
Haglund's triad 457f
Hair-thread tourniquet syndrome 615
Hallux dolorosus 439
Hallux fluxus 439
Hallux valgus 437f
adolescent 438
bilateral 437f
congenital 437f, 438f
bunion 436
Hallux varus 438, 438f
big toe 438f
bilateral 438f
deformity 438f
Hamilton ruler test 99, 99f
Hammer toe 436f
deformity 435
Hand
congenital absence of 171f
deformities of 178
diabetic 179
functions, gross assessment of 170
intrinsics of 285
movements of 186
spaces of 169
supporting head sign 224
syndrome 624
traumatic conditions of 190
Hand-Schüller-Christian disease 11f
Hansen's claw hand deformity 192f
Hansen's cold abscess 499f
Hansen's disease 460, 460f, 461f, 487, 631f
Hansen's neuropathy 495f
Harris hip
function scale 337, 337t
score 336
Harrison's sulcus 366f
Hart's sign 335
Hawkin's test 111
Head injury 558
gross examination of 557
severe complication of 562
Heart 573, 624
disease, cyanotic congenital 175
Heberden's node 176f
Heel
melanoma of 537f
pad 423
pain 458
pain, posterior 457
painful 455, 457f
strike 229f
thrust test 319
walking 29
Hemihypertrophy, congenital 8f
Hemiplegia 232
Hemodialysis 17
Hepatic failure 19
Hepatitis virus 84
Hereditary familial disorder 21f
Hernia, traumatic diaphragmatic 568
Herniation 276
Heteroplasia, progressive osseous 137
Hibb's angle 468
Highly congruent joint geometry 119
Hill-Sachs lesion 102, 103f
Hind foot valgus
flexible 449
rigid 449
severe 449
Hinge joint 71, 119
Hip
abduction, limitation of 333
abductor mechanism of 330
bilateral
congenital dislocation of 344f
septic arthritis of 349f
bone 262t
Charcot disease of 352f
congenital
contracture of 7f
dislocation of 345, 455
developmental
disorders of 332
displacement of 315
dysplasia of 315, 333, 345, 587
disability and osteoarthritis outcome score 336
dislocation of 268f, 332
dysplasia of 52f, 332
fixed deformity of 320
flexion of 237
functions, broad assessment of 336
intra-articular pathology 314
ipsilateral 379f
joint 261, 318f, 344f, 350f, 352f
anterior dislocation of 342f, 343f
central fracture dislocation of 343f
classification of dislocation of 341t
inspection of 316t
osteochondrosis of 354
pathological dislocation of 349f
posterior dislocation of 342f
synovitis of 315
true arthritis of 316
measuring abduction of 333
neglected posterior dislocation of 342f
normal movements of 319t
oblique projection of 336
osteoarthritis of 336
pain of 314
paralytic 345
pathology 338
spine syndrome 213, 615
stability of 330
subluxation of 332
syndrome, snapping 326
transient osteoporosis of 606
Hirschsprung's disease 611
Hochgradige dislocation der scapula 94
Hodgkin's deposits 256, 278
Hodgkin's disease 511
Hollow foot 444f
Holt-Oram syndrome 615
Homan's sign 410
Hooding deformity 179, 179f
Horn cells, anterior 203f
Horner's syndrome 490, 615
Hot swollen joint, evaluation of 82
Housemaid's knee 376, 377f
Human erect posture, development of 274f
Human immunodeficiency virus 31
Humeral head
avascular necrosis of 107f, 112f
impaction fracture 102
Humeroradial joint 124
Humeroulnar joint 124
Humerus
open fracture of 496f
upper end of 528f, 529f, 538f
Hydrops knee 398f
Hyperaesthesia 184, 214, 509
Hyperalgesia 14
Hyperextension 189f
overload syndrome 619
Hyperhidrosis 19, 243
Hyperlipidaemias 354
Hypermobility syndrome, benign 606
Hyperparathyroidism 177f, 192f, 511
Brown's tumour of 511
primary 177f, 192f
Hyperpituitarism 548
Hyperplasia 8f, 172f, 463f, 549
Hyperthyroidism 13
Hypertonia 235, 237
Hypertrophy
pseudomuscular 289f
synovial 414
Hypoaesthesia 184, 447, 500
Hypoalgesia 14
Hypochromia, lesions of 73f
Hypogastric ganglion 206f
Hypoglossal nerve 484
Hyponatraemia 17
Hypoplasia 547, 549
Hypothalamus 206f
Hypothenar eminence 176
Hypothyroidism 13, 165
Hypotonia 235, 244
Hypoxaemia, severe 604
I
Ichnogram 451
Idiopathic avascular necrosis, bilateral 352f
Idiopathic clubfoot, clinical grades of 453t
Idiopathic genu
valgum, bilateral 366f
varum, X-ray of 368f
Idiopathic scoliosis, adolescent 210
Idiopathic ulnar impaction syndrome 615
Iliac artery
left common 586f
right common 586f
Iliac plate, pyogenic infection of 269
Iliofemoral ligament 313
Ilio-psoas abscess 262
Iliotibial band syndrome 615
Iliotibial tract, tightness of 287
Ilizarov apparatus 42f
Impingement syndrome 615, 624
anterior 416, 604
Index finger
duplication of 170
macrodactylism of 173f
Infantile scoliosis, types of 210
Infection
chronic 366
tuberculous 226f, 597f, 600f
Inflammatory
bowel desease 175
lesions, acute 40
polyarthritic conditions 75
polyarthropathies 621
swellings 552
syndrome 616
Influenza 551
Infrapatellar bursa
deep 377
non-inflammed 377f
superficial 377
Infrapatellar contracture syndrome 374, 616
Inguinal ligament 317f
Injury 276
old epiphyseal 151f
renal 577
types of 569572
Innominate bone, ossification of 262t
Instability, assessment of 153298
Internal vertebral venous plexus 200
International Osteoporosis Foundation One-minute osteoporosis risk test 66
Interosseous nerve
anterior 486, 494
