Practical Orthopedics—Biological Options and Simpler Techniques for Common Disorders SM Tuli
INDEX
Page numbers followed by b refer to box; f refer to figure and t refer to table.
A
Abscess 30
palpable 30
Acetabulum 160
failed 80f
Achondroplasia 117
Acquired torticollis 115
Acromioclavicular arthritis 120
Adhesive capsulitis 121
Adolescent coxa vara 158
Allografts 12
Allupurinol 189
Amyoplasia 107
treatment 107
Androgens 58
Aneurysmal bone cyst 92, 93f
atypical location 197f
treatment 93
Ankle 20, 187
and foot 187
Ankylosing spondylitis 39, 63, 144, 154, 208f
advanced stage of 40f
treatment 39
Ankylosis, angle of 161
Annular ligament 130
Anomalies 75
Anticyclic citrullinated peptide, presence of 37
Antiinflammatory drugs 187
Antimetabolic agents 67
Antimitotic agents 67
Antirheumatic drugs 36, 38
Antitubercular chemotherapy
continuation phase 28
intensive phase 28
prophylactic phase 28
Antitubercular drugs 30
Antitumor necrosis factor 43
Aorta, calcification of 63
Arachnoid cyst 200f
Arthrogryposis multiplex congenita 83f, 107, 179
Arthroplasty, low friction 31
Arthroscopic techniques 123
Arthrotomy 20
Articular
cartilage 62
tuberculosis, classification of 28
Aseptic technique 22
Autogenous fibular graft 70f
Auto-immune systemic disorder 36
Avascular necrosis of
bilateral femoral heads 53f
bone 50-57
femoral head 52f, 55f, 153
stage of 156
B
Baclofen 109
Ball and socket 9
Bankart procedure 123
Bence Jones protein 90
Benign
bone tumors 93
lesion 88
tumor-like lesions 91
Benzodiazepine 109
Biopsy 90
Bisphosphonates 64, 154
effect of 196f
prolonged use of 65f
use of 51
Bleeding disorder 43
Blount's disease 180
Body resistance 24
Bones 3
biological cascade of repair 5f
cement 12
congenital, absence of 209f
grafting 11, 14, 54f
grafts substitutes 11t, 12
growth of 62
healing of 8t
infections of 17
layer of 6f
mineral density 63
morphogenetic proteins 13
normal age-related changes in 58
of left pelvis 80f
regeneration of 5f
transport techniques 11
Bony ankylosis 36, 154f
bilateral 154f
Botulinum toxin injections 72
Bow legs 179
deformity, progressive 180
Bowel sphincter disturbances 148
Brachialgia 115
Brachialgic pains, common causes of 116
Breast cancer 102
Bristow-Latarjet operation 123
Brodie's abscess in upper femur 22f
Broom stick like splint 78
Bryant's triangle 152
Burns and compartment syndrome 191
Bursal
inflammation 130
tuberculosis 200f
C
Café-au-lait patches, large 69f
Caffey's disease 202f
Calcific tendinitis 121f
Calcitonin 58
Calcium 58, 62
and phosphorus, essential role of 58
homeostasis 58
intake of dietary 64
Callus
consolidation 6
mineralization of 5
remodeling 6
Capital femoral epiphysis 77
Carcinomatosis 63
Carpal tunnel release 136
Carpal tunnel syndrome 135, 136
injection for 136
symptoms of 135
Cartilage space 47
Cartilaginous deposits, multiple 95f
Cauda equina 148
Cauda equina syndrome 66, 148, 150f, 191
Caudal migration 150
Cavitary lesion 11, 29f
Cell-mediated immunity 109
Central chondrosarcoma 99
Central prolapse 148
Cerebral palsy 107
clinical features 107
lengthening of contracted tendons 109
medical treatment 109
partial neurectomy 109
stabilization of joints 109
tendon transfer operations 109
topographic distribution 107
treatment 108
with child 108f
Cervical canal stenosis 117
