- +967-774203774
- info@hutaifortho.com
- Yemen - Sana'a - 60 st - Al-Andalus District - 60 Tower - 3rd Floor
muscle imbalance
muscle imbalance
How to Prevent and Treat the Most Common Orthopaedic Problems in Children with Cerebral Palsy
This blog post discusses the most common orthopaedic problems in children with cerebral palsy, as well as how to prevent and treat them. It also emphasizes the importance of early diagnosis and treatment to prevent progression and improve quality of life. Mohammad Hutaif,
Orthopaedic Management of Cerebral Palsy: A Comprehensive Overview
Cerebral palsy (CP) is a group of conditions that involve permanent motor dysfunction due to abnormalities of the developing fetal or infant brain. CP affects about 2 to 3 per 1000 live births worldwide, and can cause various physical, cognitive, and emotional challenges for children and their
How to Prevent Orthopedic Injuries: Safeguarding Your Musculoskeletal Health
Learn effective strategies and tips to prevent orthopedic injuries and safeguard the health of your musculoskeletal system. From proper warm-up and stretching techniques to using correct form, wearing protective gear, and adopting a balanced approach to strength and flexibility, discover how to
Anterior Tibialis Transfer: A Surgical Solution for Residual Clubfoot
Clubfoot is one of the most common birth defects that affects the foot and ankle. It causes the foot to point downward and inward, making walking difficult and painful. Clubfoot can be treated with various methods, such as casting, bracing, or surgery. However, some children may still have
foot
ANATOMICAL FEATURES Fig. 13.A. Tripod action of the foot: To maintain perfect ground contact each foot acts as a tripod, with the legs of the tripod being
Foot and Ankle cases 22
A 22-year-old female presents complaining of pain along the lateral border of her left foot. She has a known history of Charcot–Marie–Tooth disease (CMT) and a clinically evident pes cavus. Radiographs are obtained
Paediatric Orthopaedic Surgery
Pediatric Orthopedic Surgery Epiphysiodesis‌ Developmental dysplasia of 443 Slipped upper femoral epiphysis: Osteotomy 462 the hip: Closed
Open Achilles Tendon Repair
DEFINITION The Achilles tendon is the strongest tendon in the body and is the primary plantarflexor of the ankle joint.16 Sudden stretch of the tendon tissue can result in complete or partial rupture, with an estimated incidence of 8 to 18 per 100,000 persons.1,3 With complete rupture, the
Management of Equinocavovarus Foot Deformity
r DEFINITION Pes cavus is characterized by increased plantarflexion of the forefoot and midfoot in relation to the hindfoot. An isolated pes cavus is rare; it is commonly accompanied by other deformities of the foot.
Comprehensive Correction of Cavovarus Foot Deformity
SURGICAL MANAGEMENT Preoperative Planning Imaging studies are reviewed. Physical examination should be done to test for rigidity or flexibility of the foot. Plain radiographs should be examined for arthritic changes, with triple
The Minimally Invasive Hallux Valgus Correction (SERI)
DEFINITION Hallux valgus is a deformity of the forefoot characterized by progressive lateral subluxation of the proximal phalanx of the first toe on the first metatarsal head. It is considered pathologic when the patient experiences symptoms associated with a valgus deviation (hallux valgus
Trauma Orthopedic MCQS online Bank
(OBQ14.208) When treating a proximal tibia fracture, the surgeon decides to (1) use blocking screws in the proximal fragment, and (2) pick the intramedullary nail based on the location of the Herzog curve. Which of the following combinations will best prevent the classic deformity associated with
Open Achilles Tendon Repair
DEFINITION The Achilles tendon is the strongest tendon in the body and is the primary plantarflexor of the ankle joint.16 Sudden stretch of the tendon tissue can result in complete or partial rupture, with an estimated incidence of 8 to 18 per 100,000 persons.1, 3 With complete
Open Achilles Tendon Repair
DEFINITION The Achilles tendon is the strongest tendon in the body and is the primary plantarflexor of the ankle joint.16 Sudden stretch of the tendon tissue can result in complete or partial rupture, with an estimated incidence of 8 to 18 per 100,000 persons.1,3 With complete rupture, the
Throwing Shoulder
Throwing Shoulder DEFINITION The repetitive acceleration and deceleration of the arm during the throwing motion places the thrower's shoulder in extreme positions and under significant stresses, which can lead to chronic overuse-type injuries as
Treatment of Vertical Talus