posterior 141, 147f, 486, 495f, 496, 501
Interosseous syndrome, anterior 604
Intersection syndrome 616
Intervertebral disc 201, 276
extrusion of 202
herniation 601f
pathology 276
prolapse 214, 252
protrusion of 202
structure of 202
syndrome 616
Intracranial blood vessels, injuries of 562t
Intraforaminal disc 253
Intrathecal baclofen 295
Intrinsic minus hand 177f, 178
Intrinsic plus hand 178, 178f
Intrinsic plus test, reverse 178
Iritis 251
Ischial tuberosity 266f, 329f
Isointense extramedullary dumb-bell shaped spinal tumor 595f
J
Jaccoud's syndrome 616
Jack test 431
Jaffe tumour 511
Janeway spots 185
Javeline Thrower's elbow 122
Jaw
advanced carcinoma of 554f, 555f
ankylosis of 550, 551f
developmental defects of 551
facial expression 13f
jerk 239, 241f
Jebsen-Taylor hand function test 170
Jerky vehicles 276
Jersey finger 183
Jersey thumb 183f
Jiggers infection 462, 465
Jobe test 102
Joints
affection of 73f, 398f
ankylosis of 63f, 86
aspiration of 76, 82, 103
classification of 70
compound 359
condylar 71, 547
deep palpation of 26
diarthrodial 245
ellipsoid 71
hand 176f
interphalangeal 193f
line, palpation of 123, 373
metatarsophalangeal 435, 438f, 439, 460f
mice 390
patellofemoral 376
radioulnar 156
sacroiliac 269f
shoulder girdle 91
space 580
sternoclavicular 91
stiffness, types of 27, 28t
subtalar 410f, 411f
synovial 70
reflections of 359
trochoid 71
tuberculous 83
wrist 176f
Jone's triple tendon transfer 498
Jug test 130, 130f
Jumper's knee 374
Juvenile rheumatoid arthritis 79, 79f
K
K nailing 635f
Kaposi's sarcoma 447, 634
Kehr's sign 577
Kernig's sign 226
Kidney 506, 576
Kienbock's disease 154f, 161
symptoms of 161
Kiloh-Nevin sign 494, 604
Kinesthetic sensation 242
Klinefelter syndrome 616
Klippel-Feil syndrome 94, 94f, 208, 222, 247, 248f, 616
Klippel-Trenaunay syndrome 617
Klumpke's paralysis 178, 490, 491
Knee 357
anterior dislocation of 394f
anterior translation of 361
arthrodesis 292f
chronic septic arthritis of 396f
congenital
contracture of 7f
dislocation of 371f
unilateral posterior dislocation of 393f
dislocation 363
distorted development of 53f
flexion 237
contracture of 363f
deformity of 52f, 362
fusion 291f
hyperextension of 46, 53f, 232
instability 387
ipsilateral 379f
jerk 238, 359
joint 359, 390
deformity of 363f, 529f
internal derangements of 383, 384t
movements, normal 378t
osteoarthritis of 399
pathology 391, 392
spine syndrome 213, 398, 617
transepiphyseal arthrodesis of 301f
triple deformity of 363, 363f, 364
Knock flat foot 441
Knock hollow foot 441
Knock knee 369
Köhler's disease 458
Kummell's disease 276
Kyphoscoliosis 209
paralytic 209f
Kyphosis
adolescent 212
angular 211, 211f
congenital 211
fixed 211
gradual 211
labile 211
rounded 211
L
Labrum abnormalities, evaluation of 598
Lachman's sign 387, 388f
Lachman's test 387, 388
Lag sign 111
Laquer's sign 264, 265
demonstration of 265f
Larsen-Johansson
disease 617
syndrome 617
Lasegue's sign 225
Lasegue's test 225, 226, 226f
Lateral meniscus, cyst of 379f
Latissimus dorsi 285
Ledderhose's disease 182
Ledehosen syndrome 617
Leg
bone
bowing of 43f
compound fracture of 635f
congenital 52f, 369f
congenital angular deformities of 47
cramps 277
length 328
pain, anterior 413
posterior bowing of 43f
ulcers 629
causes of 630
Legg-Calve-Perthes disease 336, 350f, 351f, 354, 362
Leishmaniasis ulcer 632f
Leprosy 143f, 240, 461f
Lever arm disease 295
Ligaments, intra-articular 359
Ligamentum denticulatum 200
Ligamentum flava 201
thickened 601f
Ligamentum nuchae 201
Ligamentum patellae 373, 382
avulsion of 381f
rupture of 383
Limb
length discrepancies 46
lower 27, 488
malformations, congenital 34
Linear measurement 296, 326, 414
Linear sebaceous naevus syndrome 53f, 617
Lipid lowering drugs 354
Lipoma 511
arborescens 397
Liposarcoma 511
Lissauer's tract 206
Lister's tubercle 148
Little disease 302
Little finger, duplication of 170
Little league elbow syndrome 122, 126, 141
Little toe, congenital elevation of 424
Liver 576, 576f
dullness 577
rupture of 577
Lobster-claw hand 172f
Locking finger 182
Locomotor system 4
Lofgren's syndrome 617
Long bone
blood supply of 40
examination of 39
parts of 40f
Loose bodies, causes of 390
Lordosis 212
congenital 213f
lumbar 199, 321f
Love test 184
Low testosterone syndrome 617
Lower femur 369f
Lower jaw
asymmetric development of 549
deficient development of 549
Lower lumbar sciatic compressive radiculopathy 228
Lumbar lordosis 212f
Lumbar micro-discectomy 276
Lumbar vertebrae, sacralisation of 276f
Lumbo pelvic joint complex 261
Lumbosacral radicular syndrome 274
Lunate dislocation 161
Lunate malacia 161
Lung
abscess 175
cancer metastatic 175
injury of 568
parenchyma 571
Lymph glands 73f, 398f
examination of 407
regional 462
retroperitoneal 542f
supratrochlear 124
Lymph nodes 319
Lymphangioma 512, 540f
congenital cavernous 54f
over ankle 418f
Lymphatic
diseases 634
obstruction 634
Lymphoedema 54f
congenital 8f, 64f, 113f, 630f
post-traumatic 66f, 635f
Lymphoma 279, 512