Cervical spine 198f
disc prolapse, treatment of 116
Cervical spondylotic myelopathy, case of 117f
Cervical vertebrae 115
Charcot's
arthropathy 187f
condition 187
joint 153, 188, 207f
neuroarthropathy 187
Charnley's, principles of 182
Chiari's osteotomy 157, 169, 170
Chondrodiastasis 62
Chondrogenesis 3
Chondro-osteodystrophies 70, 155
Chondrosarcoma 88, 99, 99f
Clavicles and ribs 59f
Claw hand 134, 135f
treatment of 135
Club foot
congenital 80
deformity 83f
resistant 84
Cold abscesses 199f
Colle's fracture 135
Complex regional pain syndrome 121, 139, 139f
Compound palmar ganglion 138
Connective tissue disorders, congenital 68
Connective tissue rheumatoid like diseases 42
Constrictive tenosynovitis 137
Cord involvement, prognosis 33t
Core decompression 55
Cortical bone of proximal fragment 185
Cortical bone-grafts 196f
Corticosteroids 63
Corticotomy 10
Costochondral junctions 60
Coxa magna, developed 160f
Coxa valga 106
Coxa vara 106, 155
congenital 155, 166f
early cases of 153
Coxa-magna, massive 195f
Crohn's disease 41
Cubitus valgus 127, 127f
Cubitus varus deformity 128, 129f
Curvilinear osteotomy 174
Cushing syndrome 42, 42f
Cushing's disease 63
Cyclophosphamides 67
Cystic
areas, multiple 91
cavity 29, 91
lesion, presence of 88
D
De Quervain's disease 137
treatment of 138
Deep infections in adults 168f
Defects, congenital 84
Deformity
congenital 67, 75
correction 61, 83
basic principles of 70
manipulations 70
operative 72
turn-buckle method 72
under anesthesia 72
wedging 72
in wrist and hand 137
of knee 176
seldom 181
Dega's pelvic osteotomy 79, 174
Demineralization 12
Derotation osteotomy 157
Diabetes mellitus 188
Diabetic foot 188
treatment of 188
Diaphyseal fractures 8
Diffuse idiopathic skeletal hyperostosis 43
instillation 43
intra-articular aspiration 43
Diffuse ill-defined borders 88
Disc space 116
Dislocation of
left hip, congenital 170f
patella, recurrent 179
Disorders related to neck 115
Distal humeral osteotomy 128
Distal interphalangeal joints 137
Distal metaphyseal 29
Distal osteotomy cuts 185
Distal radius osteochondral fractures 135
Dog tapeworm 201
Dorsal spine tuberculosis 66
Dorsal wrist ganglion 137f
Dorsalis pedis 188
Dorsolumbar junction 63
Duchenne muscular dystrophy 106
Dupuytren's contracture, treatment 138
Dyplasias 68
Dyschondroplasia 95f, 73
Dysplasia of
hip, development 77, 80f, 163
left hip, development 79
right hip 173f
Dysplastic hip 78
Dysraphism 84
Dysthesia 127
E
Echinococcus granulosus 201
Effusion 30
Elbow 20
and forearm 126
causes of stiffness 130
excision-arthroplasty of 131
joint 44, 131f
movements of 126
pulled 130
Electrone microscopy 154
En bloc resection 96
Enchondroma 73
Enchondromatosis 73, 94, 95f
Endochondral ossification 3
Endocrine disorders 63
Endoscopic tunnel release 135
Enteropathic arthropathy 41
Epicondyle, medial 127
Epicondylitis, lateral 126
Epidural abscess 145
Estrogens 58
Ewing's sarcoma 100, 101f
Exostosis 93
multiple 93
solitary 93
Extracorporeal shock therapy 54
Extrapleural approach, anterolateral 34
F
Familial aggregation 39
Fanconi syndrome 61
Fascioscapulohumeral muscular dystrophy 106
Femoral head 160, 163, 197
containment 157
in situ 167
neck junction 44
preservation techniques 53
Femoral neck fracture 152