Treatment of Vertical Talus DEFINITION Congenital vertical talus is a rare foot deformity that presents at birth as a rigid flatfoot deformity. Although the exact incidence of vertical talus is unknown, it has an estimated prevalence of 1 in 10,000
Anterior Tibialis Transfer for Residual Clubfoot Deformity
Anterior Tibialis Transfer for Residual Clubfoot Deformity DEFINITION The incidence of residual deformity in congenital clubfoot ranges from 26.6% to 50%, regardless of the initial treatment provided.2 The disparity in the reported
Surgical Treatment of Cavus Foot
Surgical Treatment of Cavus Foot DEFINITION A cavus foot deformity in children develops from muscle imbalance that leads to forefoot pronation in relation to the hindfoot. When well established, it is readily recognizable by an abnormally high medial
Split Posterior Tibial Tendon Transfer
Split Posterior Tibial Tendon Transfer DEFINITION The equinovarus deformity involves hindfoot equinus and varus and results from imbalance between inversion (tibialis posterior, tibialis anterior, or both) and eversion of the foot. The deformity may
Open Lengthening of the Achilles Tendon
Open Lengthening of the Achilles Tendon DEFINITION Shortening of the Achilles tendon, gastrocsoleus complex (triceps surae), or both results in an equinus (plantarflexed) position of the calcaneus relative to the tibia. An equinus deformity is either
Triple Arthrodesis
Triple Arthrodesis DEFINITION Triple arthrodesis involves fusion of the talocalcaneal, calcaneocuboid, and talonavicular joints. The procedure is most commonly indicated for salvage in severe, rigid deformities of the hindfoot which are unresponsive to less
Triple Innominate Osteotomy
Triple Innominate Osteotomy DEFINITION Triple innominate osteotomy (TIO) is a surgical procedure that includes osteotomy of the ilium, ischium, and pubis, allowing rotation of the acetabulum around the femoral head (FIG 1). This greater
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2B
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2A 2072. (2226) Q5-2654: The protein neurofibromin normally acts in which of the following ways: 1) Inhibits fibroblast growth factor 3) Downregulates Ras protein 2) Promotes proteoglycan assembly 5) Promotes tumor formation 4)
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2A
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2D A 4-year-old girl is brought in for examination by her mother because of a bump on the lateral side of her elbow. The girl is unable to extend her elbow. She falls as much as any child, but no particular injury to the elbow is recalled. Radiographs show a
Triple Innominate Osteotomy
Triple Innominate Osteotomy DEFINITION Triple innominate osteotomy (TIO) is a surgical procedure that includes osteotomy of the ilium, ischium, and pubis, allowing rotation of the acetabulum around the femoral head (FIG 1). This greater
Pericapsular Osteotomies of Pemberton and Dega
Pericapsular Osteotomies of Pemberton and Dega r DEFINITION The Pemberton7 ( FIG 1) and Dega1, 2 ( FIG 2) osteotomies are performed for acetabular dysplasia that is either part of a developmental disorder or an
Medial Approach for Open Reduction of a Developmentally Dislocated Hip
Medial Approach for Open Reduction of a Developmentally Dislocated Hip DEFINITION Developmental dislocation of the hip (DDH) occurs in 1.5 babies per 1000 live births. When diagnosed in the newborn period, closed treatment with the Pavlik harness is
APPROACHES TO THE The Wrist and Hand
APPROACHES TO THE The Wrist and Hand The Wrist and Hand Dorsal Approach to the Wrist Applied Surgical Anatomy of the Dorsal Approach to the Wrist Volar Approach to the Distal Radius Volar Approach to
APPROACHES TO The Foot and Ankle
APPROACHES TO The Foot and Ankle Twelve The Foot and Ankle Ankle and Hindfoot Anterior Approach to the Ankle Anterior and Posterior Approaches to the Medial Malleolus Approach to the Medial Side of
Spinal Fusion for Neuromuscular Scoliosis
Spinal Fusion for Neuromuscular Scoliosis DEFINITION Neuromuscular diseases are heterogeneous between and within diseases and are due to a vast number of pathologies involving the brain, spinal cord, peripheral nervous system, and
Thoracoscopic Release and Fusion for Scoliosis
Thoracoscopic Release and Fusion for Scoliosis DEFINITION Thoracoscopy provides the ability to gain access to the thoracic spine via small incisions (portals). Anterior release includes removal of the annulus fibrosus, anterior longitudinal ligament,
Transfer of Flexor Carpi Ulnaris for Wrist Flexion Deformity
Transfer of Flexor Carpi Ulnaris for Wrist Flexion Deformity DEFINITION Cerebral palsy is a primary central nervous system dysfunction that leads to significant functional impairment due to its secondary peripheral manifestations in the upper
