I was listening 🎧 to this webinar while Driving The summary which I could recall is To Present such dislocation case Starting with History specially focus on 1. Time since Dislocation 2. Number of dislocations 3. Direction of dislocations and 4. Any Co morbids Followed by Clinical examination socially focusing on 1. Intact neurology 2. Abductor power 3. LLD ? Can someone share a bit summerised details on what to do in examination in this case The next step to move on is Investigations Which include Serial Radiographs in both Ap and Lateral view to Look for Osteophytes or retained cement as impingement factors Angles like Anteversion and inclination Next to move on to Patient factors Surgical factors And Implant factors Starting with Patient factors Cognitive impairment Neurological impairment Compliance Male Vs female as female have twice the dislocation rate than males Surgical factors 1.surgeon learning curve 2. Approach 3. Implant choice and stability Finally, the implant factors itself Head size Bigger the better as it will take more distance to travel to dislocate Head neck Ratio If increased then more stability Acetabular and femoral off set Femoral is the perpendicular distance From centre of femoral head 🗣️ to the centre of femur or femoral stem This is what I can recall If someone can modify it with some additional stuff then can comment as reply Dr Ehsan
Outstanding FRCS preparation with the Orthopaedic Academy
Very well structured 🎉
The best exam answer
I was listening 🎧 to this webinar while
Driving
The summary which I could recall is
To
Present such dislocation case
Starting with
History specially focus on
1. Time since Dislocation
2. Number of dislocations
3. Direction of dislocations and
4. Any Co morbids
Followed by
Clinical examination socially focusing on
1. Intact neurology
2. Abductor power
3. LLD ?
Can someone share a bit summerised details on what to do in examination in this case
The next step to move on is
Investigations
Which include
Serial Radiographs in both Ap and Lateral view to
Look for
Osteophytes or retained cement as impingement factors
Angles like
Anteversion and inclination
Next to move on to
Patient factors
Surgical factors
And
Implant factors
Starting with
Patient factors
Cognitive impairment
Neurological impairment
Compliance
Male Vs female as female have twice the dislocation rate than males
Surgical factors
1.surgeon learning curve
2. Approach
3. Implant choice and stability
Finally, the implant factors itself
Head size
Bigger the better as it will take more distance to travel to dislocate
Head neck Ratio
If increased then more stability
Acetabular and femoral off set
Femoral is the perpendicular distance
From centre of femoral head 🗣️ to the centre of femur or femoral stem
This is what
I can recall
If someone can modify it with some additional stuff then can comment as reply
Dr Ehsan
Many thanks for the Summary
Can you post a mentor program on Arthroscopy portals and its relevant neurological complications in upper and lower limb joints?
Sure ,will do . Follow the Orthopaedic Academy
Check here: www.OrthopaedicAcademy.co.uk
excellent thank you
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