Lymphosarcoma 256, 278, 511
M
Macrodactyly 424, 427f
Madelung's deformity 148, 150f, 165
bilateral congenital 150f
Madelung's wrist 150f
Madura foot 447, 461
advanced 463f
ulcers 463f
Madura hand 175f
Maffucci's syndrome 617
Maisonneuve fracture 407
Malingerer's backache 279
Mallet finger 182, 183f
Mallet thumb 182, 183f
deformity 180f
Mallet toe 436
Mandible
hyperplasia of 547
joint 545
ossification of 547
Marble bone disease 9f
March fracture 458
Marfan's syndrome 171, 184, 442, 617
Marie Strumpell's disease 251, 270, 277
Marjolin's ulcer 539f, 634, 635f
Maroteaux-Lamy syndrome 618
Martin-Gruber anastomosis 492, 500
Martorell's ulcer 632
Mastication, muscles of 547
McCune Albright syndrome 618
McMurray's test 388, 389f
Mear's procedure 94
Medial longitudinal arch, collapse of 431
Medial meniscus, cyst of 377
Medial tibial syndrome 618
Median nerve 180f, 486, 492, 501
injury 493f
Melanoma 553, 634
malignant 470f
Melorheostosis 8f
Meningeal haemorrhage, middle 562
Meningioma 256, 278f
Meningocele 249
pouch of 602f
Menisci
functions of 360
lateral 360
medial 360
Meniscus tear
lateral 400
medial 400
Mental retardation 12f
Meralgia paraesthetica 485f, 486
Mercurial poisoning 19
Metabolic disease 487
Metacarpal bones 169
Metacarpophalangeal joint 193f, 497f
Metaphyseal aclasis 508f
Metaphyseal fibroma 511
Metaphyseal system 41
Metaphysis 40
Metatarsal head 450f
Metatarsal stress fracture 459
Metatarsalgia 447, 458
Metatarsus
adductus
bilateral 469f
congenital 424, 433
primus
elevates 439
varus 438f
Methotrexate osteopathy 63
Micrognathia 547, 549
Middle finger, duplication of 170
Middle phalanx, destruction of 193f
Midfoot 423
region, melanoma of 538f
Mill's manoeuvre 130, 131f
Miller syndrome 618
Miner's elbow 144
Miserable malalignment 382
Missile injuries 568
Mixed connective tissue disease 78
Monteggia fracture
dislocation 138, 139t
types of 139f
Monteggia lesions, classification of 139t
Moro's reflex 294
Morquio's syndrome 618
Morrant Baker's cyst 373, 377
Morris's bitrochanteric test 329, 329f
Morton's metatarsalgia 423, 458, 486
Motor cortex 203f
Motor dysfunctions 234
Motor function 235
Motor nerve conduction test 502
Motor neuron disease 303
Motor system 202
applied anatomy of 205t
Motor unit 284
Motorcycle accident 635f
Movie theatre sign 382, 401
Mucopolysaccharidoses
syndromes of 624
types of 625t
Multiple congenital constriction rings 442f, 623f
Multiple epiphysitis, typical X-ray of 8f
Multiple myeloma 255
Muscles 4, 373
abdominal 209, 249f
anomalies of 228
assessment chart 296
bulk of 235, 296
curve 502
intrinsic 449f
power 237
assessment of 501
grading of 29t, 296
skeletal 284
tone of 235, 296
Muscular contraction 284
Muscular fasciculations 19
Musculoskeletal tumours, malignant 516t
Muslim's callus 456f
Mycetoma 175f, 463f
Mycobacterium leprae 461f
Myelocele 249
Myelogram
ascending 601f
descending 601f, 602f
Myelographic study 246
Myeloma, multiple 511, 517, 536f, 538f
Myelomeningocele 249
Mylohyoids 550
Myokymia 242
Myopathy 22f, 289f, 302, 302f, 303f, 442f, 455, 492f
Myositis 137f
ossificans 61, 133, 137, 138, 586, 587
post-traumatic 119
progressiva 138
traumatic 228
Myotomes 199
N
Nagar syndrome 455, 618
Nail 502
hypoplasia of 619
Nailbeds 184
Nail-patella syndrome 618
Narath's sign 316, 333
Neck righting reflex 294
Neck-shaft angle, development of 313
Necrosis, bilateral avascular 352f, 353f
Necrotising fasciitis 60
Neer's test 101, 111
Nelaton's line 328, 329, 329f
Neoplasm 269, 418, 595f, 634
benign 269
complications of 506
malignant 269
post-irradiation 507
Nerve
accessory 484
affections of 61, 498
axillary 92, 501
compression 100
conduction monitor 502
fibre groups 205
hourglass deformity of 165
infraclavicular 217f
injuries 488
Seddon's three types of 487t
Sunderland's classification of 488
palpation of 501
repair 491
section of 500
tissue 511
vestibular 484
Nervi erigentes 206
Nervous system, peripheral 461f
Neuralgia
cervicobrachial 15, 224
diabetic 14
herpetic 14
Neurilemmoma 511
Neuritis 14
infective 491
Neurodevelopmental disorders 301
Neurofibroma 256, 397, 497f, 511, 590, 595f
Neurofibromatosis 511
multiple 497f, 526f
Neurofibrosarcoma 511, 590
Neurolysis 491
Neuroma 382
interdigital 458
Neuropathy
diabetic 469f
entrapment 485, 487
peripheral 607
Neurosensory testing 33, 447
Neurotmesis 487
Noble compression test 334
Noncommunicating syrinx 242
Non-steroidal anti-inflammatory drugs 77, 162, 276
Non-verbal pain scale 15, 16t
Nuclear magnetic resonance 510, 593
Nucleus pulposus 201, 202, 275
Numb chin syndrome 619
Nyositic mass around hip 353f, 354f
O
O'Brien's needle test 412
O'Donoghue, terrible triad of 383
Ober's test 287
Obstetrical brachial plexus palsy 490
Obturator nerve 500
Occiput-to-wall test 221
Ochronosis 279f
Oculocephalic reflex 559
Oculomotor nerve 483
Oculovestibular reflex 559
Odontomes 552
epithelial 552
fibrous 553
osseous 553
Oedema around ankle 407
Olecranon impingement syndrome 619
Olfactory nerve 483
