Distal Radio-Ulnar Joint ( DRUJ) Subluxation is a common injury of the Wrist joint ,which happens because of fall on outstretched hand. It causes pain in wrist and difficulty in lifting weight. It is treated surgically by ligament reconstruction. The video shows ligament being reconstructed. Tendon is being pulled through Ulna, after passing through Distal Radius.
Superior Labral Anterior Posterior- ( SLAP) is a lesion in shoulder ,due to which athletes get shoulder pain during or after overhead activities. The following are images of a SLAP lesion(10 -12 o’clock position) in Shoulder in Young Badminton player and its arthroscopic repair.
Fracture of leg bone( Shin bone -TIBIA FRACTURE ) is a common fracture in adults due to Road Traffic Accident or Fall from Height. Some times it is possible to achieve COMPLETE UNION of these Fractures WITHOUT OPERATION by special CASTING TECHNIQUES- PTB cast. Here is an excellent example of how it worked in a young man.
“RECURRENT DISLOCATION OF THE SHOULDER”, is a common problem in youngsters. Basically, the ball of the shoulder joint slips out of it’s socket . First time it is caused by significant injury, fall while playing in the playground or an accident . It becomes “recurrent”, if repeated dislocation ( slipping of ball out of the socket ) happens with trivial injury or in sleep too. Such patients need an MRI and Surgical treatment like Arthroscopic Bankart Repair( Key hole surgery). But, sometimes the socket gets partly eroded by repeated dislocation, ( Bony Bankart lesion) in which case, keyhole surgery cannot be performed, rather a open surgery called as BRISTOW LATARJET PROCEDURE, is required, which prevents further recurrent dislocations. A young man had dislocated the shoulder repeatedly nearly 8-10 times. VIDEO shows the bony cup ( glenoid) , with significant bone loss-“ inverted pear shape” with loss of more than 25% of bony glenoid, seen in the Arthroscopic Video grab. Photos and X rays show the results after such a Bristow Latarjet procedure in a young man- see the excellent function, within 2 and 1/2 months of Surgery. Now he doesn’t have FEAR OF DISLOCATION.
Tuberculosis infection can affect the bones especially the backbone without involvement of Chest ( Lungs). It is called as Pott’s Spine( TB infection of spine). All age groups are prone to this. It is fully curable, if diagnosed and treated promptly with the right management. A 29 year old young man was suffering from severe radiating pain in Rt leg with weakness in the foot, with Low back pain for 1 month was diagnosed to be TB Spine L4/5/S1 level( Posterior disease) by MRI and timely treatment was done by Decompression of Spine Surgery and by starting of Anti Tubercular Medications.Removing pus compressing the thecal sac and nerve roots and spinal cord ( see photos and video) gave him excellent relief. Moral of the story is that any back pain , not responding to medications and physiotherapy in 3-6 weeks, one should always suspect TB spine and get X rays and MRI done, to detect and treat this common problem at an early stage itself.