Distal Femoral Osteotomy for Crouch Gait
Distal Femoral Osteotomy for Crouch Gait DEFINITION Crouch gait is defined as walking with excessive knee flexion during stance. Crouch is a common walking pattern in neuromuscular conditions, particularly for individuals with cerebral
Adductor and Iliopsoas Release
Adductor and Iliopsoas Release DEFINITION Psoas and adductor contractures are most common in cerebral palsy but can occur in any neuromuscular condition owing to disuse, muscular imbalance, or spasticity. The degree of contracture varies
Surgical Repair of Irreducible Congenital Dislocation of the Knee
Surgical Repair of Irreducible Congenital Dislocation of the Knee DEFINITION Congenital dislocation of the knee (CDK) is a rare deformity that presents at birth as recurvatum. The incidence of CDK is estimated at 1 per 100,000 live births,
Proximal Femoral Varus Osteotomy Using a 90-Degree Blade Plate
Proximal Femoral Varus Osteotomy Using a 90-Degree Blade Plate DEFINITION Proximal femoral varus osteotomy can be useful for many conditions: Coxa valga deformity Hip subluxation (nearly all etiologies) Containment for Perthes disease
ORTHOPEDIC MCQS ONLINE BANK OITE 14B
ORTHOPEDIC MCQS ONLINE BANK OITE 14B Answer 04.50 # 2 In
ORTHOPEDIC MCQS ONLINE BANK OITE23
Orthopedics MCQS ONLINE OITE23 1.03 What is the most common complication associated with surgical fixation of a transverse midshaft humeral fracture using antegrade statically locked medullary nail? Infection Radial nerve palsy Brachial artery injury during
ORTHOPEDIC MCQS ONLINE OITE 1213 1A
ORTHOPEDIC MCQS ONLINE BANK OITE 1213 2013 & 2012 OITE Study Guide © 2012 American Academy of Orthopaedic Surgeons 2012 Orthopaedic In-Training
Triple Innominate Osteotomy
Chapter 73 Triple Innominate Osteotomy Dennis R. Wenger and Maya E. Pring DEFINITION Triple innominate osteotomy (TIO) is a surgical procedure that includes osteotomy of the ilium, ischium, and pubis, allowing rotation of the
Pericapsular Osteotomies of Pemberton and Dega
Chapter 71 Pericapsular Osteotomies of Pemberton and Dega Tim Schrader and J. Anthony Gonzales, Jr. DEFINITION The Pemberton8 (FIG 1A–C) and Dega1,2 (FIG 1D–F) osteotomies are performed for acetabular dysplasia that is
Medial Approach for Open Reduction of a Developmentally Dislocated Hip
Chapter 68 Medial Approach for Open Reduction of a Developmentally Dislocated Hip Lori A. Karol and Jeffrey E. Martus DEFINITION Developmental dislocation of the hip (DDH) occurs in 1.5 babies per 1000 live births. When diagnosed in the newborn
Unit Rod Instrumentation for Neuromuscular Scoliosis
Chapter 61 Unit Rod Instrumentation for Neuromuscular Scoliosis Kirk W. Dabney and Freeman Miller DEFINITION Neuromuscular spinal deformity is a result of an abnormal neuromuscular system in childhood, as in cerebral palsy, muscular dystrophy,
Thoracoscopic Release and Fusion for Scoliosis
Chapter 60 Thoracoscopic Release and Fusion for Scoliosis Daniel J. Sucato DEFINITION Thoracoscopy provides the ability to gain access to the thoracic spine via small incisions (portals). Anterior release includes removal of the
Transfer of Flexor Carpi Ulnaris for Wrist Flexion Deformity
Chapter 50 Transfer of Flexor Carpi Ulnaris for Wrist Flexion Deformity Ann E. Van Heest DEFINITION Cerebral palsy is a primary central nervous system dysfunction that leads to significant functional impairment owing to its secondary peripheral
Distal Femoral Osteotomy for Crouch Gait
Chapter 45 Distal Femoral Osteotomy for Crouch Gait Tom F. Novacheck DEFINITION Crouch gait is defined as walking with excessive knee flexion during stance. Crouch is a common walking pattern in neuromuscular conditions, particularly
Adductor and Iliopsoas Release
Chapter 40‌ Adductor and Iliopsoas Release Tom F. Novacheck DEFINITION Psoas and adductor contractures are most common in cerebral palsy but can occur in any neuromuscular condition owing to disuse, muscular imbalance, or
Hemi-Epiphysiodesis for Ankle Valgus
Chapter 39 Hemi-Epiphysiodesis for Ankle Valgus Peter M. Stevens DEFINITION Ankle valgus is a lateral and upward slope of the tibiotalar joint resulting in foot pronation and sometimes lateral translocation of the talus relative to the
Surgical Repair of Irreducible Congenital Dislocation of the Knee
Chapter 29 Surgical Repair of Irreducible Congenital Dislocation of the Knee Matthew B. Dobbs, Noppachart Limpaphayom, and J. Eric Gordon DEFINITION Congenital dislocation of the knee (CDK) is a rare deformity that presents at birth as
Proximal Femoral Varus Osteotomy Using a 90-Degree Blade Plate
Chapter 27 Proximal Femoral Varus Osteotomy Using a 90-Degree Blade Plate Tom F. Novacheck DEFINITION Proximal femoral varus osteotomy can be useful for many conditions: Coxa valga deformity Hip subluxation (nearly all