Femoral osteotomy, upper 162, 164f, 167
Femoral shaft, distal half of 24
Femur, distal half of 21f
Fiber bone 3
Fibroma 88
Fibro-osseous tunnel 135
Fibrosarcoma 88
Fibrous cortical defect 91
Fibrous dysplasia 68, 91f, 155
Fibrous tissue 3, 39
Fibula
bone graft 13
tibialization of 14
Fibular deficiency, congenital 84
Fingers
flexion of 135f
trigger 138
Flat feet 190, 191f
Fluoroquinolones 28
Folic acid, consumption of 85
Foot 188
abduction brace 81
dorsum of 192f
drop 191
Fracture
fragments 7
healing of 3
natural 4
hematoma 3, 5
line 7
of femur 23f
stabilization 7
union, timetable of 6
Fragility fracture 63
Fragmentation 156
Frank pus 22
Free bone graft 22
Frozen shoulder 120, 121
G
Ganglion 136
Genetic disorder 69f
Gentle tissue handling procedure 22
Genu recurvatum 179
treatment of 179
Genu valgum 47, 62, 176
deformity 60f
treatment of 178
Genu varum 60, 62, 47, 179, 183f
Giant cell tumor 13, 96, 96f, 97f
of bone 95, 208f
of distal radius 97f
Giant osteoid osteoma 95
Girdleston's 31
like excisional arthroplasty 168, 169
Glenohumeral
arthritis 120
joint 44
Glenoplasty 124f
Glomus tumor 202f
Golfer's elbow 126
Gorham syndrome 194f
Goucher's disease 50
Gout
attacks, acute 189
incidence of 188
investigation 189
tophus 189f
treatment 189
Graft substitutes 11
Greater trochanter, part of 44
Growth plate modulations 62
Gun-stock 128
H
Hairy tuft 86f
Hallux valgus 76, 192
in left foot 192f
Hallux varus in right foot 192f
Hand-shoulder syndrome 120, 121, 140
Hansen's disease 109
Harmon's reconstructive procedure 164
Harrington rod fixation 151
Healing
natural 3
stage of 156
Hemangioma 202f
multiple 149f
of sacrum 202f
Hematogenous osteomyelitis, acute 17
clinical presentation 18
pathology 17
radiological features 18
treatment 19
Hemoglobinopathies 50
Hemolytic disorders 189
Heparin 63
Herring's grouping 157
Heterotopic ossification 133, 205f
phases of evolution 133
High tibial osteotomy 183, 184f
medial open-wedge 185f, 186f
High-arched feet 191
Hip 19, 44, 152
deformities 105
dislocation
bilateral 77
congenital
clinical features 77
pathology-adaptive changes 78
radiological features 77
treatment 78
ultrasonography 77
subluxations 77
excisional arthroplasty for 31
frog position of 77
joints 79, 159
congenital dislocation of 77
movements of 152
MRI of 51f
subluxation of 152
open operative technique for 56
painful 152
Hormone replacement therapy 64
Hubbard tanks 104
Humerus, lateral condyle of 127
Hydatid-cyst 201f
Hydatid disease 201f
Hyperbaric oxygen 54
Hyperparathyroidism 193f
Hyperuricemia 189
Hypophosphatemic osteomalacia 194f
I
Iatrogenic 7
infections
diagnosis 25
in orthopedics 24
infections therapeutic options 25
Idiopathic massive osteolysis 194f
Iliac spines, anterior superior 153
Iliacus muscle 170
Ilizarov's
principles 11, 82
technique
corticotomy 10
deformity correction 10
for neohistogenesis 10f
Infantile
cortical hyperostosis 202f
scoliosis 141
Infection, diagnosis early stage of 25
Infective lesions 187
Inflammatory rheumatoid disorders 42
diagnosis, early stage 37
fifth-line treatment 43
first-line treatment 42
fourth-line treatment 43
second-line treatment 42
third-line treatment 42
Inflammatory swelling, chronic 181
Innominate osteotomy 157, 168, 171, 174f
operative procedure for 170