Oligohidrosis 243
Ollier's disease 175
Omohyoids 550
Omphalopagus 6f
Onychogryphosis 467
Open fish-mouth appearance 399f
Oppenheim's sign 237f
Optic nerve 483
Oral-acral malformation complex 619
Orthopaedic callosities 456
Ortolani's sign 331, 331f
Oschner's clasp test 493f
Osgood-Schlatter's disease 382, 385, 401, 401f
reverse 385
Osler's nodes 185
Osteitis deformans 62
Osteitis fibrosa
cystica 177f, 192f
disseminata 618
Osteitis pubis 271, 271f
Osteoarthritis 83, 85t
knee 370f
Osteoarthropathy, hypertrophic pulmonary 619
Osteoarthrosis 83, 390, 439, 511, 514
Osteoblasts 511
Osteochondritis
dissecans 354, 385, 386f, 390
traction 385
Osteochondrodysplasia 62
Osteochondroma 150f, 270, 508f, 511, 513f, 514, 525f527f, 533f
ball-like 525f
multiple 508f, 535f
Osteochondromatosis 385f
synovial 385f
Osteochondrosarcoma 525f
Osteoclastoma 397, 511, 553
malignant 511
Osteoclastomatous lesion 553
Osteoclasts 511
Osteodystrophia fibrosa 618
Osteogenesis imperfecta 9f, 10f, 59, 60f, 365
congenita 59
tarda 59
Osteogenic sarcoma 530f
Osteoid osteoma 509f, 511, 514, 528f
Osteolysis
essential 615
idiopathic 615
progressive 615
Osteoma 511, 514
Osteomalacia 261, 268f
Osteomyelitis 47, 59f, 60f, 366f, 589
acute haematogenous 47, 48f
characteristics of 48t
chronic 50, 50f52f, 64f, 553f, 554f
pyogenic 414, 463f
early 586
pyogenic 193f
subacute 50, 109f, 553f
Osteonecrosis 150f, 336
idiopathic 589
Osteopenia 67
Osteopetrosis 9f
Osteophytes 247
Osteoporosis 60, 62, 63, 63f, 67, 211, 278
Osteosarcoma 397, 511, 530f, 532f534f, 590
juxta-cortical 511
parosteal 511
primary 517
Otitis media 551
Otorrhoea 558
Otto pelvis 335
Overlap syndromes 619
Overriding toes 439
Oxford hip score 336
P
Pachydermoperiostosis 626
Paget's disease 62, 211, 212, 256, 277
Pain 1416, 337, 506
abdominal 578
causes of 458
characteristics of 16t
disorders, chronic wide-spread 15, 614
neurogenic 14
nociceptive 14
pathophysiology of 14
psychological 15
radicular 382
types of 5
Painful arc syndrome 101f, 111
Pale mucosal fibrosis 548
Palm deformity 150, 293f
Palmar
fascia 168
fasciotomy 180
flexion 156
ganglion, compound 151f, 166
grasp reflex 294
Palmaris longus 158, 158f, 164f
Palpating dorsalis pedis 447
Pancoast carcinoma 92
Pancoast syndrome 92, 619
Pancoast tumour 100
Pancreatitis 354
Pandey's calcaneal sling sliding osteotomy 291f, 446f
Pandey's test 332, 332f
Panner's disease 130
Pantalar arthrodesis 291f, 429f
Paper chromatography 511
Paracentasis 577
Parachute reaction 294
Paradoxical respiration 568
Paraesthesia 184, 447
Paralysis 285
Paralytic diseases 299
Paralytic subluxation 97f, 344f
Paraneoplastic syndromes 619
Paraplegia
pathological 506
spastic 234
types of 255
Paraspinal muscles 207, 207f
tone of 215
Parathyroid hormone 192f
Parkes-Weber syndrome 619
Parkinsonian tremor 19
Paronychia 185, 185f, 467
acute 466f, 467f
mild chronic 466f
severe acute 466f
Parotid abscess 551
Paroxysmal trepidant ataxia 232
Pars interarticularis 201, 277
Patella 374
alta 382
anomalies of 382
baza 382
comminuted fracture of 400
complete fracture of 400
congenital dislocation of 46
dislocation of 400f
habitual dislocation of 380f, 383
high riding 382
incomplete fracture of 400
infera 382
recurrent
dislocation of 383, 385, 400
subluxation of 385
riding 382
Patellar ballottement sign 375
Patellar bulge test 375
Patellar clonus 238, 240f
Patellar jerk 238, 239f
Patellar malalignment 382, 390, 400
management of 383
Patellar pain 382
syndrome 619
Patellar tap demonstration of 375f
Patellofemoral
articulation 391f
compression test 376
syndrome 619
Patrick's test 227, 266, 333
Pectoralis major 285
Pelkan spur 394
Pellegrini Steida's disease 373, 385
Pelvic
affections, common 266
bone metastasis 269f
examination 266
fractures, classification of 266
girdle 300f
injuries 261
obliquity 261
pathology 266
peritoneum 261
peritonitis 261
region, static 275
ring
normal 267f
stable fracture of 267f
unstable fractures of 267f
tilt 323f, 326
wink 321
Pelvis 259, 313, 323, 352
dislocation of 268f
injuries of 267t
ipsilateral 530f
Pendulum test 228
Periarthritis 110
Periosteal system 41
Peripheral nerve
damage 501
injuries 481, 488
assessment of 488
causes of 487
Peroneal compartment syndrome 608
Peroneal muscular atrophy disease 607
Peroneal nerve
common 498
entrapment 486, 613
Peroneal spasm 413, 413f, 457f
Peroneal tendon
disorders 433
sheath 432
Peroneus longus 285
Peroneus tertius 285
tendon of 405
Perthes disease 84, 345, 351f, 589
Pes abductus 434, 435f
Pes adductus 433
Pes anserine 377
Pes cavus 430, 430f
Pes planus 428f, 431, 431f
Pes transversus 440, 440f
Pes valgus 428f, 468f
spastic 432f
Peyrenei's disease 182
Phalanges 169, 424
congenital absence of 171f
Phalanx, intermediate 424
Phalen's test 165
Phantom bone 615
Phantom limb pain 15
Phantom sciatica 206
Photopodogram 452
Physeal fracture 55f
Pia mater 200
Pierre Robin syndrome 547, 620
Piriformis muscle hypertrophy of 228
Piriformis syndrome 228, 486, 620
