Anup Shah, MD, MBA

Some tips on wrist arthroscopy 1. Get your portal positions correct. Wrong positioning makes the swift insertion and removal of instruments difficult, makes false passages leading to entrapment of soft tissue while repairing structures 2. Try dry mostly, occasionally alternating with wet arthroscopy- makes visualisation better 3. Adequate traction 4. Keep your instruments and tools simple 5. Always do DRUJ arthroscopy – seeing is believing Here is an example of a dorsal capsulodesis and my own foveal repair technique. Followed the above and the whole procedure took 64 minutes only. The question may arise- why my technique of foveal repair – it is simple, fast and effective! Choudhury MM, Yap RTJ, Jiang JKH, Chia DSY, Chin AYH. An All-Arthroscopic Technique of Repairing Foveal Tears of the Triangular Fibrocartilage Complex Using a Bone Anchor-Repair Made Simple. Tech Hand Up Extrem Surg. 2024;28(1):19-25. https://lnkd.in/ebrmB-Cj

2

CAUSES OF JAW DISLOCATION Jaw dislocation (also known as temporomandibular joint dislocation) occurs when the jawbone shifts out of its usual position. This condition can occur in individuals with loose muscles in the jaw area and ligaments due to temporomandibular joint disorders or it may frequently recur in those who have experienced it before. Causes of jaw dislocation include strong impacts on the muscles and tendons of the jawbone or may stem from the following reasons: ✖️ Incorrect sleeping posture ✖️ Opening the mouth too wide when yawning, laughing, or eating ✖️ Teeth grinding during sleep ✖️ Infections in the nasal and throat areas can also lead to jaw dislocation Common signs of jaw dislocation include a stiff neck and jaw, clicking sounds when opening the mouth wide, fatigue in the area in front of the ears, and ear ringing. Jaw dislocation is difficult to heal on its own and is prone to recurrence. Therefore, after treatment, it is essential to be mindful of daily activities to ensure proper recovery and prevent recurrence: 🟣 Sleep in the correct posture 🟣 Avoid eating tough, hard foods that require excessive chewing 🟣 Avoid strong impacts on the jaw 🟣 Use a mouthguard while sleeping 🟣 Limit wide mouth openings when laughing or yawning Although jaw dislocation does not pose a threat to your overall health, it can cause discomfort, aesthetic issues, and long-term complications such as jaw misalignment, facial asymmetry, and more. Currently, there are two common treatments for jaw dislocation: realigning the jaw if the condition is mild and jaw surgery for severe cases that cannot be corrected through manual adjustment. Always take proactive steps to ensure your health! #nhakhoacamtu #camtudental #dentaltourism #dentalcare #smile #HCM #teeth

13

Collinear Clamp Set . . The collinear clamp is utilized for long bone, articular, and pelvic fractures. It utilizes a sliding mechanism with an attachment arm, adjustable to four mounting notches around the feed rod. #kaushikorthopaedic #orthopaedic #instrument #instrumentset #Collinearclampset #productpost

5

vistaECG waveform is exactly the same as conventional ECG. As long as you can read ECG, you can read vistaECG. The difference is that the color wave consists of different segments (SAN-Atrium-AVN-HIS-BB-Purkinje's fiber-endocardium-epicardium-M cell-wide QRS). The waveform is not changed. Solve the problems of doctors who cannot read the ECG. - Electrocardiogram digitized for the first time in 120 years with all invasive and invasive undetectable parameters (new data)! - Abnormalities can be detected even without manifestation of disease occur (AVNRT/AVRT/SVT/heart failure/CAD/MI without ST elevation etc.) - Medical-grade AI interpretation with 15 million clinical test data - AI mapping and reading Test time: 12 seconds Unit of measurement: millisecond Graphic display rate: 99.99% - Scientific article published in the International Journal of Cardiology in 2016 - 15 million clinical trials completed in 2015 in 6 countries - 53 US & International patents obtained PhysioSign USA #ecg #ekg #cardiology #ecginterpretation #electrocardiogram #nursing #interpretation #heart #heartbeat #cardio #cardiovascular #medical #treatment #physician #heartrate #medicalstudent #doctor #hospital #cardiologists #myocardium

21

1 Comment

Learn about direct hip arthrography. Read the infographic: 🔴 Direct MR arthrography of the hip joint: anterior approach without imaging guidance To read the full article, access the link: rdcu.be/dE821 #SkeletalRadiology #radiology #orthopedics #radres #MSKrad

9

Physical examination of Tetralogy of Fallot (ToF): 1- Unoperated patients: ◆ RV heave and palpable thrill ◆ RVOT systolic ejection murmur (intensity and duration inversely related to obstruction severity) ◆ Single A2 and diastolic murmur due to AR #CardioVasc #cardiology #Cardio #cardiovascular

1

A few terminologies related to audiology PART-3

13

1 Comment

Near point convergence (NPC) is a component of the Vestibular Ocular Motor Screening (VOMS) assessment that may be helpful in diagnosing concussion (Heick & Bay, 2021) Abnormal NPC has been defined as being unable to see a target clearly at a distance of more than 5cm from the eye and represents the threshold for NPC. Patients with convergence insufficiency commonly experience diplopia, blurred vision, headaches, or dizziness and nausea. (Truong JQ & Ciuffreda KJ, 2016). Approximately 40% to 60% of patients present with accommodative or vergence issues following mTBI. (Ciuffreda et al. 2007).