Intermuscular septum, medial 127
Interspinous ligaments 141
Interspinous structures, retention of 148
Intra-articular
fracture 46
injections 44
Intracapsular fractures 7
Intralesional curettage 96f
Intramedullary nails 8
Involucrum 22
behavior of 22
Ipsilateral fibula 15f
Ipsilateral pelvis 153
Irritable bowel symptoms 36
Isoniazid 28
Isotope bone scan 89
Ivory osteoma 95
J
Joint
cartilage and bone 36
cartilage space 55f
debris 44
disorders 120
effusion, large 30
functional, position of 19
infection of 17
stiffness 158
tuberculosis, functional treatment for 29
Joshi's external stabilization system 82
Juvenile rheumatoid arthritis 41
Juxta-articular
fracture 46, 50
osteotomy 9, 38, 43
K
Kidney, chronic diseases of 63
Kienböck's disease 56f
Kirschner's wires 9, 20, 170
using 174
Knee 20
and leg operative techniques 184
flexion deformities of 72
joint 44
left 182f
X-rays of 182f
pathologies 176
right, diffuse swelling of 177f
synovial chondromatosis 182
Knock knees 176
Kyphoscoliosis 69, 71f
Kyphoscoliotic tibia, congenital 206f
Kyphosis 63, 141, 142
Kyphotic deformity 32, 33, 143f
deterioration of 150f
L
Lamellar bone 3
Laminectomy 34
Leflunomide 67
Legg-Calvé-Perthes disease 155, 171f, 172f
Lepromatous 109
Leprosy 109
drug therapy 110
foot drop 110
operative interventions 110
total claw hand 111
transfer for opponens palsy 111
trophic ulcers 110
wrist drop 111
Ligamentum
patellae 179
teres 156
Limb girdle muscular dystrophy 106
Lipoma 136
Little's disease 107
Looser's lines 60
Looser's zones 59, 59f
in left femur 61f
in pubic rami 61f
Lumbar canal stenosis 145, 146, 151f
developmental 148f
Lumbar disc herniation
acute 149
resolution of 149
Lumbar intervertebral disc prolpse 147
Lunate, complete collapse of 56f
Lymph nodes, calcified 196f
Lytic cystic lesion 96f
M
Macrodactyly 207f
Maffucci's syndrome 73
Malformations, congenital 67
Malignant
bone tumors 98
diseases 63
transformation, incidence of 94
tumor 87
Maltracking patella 179, 180f
treatment 180
Malunion 47
March fracture 203f
Marfan's syndrome 68
McMurray osteotomy 162f, 167f
McMurray's upper femoral osteotomy 166
Mesenchymal cells 4f
Metabolic bone disorders 58, 90
Metabolic defects with vitamin D 62
Metacarpophalangeal joints 135f
Metal fatigue, accumulation of 14f
Metaphyseal osteoporosis, severe 157
Metastatic
bone deposits 101
deposits
diagnosis of 90t
radiological features 102
malignancy, clinical features of 102
Metatarsophalangeal joint 76
Methotrexate 67
Minimally invasive techniques 150
Monoarticular presentation 37
Mosaic fashion 64
Movements 152
gross limitation of 153
in elderly or middle age 153
to improve arc of 161
with acute pain 153
with chronic pain 153
without much pain 153
Multicentric disease 89
Multilayered onion-peal 203f
Muscles
pedicle-based bone grafts 14
power, recovery of 104
Muscular dystrophies 106
Mycetomal infections 17
Mycobacterium leprae 109
Mycobacterium tuberculosis 17, 145
Myeloma 88, 147
cells 100
deposit 102
multiple 99
treatment of 100
Myelomalacia 99f, 117f
Myeloproliferative disorders 50
Myofascial structures 141
Myositis ossificans 133, 205f
progressive 204f
stages of 133f
traumatica 205f
N
Navicular bone, dorsal dislocation of 191f
Necrotic bone 24
Nelaton's line 152
Neoangiogenesis 5, 10
Neoplasms 103