Pisiform-hamate tunnel 495
Pitcher's elbow 122, 141
Pivot joint 71
Pivot shift test 388, 389f
Plane joints 71
Plantar fasciitis 456, 457
Plantar fibromatosis 617
Plantar flexion 410, 410f, 448
Plantar interossei 449
Plantar nerves 434
Plantar reflex 237f
Plasmacytoma 537f
solitary osseous 541f
Plaster of Paris 422
Plastic surgery 94f
Pneumonia 92
Pneumothorax
closed 568
open 568
Pobble foot 425, 425f
Pobble operation 425
Podogram 451
Podoscopy 452
Poems syndrome 620
Policeman's tip position 489f
Poliomyelitic deformities 284f
Poliomyelitis 285, 299, 365, 418, 455
Polio-paralysis 212, 233, 285, 288f, 290f, 292f, 299f302f, 342f, 372f, 430f
Pollicis brevis tendons 155
Polyarteritis nodosa 78
Polyarthralgia 74
Polyarthritis 73, 74
migratory 78
Polydactylism 170
Polydactyly 424, 424f
Polymyalgia rheumatica 80
Polymyositis 78
Polyneuritis 303
Polyvinyl chloride 511
Poncet's disease 86
Popliteal aneurysm 378
Popliteal nerve
lateral 486, 498, 501
medial 499
Positron emission tomography 592, 598
Post-Achilles
bursitis 408, 413, 448, 457
pathology 412f
Postconcussive syndrome 620
Posterior compartment syndrome 608, 620
Posterior cruciate
avulsion 399, 399f
integrity 386
tear 386
Postphlebitic syndrome 620
Pott's disease 224, 249
Pott's fracture 406, 415, 416f, 449
Pott's paraplegia 250t
Pott's puffy tumour 8f
Preacher's hand 180, 493
Preiser's disease 161
Presacral nerve 206f
Pressure sore 243
Pressure specific sensory device 447
Prognathism 547, 549
Pronator teres 285
syndrome 620
Prone hip-extension test 322
Prostate 506
Protrusio acetabuli 268f
Protrusion 550
Provocative test 165
Proximal phalanx 173f, 175f, 424, 513f
Pseudoarthrosis 43f
congenital 42f44f
Pseudodislocation 350f
Pseudogout 81, 460
Pseudoparesis 11f
Pseudosciatica 215
Pseudotumours 506
Psoas bursitis 578
Psychiatric disease 608
Pubic symphysis 261, 268f
Pubic tubercle 314, 317f
Pudenal nerve 206
Pump bump 408, 457
Pump handle test 264
demonstration of 265f
Pure sensory nerve 486
Pyoarthrosis 393
Pyogenic osteomyelitis, multifocal chronic 51f
Pyothorax 571
Pyramidal cells 203f
Pyramidal fibres, course of 203f
Q
Q angle 390
Quadriceps active test 387
Quadriceps adhesion 379
Quadriceps apparatus 380
injuries 381f
lesions 383
Quadriceps contracture 378
congenital 371f
Quadriceps expansion 373, 383
Quadriceps femoris 285
muscles 427
Quadriceps lag 379
Quadriceps muscle 373
Quadriceps tear
complete 381, 381f
incomplete 381, 381f
Quadriceps tendon 373
rupture 383
Quadriceps tightness 378, 379
Quadruple deformity complex 363
Quervain's disease 155
R
Rachitic genu varum, advanced 369f
Rachitic windswept deformity, X-ray of 395f
Rachocele 249
Radial club hand, bilateral 173f
Radial hemimelia, preaxial 171
Radial jerk, inversion of 239
Radial nerve 100, 485f, 486, 501
injury 497f
Radial tunnel syndrome 141, 620
Radiation therapy 354
Radicular odontomes 553
Radiculopathy, lumbar 228
Radioactive technetium-labelled hydroxymethylene diphosphonate 588
Radio-capitellar articular disease 141
Radiohumeral joint 123f
Radionuclides 588
Radiosynoviorthesis 591
Radioulnar arthritis, post-traumatic inferior 162
Radioulnar joint, superior 124
Radioulnar synostosis, congenital 132
Radius, lower end of 154f, 527f
Raynaud's phenomenon 18, 78
Raynauds disease 608
Razor back 209
Rectangular foot 446f
intermediate 442
Rectus femoris contracture test 334
Recurvatum, congenital 46
Reflex 237, 294, 294t
deep 238t
elicitation of 501
primitive 309
sympathetic dystrophy 17, 382, 607
Reflux sympathetic dystrophy, stages of 590
Regional pain syndrome
chronic 607
complex 17, 608
Reiter's syndrome 78, 79, 621
Relocation test 101
Renal failure, prevention of 609
Renal function tests 511
Reperfusion syndrome 621
Resistant tennis elbow 620
Respiration 568
Respiratory syndrome, severe acute 621
Restless legs syndrome 621
Reticulum cell sarcoma 511
Retinaculum, tightness of 382
Retraction 550
Retropulsion 233
Rhabdomyolysis, traumatic 609
Rhabdomyosarcoma 531f, 533f
Rheumatoid arthritis 73, 75, 77, 85t, 142, 162, 178, 179f, 180f, 367, 390, 394, 417, 448, 616
pathogenic stages of 76
Rheumatoid hand, typical 179f
Rheumatoid nodules 75
Rheumatoid spondylitis 277
Rib
fractures 573
multiple 569, 570
hump 209
Rickets 261, 393, 469f
renal 353f, 365f
stigmata of 42
Ring finger, duplication of 170
Ring sign 394
Ring syndrome, congenital 171f, 622
Risus sardonicus 13f
Robert's syndrome 621
Rocker-bottom flat foot 433
Rocking horse gait 233
Roentgen-stereophotogrammetric analysis 33
Rolling-pin test 130
Romanus lesion 252
Romberg's sign 241
Root avulsion 492
Root pressure 492
Roseta stone 274
Rotational stress test 388, 389f
Rotator cuff
complete tear of 100
function of 100
syndrome 91
Rotatory movements 550
RS3PE syndrome 621
Rubella virus 84
Rudimentary foot 425, 426f, 513f
Ryder method 334
Ryle's tube 578
S
Sabre tibiae 44f
Sacroiliac joint 222, 261, 264f, 265f, 266, 268f, 270f, 352f
CT scan of 270f
fusion of 252, 278
MRI of 270f
tenderness 278