29

1 Comment

Lateral Collateral Ligaments . Can you match the 4 main ligaments of the lateral elbow. They stabilize the radius/ulna and their articulation to the humerus. Based on this image and descriptors below, can you match up the numbers with the letters? . A. The Accessory lateral collateral ligament- assists in varus stability. B. The Annular ligament- Not part of the LCL but stabilizes the radial head. C. The lateral ulnar collateral ligament- is the primary stabilizer. Disruption may lead to Postero-Lateral Rotational Instability (PLRI). D. The radial collateral ligament- stabilizes the humeral-ulnar joints and inserts to the annular ligament. . #htp_west #handtherapypartners #CHT #ASHT #occupationaltherapy #ot #pt #hta #handtherapy #handtherapyacademy #handsurgery #otstudent #ptstudent #learn #share #LCL #elbow #stability #ligament

9

amazing demo on ACL reconstruction

12

MRI-detected scaphoid fractures are not universally benign, with delayed or nonunion of scaphoid fractures diagnosed only after MRI seen in over 6% despite appropriate initial immobilization. #MRI #BJJ #ScaphoidFractures https://ow.ly/SWs750R7nQm

6

ORTHOTIC CORRECTION NEEDED? His heel is inwardly bent indicating that his metatarsal region will be outwardly bent i.e. supinated. He would require an orthotic correction in the heel region to restore his correct heel positioning. Or, do we need to correct the FITTING OF THE STRAP, primarily: Is the loose-fitting strap the very reason why the foot heel is not seated in the heel cup?..."FOOTprints" by MAYTHREE.

21

2 Comments

Transforming obstetric care through simulation. Our OB trainings prepare professionals for real-life scenarios. #OBTraining #OBGYN #simulationtraining

1

1 Comment

Complete Overview On #Proliferative_Vitreoretinopathy_Industry Download E-PDF Report @ https://lnkd.in/eYHa9Bcg Proliferative Vitreoretinopathy (#PVR) is a significant and complex complication frequently linked to retinal detachment surgeries. This condition is characterized by the formation of membranes on the retinal surfaces, which can result in scarring and contraction, often causing the retina to detach again. Such challenges make PVR a major focus in ophthalmology. With the increasing incidence of retinal diseases and the rising number of retinal surgeries worldwide, the market for Proliferative Vitreoretinopathy #treatments is experiencing notable growth. Understanding Proliferative Vitreoretinopathy (PVR): #Research_and_Development: Ongoing research is focused on understanding the molecular mechanisms behind PVR and developing targeted therapies that can inhibit the cellular processes responsible for the proliferation and fibrosis seen in PVR. #Market_Dynamics: The market is driven by the increasing incidence of retinal diseases like diabetic retinopathy and age-related macular degeneration, both of which can lead to retinal detachment and subsequent PVR. Advances in surgical techniques and the development of new therapeutic agents aimed at preventing or managing PVR are contributing to market growth. #Pathophysiology: PVR occurs when retinal cells proliferate and migrate, forming fibrous membranes that can contract and cause retinal detachment or prevent reattachment. It often follows trauma or surgical procedures on the retina, complicating the recovery process. #Current_Treatments: The treatment landscape includes surgical interventions such as vitrectomy, where the vitreous gel is removed and replaced to allow the retina to be reattached. Anti-proliferative medications, steroids, and anti-inflammatory drugs are also being explored to manage or prevent PVR development post-surgery. #Future_Outlook: The market is poised for growth as new treatments and preventive strategies emerge, offering hope for better management of this complex condition. Enhanced diagnostic tools, combined with advanced pharmacological and surgical approaches, are expected to improve outcomes for patients with PVR. #Health #Healthcare #Solution #Research #Treatment #Linkedincommunity

3

Here's where my passion meets purpose. 🌟 Delving into the intricacies of robotic knee replacement surgery fills me with joy and purpose. It's not just a procedure; it's a journey of restoring mobility and transforming lives. 🤖💼 #kneereplacement #orthopaedicsurgeon #roboticsurgery

11

MR #shoulder #arthrogram for a young patient with recurrent dislocation.. 4 anatomic landmarks are important to identify when performing this procedure: 1. Lesser tuberosity: attachment of subscapularis tendon 2. Coracoid process: subscapularis tendon passes underneath 3. Supraglenoid tubercle: attachment of the long head of biceps tendon 4. Anatomical neck of humerus: marks the inferolateral boundary of the joint space The needle should enter the glenohumeral joint through the rotator cuff interval, the location of which is dependant upon knowledge of the boundaries of the anatomical structures mentioned above.. The attached video is a short tutorial presented by myself for IR fellows at my institution, it's narrated in a mixture of both Arabic and English languages so the explanation would mostly be understandable even if you don't know Arabic 😃 #msk

35

10 Comments