in lumbar spine 147
Neural
complications 65, 100
deficit 88
Neuroarthropathy 207f
changes 188
Neurofibroma 136
Neurofibromatosis, generalized 68, 68f, 69f
Neurogenic
claudication 145
inflammation 140
Neurological symptoms 88
Neuromuscular disorders 104
non-Hodgkin's lymphoma 101
Nonossifying fibroma 91
Nonsteroidal anti-inflammatory drugs 38, 115, 120
Nonunions 7
Numbness 88
O
Olecranon bursitis 130
Ollier's disease 73
Oncogenic osteoporosis 64
Open bone grafting 22
Open reduction and internal fixation 7
Orthopedic
journey in 193
tumors 87
clinical features 88
investigations 88
Osseous lesions 120
Osseous tissues, repair of 3
Ossification of posterior longitidunal ligament 116f, 117
Osteoarthritis 46, 115
Osteoarthrosis 137f
advanced 48f
early 47f
of spine 144
primary 46, 121
progressive 118f
secondary 46, 46f
treatment
early stage 47
intermediate stage 47
late stage 48
Osteoarticular fractures 182
Osteoarticular system 187
pathology of 187
Osteoblast activity 198f
Osteoblastic cells, clump of 4
Osteoblastoma 95
Osteochondral
skeletal deformities 68
structures 177f
Osteochondroma 94f
Osteochondromatosis, multiple 93, 94
treatment 94
Osteoclastoma 95, 96f
treatment 96
Osteogenesis imperfecta 69
Osteogenicity 11
Osteoid osteoma 95, 89f
Osteoinductive potential 12
Osteomalacia 154
in adults 59
radiological features of 59f
Osteomyelitis
acute 19
operative intervention for 19
chronic 20
curing 24
dry 24
wet 24
of femur 21f, 24f
Osteon 6
Osteonecrosis
classification 52t
diagnosis 50
femoral head 52t, 56
pathology 50
suspected risk factors of 50b
treatment 52
nonoperative treatment 53
operative treatment 54
Osteopoikilosis 196f
Osteoporosis 63
bisphosphonates 64
diagnosis 63
of spine 64f
operative intervention 65
secondary common causes of 63t
treatment 64
unusual degree of 139f
Osteosarcoma 98
in orthopedics 9
radiological features 98
treatment 98
variants of 99
Osteotomy 9, 163, 185
dome 162f
P
Paget's disease 64, 99, 154, 155f, 198f
Pain 88
heel 189, 190
treatment 190
low back 141
source of 141
spine 141
Painful arc syndrome 121
Palmar cutaneous 135
Papineau's procedure 22, 24
Paradiscal edema 146f
Paralysis 88, 152
Paralytic condition 179
Paraplegia, severity of 32
Parathormones 58
Para-typhoid bacilli 17
Paresthesias 127
Parosteal sarcoma 99
Pavlik harness 78
Pelvic support osteotomy 165f, 168
Pelvis
MRI of 40f
reflect general health 193
X-ray of 36f
Pemberton's acetabuloplasty 174
Periosteal osteosarcoma 99
Peripheral chondrosarcoma 99
Peripheral vascular disease 187
Periscapular muscles 105
Perivertebral cold abscess 32
Perthes disease 153, 155, 163
case of 157
classification of 156
treatment 157
Pes cavus 191
Pes equinus 191
PET scan 89
Phocomelia 209f
Phosphorus 62
Pinnae of ears 189
Plano-valgus feet 191f
Plantar arthrodesis 192f
Plantar-wards tilting 191f
Plasmacytoma 100
Plasmacytosis 100
Poliomyelitis 104
acute stage 104
elbow 105
foot 105
forearm and hand 105
hip 105
knee 105
recovery 104
shoulder 105
stage of
convalescence 104
residual paralysis 104
triple arthrodesis of foot 105
Polyarticular rheumatoid arthritis, case of 37f
Polydactylism 76
Polymyositis 42
Polyostotic fibrous dysplasia 70f, 91
treatment 91
Polyostotic skeletal dysplasia 154
Ponseti cast 81
Ponseti's technique 81