Proximal Femoral Rotational Osteotomy
Chapter 26‌ Proximal Femoral Rotational Osteotomy Unni G. Narayanan DEFINITION Femoral anteversion is the angle in the transverse plane by which the neck of the femur is directed (forward) relative to the transcondylar or coronal
ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2B
ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2B CT angiography and admit the patient for hourly neurovascular checks Interventional radiology consult for formal angiography and stenting Corrent answer: 2 This patient has a posterior knee dislocation with an ischemic limb
Orthopedic MCQS online 012 FOOT AND ANKLE
Question 1Figure 1 is the radiograph of a 48-year-old man. He is of normal height and weight, medically healthy,and in good physical condition. What is the best treatment option? Short-leg non-weight-bearing cast in plantar
ORTHOPEDIC MCQS ONLINE 013 PEDIATRIC
ORTHOPEDIC MCQS ONLINE 013 PEDIATRIC 2013 Pediatric Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1-Figure 1 is the radiograph of a child who has pain in his
ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01
ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01 1. An 18-year-old high school football player sustains a thigh injury that results in the findings shown in Figure 1. Initial management should consist
ORTHOPEDIC MCQS BANK WITH ANSWER SHOULDER 02
ORTHOPEDIC MCQS BANK WITH ANSWER SHOULDER 02 1-Which of the following statements best describes why the ulnar nerve is most prone to neuropathy at the elbow?
ORTHOPEDIC MCQS WITH ANSWER FOOT 03
ORTHOPEDIC MCQS WITH ANSWER FOOT 03 1. The main advantage of surgical repair of an acute Achilles tendon rupture, when compared with nonsurgical management, is reduced 1- stiffness of the
ORTHOPEDIC MCQS WITH ANSWER PEDS 04
ORTHOPEDIC MCQS WITH ANSWER PEDS 04 1. An 8-year-old boy sustains nondisplaced midshaft fractures of the tibia and fibula after being struck by a car while he was riding his bicycle. No other injuries are noted, but the patient reports pain
Structured oral examination question 4: Cavus foot
Structured oral examination question 4: Cavus foot EXAMINER: These are pictures of the left foot of a 20- year-old man. Describe them. (Figure 4.4.) CANDIDATE: These photographs show the anterior, medial and posterior views of a left foot with a cavus deformity. The hindfoot is in varus and
Hip structured oral questions
Chapter Hip structured oral questions 2 All viva questions outlined here are examples of actual questions asked in the FRCS (Tr & Orth) exam. Currently each viva question lasts 5 minutes and examiners are advised against switching to another topic earlier even if a candidate
Foot and Ankle Surgery
Foot and Ankle Surgery General Principles 1 Biomechanics Take-Home Message • The complex bony and ligamentous anatomy of the foot and ankle allows multiple foot
Foot and Ankle free MCQS2020 Online
Foot and Ankle free MCQS2020 Online Question 1 of 100 Figures 1 through 3 are the standing radiographs of a 52-year-old woman with symptomatic hallux valgus in the setting of pes planus and hypermobility of the
FREE Orthopedics MCQS 2022 1851-1900.
FREE Orthopedics MCQS 2022 1851-1900. 1851. (813) Q5-1074: What percentage of the human genome represents the actual genes: 1) 80% 3) 50% 2) 66% 5) 5% 4) 20% The percentage of the genome that represents the sequence of our genes is approximately 5%. The rest of
FREE Orthopedics MCQS 2022 1751-1850..
FREE Orthopedics MCQS 2022 1751-1850.. 1801. (686) Q5-945: Which of the following statements is true regarding the growth plates around the ankle: 1) The distal fibula grows more than the distal tibia. 3) The anterolateral portion of the tibial physis ceases growing first. 2)
FREE Orthopedics MCQS 2022 1751-1800..
FREE Orthopedics MCQS 2022 1751-1800.. 1751. (585) Q5-821: A 15-year-old basketball player has mild scoliosis, pes planus, pectus carinatum, and long slender fingers. In order to help determine if he has Marfan syndrome and should be allowed to continue playing basketball, it is most
Dorsal Approaches to the Middle Part of the Foot
Dorsal Approaches to the Middle Part of the Foot‌ The middle part of the foot extends from the calcaneocuboid and talonavicular joints to the tarsometatarsal Lisfranc joints. All these bones and joints are superficial and can be approached directly by dorsal,
Anatomy of the Hand
Anatomy of the Hand Two characteristics of the normal hand reveal what happens when it is damaged: The hand has a natural resting position. At rest, both the metacarpophalangeal and the interphalangeal joints normally hold a position of slight flexion. The fingers all adopt a