Sacroiliac strain 269
Sacroiliitis 270, 277
Sacrospinalis 285
Sacrum
chordoma of 599f
congenital absence of 268f
Saddle joints 71
Saegessar's splenic point 577
Salmonella typhimurium 80
Salter-Harris classification 55f
Sarcoidosis 354
Sarcoma 507, 553
osteogenic 529f, 590
Scalene syndrome 486
Scalenus anticus
muscle 100
syndrome 100
Scanogram 245
Scaphoid 588
osteonecrosis of 161
shift test 155, 162
Scapula
osteochondroma of 513f
winging of 492
Scapular muscles, gross wasting of 302f
Scapulothoracic gliding 91
Scarpa's triangle 262, 316, 317f, 318
Scheie syndrome 621
Scheuermann's disease 211, 212
Scheuermann's kyphosis 275
Schindylesis 70
Schmidts parietal bone 550
Schober test 222
Schoemaker's line 328, 329, 329f
Schwann's cell sheath 485
Sciatic nerve 498
entrapment of 228
Sciatic neuropathy, compression 486
Sciatic radiculitis 227f
Sciatic stretch test 226, 226f, 227f, 333
Sciatica 256
Scintigraphy 392, 510, 588
uses of 589
Scleroderma 78
Sclerotome 199
Scoliosis 208, 209, 245
computer-aided assessment of 246
congenital 209f
etiological classification of 210t
etiology of 210
hysterical 210
idiopathic 210
infantile idiopathic 210
management of 210
Scoliotic curves 245
Scurvy 393, 395f
X-ray of 395f
Seasonal affective disorder 621
Seddon's classification 488
Sellar joints 71
Semimembranosus bursa 378
Senile
osteoporosis 279
tremors 19
Sensory
ataxia 241
functions 242
pathways 203f
system 202, 203
Septic arthritis 109f, 143f, 152f, 345, 349f, 369f
acute 72f, 81, 396
bacterial 81
elbow 142
hip 344f, 349f
primary 109f
shoulder 115f
Serpentine deformity 440
Sever's disease 469f
Shenton's arc 335
Sheurmann's disease 611
Shigella flexneri 80
Shin splints 413
Short femur
bone, congenital 52f
syndrome, congenital 609
Short tau inversion recovery 593, 594
Shoulder 106f, 109f
abduction 113f
deformity of 94f, 114f
splint 491
anterior dislocation of 93f
arthrodesis of 491
common affections of 103t
congenital dislocation of 114f
dislocation 105f, 114f
classification of 104t
fixed abduction contracture of 115f
freezing 110
habitual dislocation of 105f
hand syndrome 92, 160
impingement syndrome 624
instability, anterior 101
joints 89
recurrent dislocation of 103
tenderness of 96
muscles 489f
normal movements of 97
pathology 102
posterior dislocation of 107f
short rotators of 285
subcoracoid dislocation of 106f
Sickle cell
disease 352, 353f, 354
haemoglobinopathy 81
syndrome of 175
Sickle foot 433
Sickle thalassemia 175
Silencer-pipe burn ulcer 635f
Silfverskiold test 427
Silver fork deformity 148, 159
Simmond's test 412
Sinding-Larsen-Johansson's disease 385
Single limb heel rise test 450
Single rib fracture 569
Sinus 24
multiple 263f
persistence of 25
tarsi syndrome 622
tuberculous 462
Sjogren syndrome 77, 622
Skew foot 440, 440f
Skin 502
atrophy of 243
hyperpigmentation of 214
Skull, sella turcica of 512
Slipped capital epiphysis 351f
Smashed heel syndrome 622
Smith's fracture 155f, 160, 160f, 161
Snake bite 630f
Snowstorm appearance 397
Snuffbox, palpation of 155
Socket joint 70, 71
Soft tissue
components 405
growths, malignant 397
injuries 590
lesions 384
palpation of 373
region 316
shadow 580
structures 584
Soldiers, calamity of 393
Sole
melanoma of 537f
skin of 423
Soleus 411
tear 412
Solid ankle-feet, congenital 407f
Somatosensory evoked potentials 502
Spasmodic flat foot 432f
Speed's test 100
Sphincter, internal 206
Spina bifida 247, 248, 249f, 263f, 453, 453t, 462f
incidence of 248
manifesta 214, 215, 249, 249f, 462f
occulta 214, 248, 248f, 462f
signs of 248
Spina ventosa 173f
Spinal artery
anterior 200
posterior 200
Spinal canal stenosis 256, 277
Spinal column 201, 208
Spinal cord 201, 203f, 243
arteries of 200
blood vessels of 200
compression paraplegia of 255
damage of 600f
development of 199
hemisection of 242
lower end of 202f
meninges of 200
monitoring 33
section of 203f
segments 243t
tracts of 205
transverse section of 206f
veins of 200
Spinal deformity 63f
position, typical 12f
Spinal deviation 212
Spinal disorder, benign 611
Spinal excursion, anteroposterior 223f
Spinal infections 594
Spinal injuries 211, 578, 597
Spinal nerve 203f
posterior division of 218f
Spinal pain 206
acute 206
chronic 206
subacute 206
Spinal pathology 244
Spinal posture 63f
Spinal stenotic syndrome 17, 277
Spinal trauma 592
Spinal tumours 255, 593
Spinal vertebra 270
Spine 195, 251
anterior column of 275
curvature of 199, 199f, 208
development of 199
infections of 592
lateral flexion test of 225, 226
lumbar 221, 261
posterior column of 275
stress test of 223
tenderness of 214
Spinotectal tract 206
Spinothalamic tract, lateral 206
Spleen 576
Splenic rupture 577
Spondylitis, tuberculous 224
Spondyloarthropathies 78, 270
Spondylolisthesis 213, 213f, 254, 277, 279, 578, 595f
degenerative 254
Spondylolysis 254, 255f, 277
Spondylosis, lumbar 277, 277f
Spread foot 423, 440, 440f
Sprengel's shoulder 94, 95f
Spurling's sing 247
Sputum, examination of 573
Squamous cell carcinoma 634