Popliteal bursa 181
Porous bones 63
Postoperative compartment syndrome, risk of 181
Postpolio syndrome 104
Pott's disease
cold abscess 32
diagnosis 32
neurological complications 32
treatment 33
Prepregnancy folic acid deficiency 67
Prostate malignancy 102f
Prostatic carcinoma 102
Proximal distal border 136
Proximal femoral osteotomy 163
osteotomies of 160
Proximal humeral metaphysis 94f
Proximal tibia 13
Pseudarthrosis of tibia, congenital 84, 84f, 85f, 206f
Psoriatic arthritis 41
treatment of 41
Pterygia syndrome 107
Pubic rami 60
Pulmonary complications 142
Putti-Platt's operation 123
Pyogenic
arthritis 182
infection 168
and tuberculosis 159
osteitis 145
Pyrazinamide 28
Q
Quadratus femoris 15, 56
Quadriceps muscles, weak 105
R
Radial
border of median nerve 135
deficiency 75
treatment of 76
deviation 37f
diaphysis 197
head 130
hemimelia, congenital 132f
nerve explorations 131
Radioulnar synostosis, congenital 75, 131
Radius
congenital, absence of 75f, 131
large segment of 132f
Reactive arthritis 41
Reflex sympathetic dystrophy 120
Reiter's syndrome 41
treatment of 41
Renal
osteodystrophy 50
rickets 60
Reticulum-cell sarcoma of bone 101
Retinacular capsule 156
Rheumatoid arthritis 154
advanced case of 137f
Rheumatoid disease 47, 63
Rheumatoid disorders 36, 38, 187
prognosis 38
role of operative intervention 38
subgroup of 39
treatment 38
Rheumatoid factor 36
Rheumatoid inflammation 120
Rheumatoid spondylitis 144
Rhomboideus 105
Rickets 155
different types of 62t
in children 59, 61f
Rickety rosary, producing 60
Rifampicin 28
Rigid deformities 83
Rigid internal fixation 8
Rotator cuff disorders 120, 122
S
Sacral tuberculosis 199f
Sacroiliac joints 40f
bilateral 36f
Salicylates, use of 88
Salter's
in children 79
innominate osteotomy 79
osteotomy 170
procedures 174f
re-directional osteotomy 157
Scapulae, axillary borders of 60
Scapular neck near 124
Scheuermann's disorder 142
Sciatic scoliosis 147
Sciatica 115
Scleroderma 42
Sclerosis of articular margins 121f
Scoliosis 88, 141
adolescent 142
juvenile 142
Research Society 141
young boy 142f
Scoliotic deformities 141
Scurvy 63
Seizures 109
Selective estrogen receptor modulator 64
Semilunar
cartilages 177
fat deposition in bone 144f
Semimembranosus
bursitis 181
tendon 181
Sensory deficit 143
Septic arthritis 20
surgical management 20
Sequestrectomy 22
Sequestrum 22
fate of 22
Seronegative spondyloarthropathies 39
Serratus anterior 105
Serum alkaline phosphatase 102
Serum electrophoresis for myeloma protein 90
Shenton's line 160
Shoulder 20, 44, 120
active infection of 122
instability of 122
painful, common pathologies 120
recurrent, anterior dislocation of 124f
tubercular arthritis of 122f
Sickle-cell disease 50
Simple bone cyst 92
Sinuses, cases of 30
Sjögren's syndrome 37
Sjögren's-sicca syndrome 42
Skeletal
dysplasias 67, 68
maturity, age of 71f
tuberculosis 200f
cases of 32
tumors, common primary 87t
Skeleton 193
Slipped capital femoral epiphysis 155, 158
complications 158
radiological grading 158
treatment 158
Soft callus 5
Soft tissue
damage 14
procedures 73
severe damage 7
swelling 25f
Solitary osteochondroma 93, 94f
Spasmodic torticollis 115
Spina bifida 84, 143
Spinal cord, segment of 199f
Spinal decompression 150
Spinal dysraphism 86f, 142
Spinal fusion 150
posterior 34
Spinal hyperextension, anterior 39
Spinal infection 145
cases of 145
Spinal instrumentation 150
Spinal tuberculosis
appearance of 146f
treated for 28f
Spinoplasty 148
Spinous processes 151
Spondyloepiphyseal dysplasia 71f
Spondylolisthesis 142, 205f
appearance of 143f
Spondylolysis 142
Spondylosis 115
Spotted bone disease 196f
Staphylococcus 17
Steel's triple osteotomy 170
Sternocleidomastoid 118
muscle 117, 119f
Streptococcus 17
Subchondral fracture 52
Sudeck's
atrophy 121
complex regional pain syndrome 64
dystrophy 121, 139, 139f
treatment 140
Sulphinpyrazone 189
Supraspinatous tendinitis 121
Swelling 88
Syndactylism 76
Synovial
effusion 177f
fluids 136
membrane 182
Synovioma 37
Synovitis, stage of 156
Systemic lupus erythematosus 37, 42
T
Talo-calcaneal joint 82
Telescoping
hip joint 153
test, measurements of 153
Temporomandibular joints 81
Tendinous ruptures 120
Tendo-Achilles 39
lengthening 109
Tennis elbow 126
treatment 126
Tetracycline fluorescence 5f, f6
Thyroid hormones 58
Thyrotoxicosis 63
Tibia 85f
absence of 210f
congenital
bowing of 84
pseudarthrosis of 84
distal fragment of 185
large defect 15f
Tibia varum deformity 181f
Tibial osteotomy, high 178
Tibial pseudarthrosis, location of 206f
Tibiofibular articulation, superior 185
Tibiofibular joint, inferor, diastasis of 210f
Toes 76
Tom-Smith hip 153
Torn glenoid labrum 123
Torticollis: congenital 115, 117
pathology of 118
treatment 118
Total knee arthroplasty 182
Total knee replacement 182
Trabecular bones 58
Transcutaneous nerve stimulation 140
Transiliac osteotomy 170
Transilluminant swelling 181
Trendelenburg gait 152
Tricortical bone 11
Trigger thumb, congenital 138
Trihexy-phenadryl 109
Tubercular arthritis of elbow 28f
Tuberculoid 109
Tuberculosis
arthritis of wrist 139f
bones and joints 26
antitubercular chemotherapy 28
biopsy 27
blood 27
clinical picture 26
diagnosis 26
modern imaging techniques 27
prognosis and course 28
roentgenograms 26
type of surgery 31
elbow 130f
frontal bone 201f
infection 27f
common site for 178f
joints, staging of 30, 30t
left hip joint 196
lesions 27f
osteomyelitis 29f
paraplegia, classification of 33
principles of management 29
right hip joint 29f, 160
spine 32
surgery in bones and joints 31
Tubular bones 11
fractures of 74
Tubular plates 9
Tumor necrosis factor inhibitors 39
Tumor syndrome 34
Tumor-like conditions 87
Tumor-like lesions 87f
Tumors 87
benign 87
malignant 87
source of 87
spread, assessment of 89
Typhoid 17
U
Ulnar nerve
congenital slipping of 126
transposition 127
operative steps 127
Ulnar neuritis 127
Unicameral bone cyst 88, 92, 92f
treatment 92
Upper femoral osteotomy 160
Upper motor neuron 32
Urist's technique 14f
Uterine cancer 64
V
Valgus deformity 127
Vascular
claudication 145
invasion, stage of 156
tree 3
Vertebra plana in mid-dorsal spine 147f
Vertebral
body hemangioma 149f
disease 33
fractures 65, 142
Villonodular
pigmented synovitis 37
synovitis 43
Visceral disorders 141
Vitamin D 58, 64
resistant rickets 61
W
Walking and standing 152
Weakness 152
Wedge correction by “turn-buckle” method 72
Weight bearing 77, 78
bones 154
to improve 161
Wolff's law 97f
Wrist 20
and hand 134
drop 134
Wry neck 115
X
Xenogenous 11
×
Chapter Notes

Save Clear