Square foot 442
Squat test 390
Squatting sign, prolonged 382, 401
Squint 208
Stab injuries 490, 568
Staphylococcus aureus 81, 82, 251, 476
Starch iodine test 243
Stato-acoustic nerve 484
Steering wheel injury 577
Steinberg sign 184
Stenosis
primary 277
secondary 277
Step sign 155
Stereognosis 242
Sternoclavicular dislocation 106
Sternoclavicular joint, subluxated 108f
Steroid therapy 354
Stickler's syndrome 622
Stiff hind foot valgus 449
Still's disease 79
Stir-fry test 131
Stomach 506
acute dilatation of 578
Straight leg raising test 225, 264, 330, 330f
reverse 225
Strain injury, repetitive 20
Streeter's syndrome 455, 622
Strength duration curve 502
Streptococcus pneumoniae 82
Stress disorder
post-traumatic 620
repetitive 129
Stress fracture 458
Stress radiology 415
Stress syndrome, post-traumatic 620
Stress test 264, 386, 388f, 411, 449
compression 264, 264f
types 264
Stress X-ray 391
Stretch injury 487
Stretch test, lateral 224
Students elbow 144
Subacromial syndromes 624
Sucking chest injury 573
Sudden sciatic stretch test 227, 227f
Sulcus syndrome, superior 619
Superficial palpation 44, 263, 316, 373, 447, 509, 548
Superficial reflexes, main 236t
Supinated foot 427, 429f, 430f
Supinator jerk 238, 241f
Suppurative paronychia, acute 466f
Supracondylar fracture
malunited 121f
post-reduction of 134f
Suprapatellar
bursa 376
infrapatellar fossae 376f
pouch 375, 375f377f
Suprascapular nerve entrapment 487
Supraspinatus, complete rupture of 100
Supraspinous ligament 201
Supratrochanteric measurement 328
Swan neck deformity 179f
Sweat test 502
Sweating 243
Swelling 17, 184, 506, 552
anterolateral 409f
anteromedial 409f
atypical neurofibromatous 263f
forearm 539f
jaw 552, 552t
posterolateral 409f
synovial 123f
types of 552
Swimmer's shoulder 615
Syme's amputation stump 534f
Symphysis 70
pubis 262
Syncope 558
Syndactyly 424, 424f
Syndesmophytes 252
Syndesmosis 70
Synovial diseases 598
Synovial folds, vestigial 360
Synovial joint, complex 359
Synovial swelling, features of 375
Synovioma 512, 538f
Synovitis 71t
chronic 418
tuberculous 83, 349f
villonodular 123f, 418
Synovium 512
Syphilis
congenital 11f, 73f, 398f
stigmata of 44
Syphilitic sequelae 366
Syringomyelia 240, 242
Syringomyelocele 249
Systemic lupus erythematosus 77, 616
Syzygiology 284
T
Tabatznik syndrome 624
Tabes dorsalis 240, 241
Table top sign 182
Tackling spasticity 295
Taenia solium 256
Tailor's ankle 417
Tailor's bunion 439
Talipes equinovarus, congenital 424
Talofibular components, posterior 415f
Talus
blood supply of 406, 406f
body of 406
foot 440
head of 406
osteomyelitis of 535f
vertical height of 414f
Tardy median nerve palsy 163
Tardy ulnar nerve palsy 494
Tarsal canal 406
Tarsal coalition 425
Tarsal tunnel syndrome 486, 499, 624
Tarso-metatarsal joints 457f
Tears 587
Tectorial membrane 201
Teeth
malocclusion of 551
reduced occlusion of 551
Telescopic test 330, 330f
Temporomandibular joint 545, 547, 548, 551f
anatomical landmark of 547
ankylosis 550f
congenital
ankylosis of 550
bilateral ankylosis of 547
diseases affecting 551
dislocation 555f
disposition of 547
movements of 550t
palpation of 549f
subluxation of 551
Tendinitis 587
patellar 374
peroneal 433
Tendo-Achilles 253, 405, 408, 431f
complete rupture of 412f, 413f
lengthening 295f
partial rupture of 413f, 457f
rupture 412, 447f
neglected 418f
tightness of 298, 427
Tendocalcaneus 405, 408
Tendon
discontinuity of 449
jerks 238t
sheath, giant cell tumour of 524
Tendovaginitis 413f
Tennis elbow 129, 130, 141, 456
Tennis heel 456
Tenosynovitis, chronic stenosing 155, 432
Tension tests 225
Tension-stress injuries, chronic 141
Tensor fascia femoris 285, 301, 359f
complex deformities 287, 287f
assessment of 297
bilateral 289f
contracture, stages of 288f
Testicular tumour 542f
Testosterone 354
Tetanus, stage of 13f
Tethered cord syndrome 455, 626
Textiloma 506
Thalamus 203f
Thigh compartment syndrome 625
Thomas test 321f
criticism of 322
Thompson's test 412
Thoracic inlet 485f
syndrome 100, 224, 225f, 625
Thoracic major vessels injury 572
Thoracic outlet syndrome 625
Thoracic scoliosis, mild 95f
Thoracopagus 6f
Thromboangiitis obliterans 18
Thrombocytopaenia absent radius syndrome 625
Thumb 186
abduction of 187f
duplication of 170
Felon of 185f
flexon deformity of 180f
macrodactylism of 173f
melanoma of 537f
movements of 186
nail test 373
normal movements of 186t
post-burn contracture of 126f
twisting spinous process 215f
Thumb-in-palm deformity 183, 183f, 291
Thurston-Holland sign 55
Thyroid 506
Thyrotoxicosis 19
Tibia
adamantinoma of 531f
congenital
posterior bowing of 43f
pseudoarthrosis of 47
destruction of 539f
distorted development of 53f
lower articular end of 405
right upper third of 52f
upper end of 530f
vara infantile 370
Tibial arterial pulsation, anterior 408
Tibial artery
anterior 405, 406, 406f, 408
posterior 405, 406, 406f, 409
Tibial condyle 374, 374f
Tibial nerve
anterior 405
posterior 405, 486, 497f, 499, 624
Tibial spine fracture 384
Tibial syndrome, anterior 608
Tibial tuberal apophysitis 401
Tibial tuberosity, avulsion of 381f, 382
Tibial vein, Posterior 405
Tibialis anterior 285
muscles 230
tendon 405
sheath 538f
Tibialis posterior 285
tendon 405, 413f
dysfunction 432, 449
tendovaginitis of 413
Tibiofibular joint 191f
Tibiofibular ligament
anterior inferior 405
interosseous 405
Tibiofibular syndesmosis 405
Tibiofibular torsion 406
Tics 235, 242
Tietze's syndrome 625
Tinel's sign 501
Tissue
fibrous 511
superficial 509
Toe
clawing of 434, 435f, 499
cockup deformity of 440
deformity 470f
duplication of 439
flexion of 237f
Toe-heel gait 233
Toenail
disorders of 465
ingrowing of 465
Toe-tip-gait 233
Toe-walking 29, 232
Tomography 392, 585
uses of 586
Tongue sign 303f
Tonic neck reflex 294
asymmetric 294
Tonsillitis 551
Too many toe sign 450
Topallenesthesia 242
Torticollis 208, 235
congenital 208f
Tortoise foot 462, 465f
Total knee joint replacement 595f
Touraine-Solente-Gole syndrome 626
Tourett syndrome 626
Tourniquet paralysis syndrome 626
Tourniquet test 165
Traction injury 487, 490
Transillumination test, method of 376f
Transitional vertebra syndrome 276
Transvaginal scan 455
Transverse arch 423
Trapezius 285, 491
Trefoil pelvis 271f
Tremor 19, 234
Trendelenburg's gait 233
Trendelenburg's test 330, 331, 331f
Triceps jerk 238, 241f
Trigger finger secondary 182, 279
Triple arthrodesis, modified 292f
Triple subluxation deformity 363
Trochlear nerve 483
Trochlear notch 119
Trophic ulcer 248f, 460, 460f462f, 499, 632f
Trousseau's sign 235
True arthritis 71, 71t
Trunk, movements of 221
Tubercular rheumatism 86
Tuberculosis 191f, 251, 269f
ankle 416f
carpometacarpal joints 193f
elbow 142
foot 461
knee 396, 396f
metacarpo-phalangeal joint 174f
multi-focal 464f
pulmonary 175
sacroiliac joint 269
shoulder 109f
spine 249
wrist joint 154f, 162
Tumoral calcinosis 86
Tumour 455, 587, 590
benign 506, 512
embolisation 511
intraspinal 594
malignant 507
medullary 511
metastatic 517
primary 506, 591
secondary 506
sternomastoid 208
surgery 540f
Tunga penetrans 465f
Turner syndrome 626
U
Ulcers 25t, 65f, 66f, 184, 634
arteriosclerotic 460
causes of 460
condylomatous 263f
congenital 630
depth 476
malignant 25
multiple 632f
neurosyphilitic 460
non-specific 25
primary epitheliomatous 634f
tuberculous 463f, 631f
varicose 633f
Ulcerative colitis 79
Ulna
lower end of 527f
osteomyelitis of 143f
Ulnar bursa 169
infection 185, 185f
Ulnar claw 177f
Ulnar club hand 173
Ulnar dominence 495
Ulnar impaction syndrome 626
Ulnar median nerves paralysis 177f
Ulnar nerve 123, 143f, 168, 485f, 486, 494, 501
compression 494
damage 495f
injury 495f
paralysis 177f, 180
Ulnar palsy 494
Ulnar paradox 494
Ulnar styloid process 152f, 153f
Ulnar tunnel syndrome 627
Ultrasonography, uses of 587
Universal pain assessment tool 15f
Upper limb 27, 240, 488
muscles, hypertrophy of 300f
Upper motor neuron 234, 255
syndrome 290
type bladder 205
Upper radioulnar
joints, synovial 124
synostosis, congenital 126f
Uraemia 19
Urate crystals 460f
Urethra, rupture of 262
Urinary bladder 206, 576
injury 577
innervation of 205, 206f
Uveitis 251
V
Vacuum disc sign 254
Vague low backache 277
Vagus nerve 484
Valgus collapse 365f, 411f
paralytic 468f
Valgus foot 423, 427, 428f, 499
Varicose veins, congenital 66f
Varus collapse 370f, 398f
Varus deformities 438f
Varus foot 427, 427f
Vascular claudication 18, 18t
Vascular origin, ulcers of 460
Vascular tumours 511
Vasculitis 634
Vastus medialis 373
Vehicular accidents 490
Veins 41, 200
Ventral spinocerebellar tract 206
Ventral spinothalamic tract 206t
Vertebrae
arterial supply of 200
localisation of 243t
Vertebral artery
branches of 200
syndrome 247
Vertebral column, important ligaments of 201
Vertebroplasty 278
Vertical talus
bilateral congenital 425f
congenital 425, 429f, 433
Villonodular synovitis, ossified 418f
Volkmann's ischaemia 59, 129f
Volkmann's ischaemic contracture 12f, 128, 130f, 135t, 178, 455, 608
severe 129f
von Bachterew's disease 251, 270, 277
W
Waddling gait 232
Wagner-Meggitt classification of diabetic foot ulcer 476
Wan neck deformity 178
Wart 456t
Warty nodulations 65f
Washerwoman's strain 20
Weight bearing position 391
Werewolf syndrome 627, 627f
Wilson's test 390
Wimberger line 394
Windswept deformities 434f, 439
Wringing test 130, 130f
Wrist
bilateral congenital flexion contracture of 150
dorsum of 153
drop 180, 496
joint 145, 152f, 153, 157f
movements of 157f
pain, post-traumatic chronic 162
pathology 159
post-burn contracture of 126f, 149f
prominent flexors of 164f
region, X-ray of 528f
stabilization of 498
stenosing tenosynovitis 163
Wry neck 208
X
Xanthoma 176f, 457f
Xanthomatosis 462
multiple 176f
synovial 176f
Xanthomatous swellings, multiple 464f
Xeroradiography 586
disadvantage of 586
uses of 586
Y
Yergason's manoeuvre 100
Yergason's sign 112
Yersinia 85
Z
Z-foot deformity 440
Zygapophyseal joints 276
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