Journal of Orthopedic Education

A reverse shoulder replacement is a surgical procedure in which prosthetic shoulder components are used to replace injured shoulder. It is used to treat serious shoulder conditions including shoulder fractures, arthritis, and rotator cuff injuries. Even if the rotator cuff muscles are not working properly, the benefits of the new joint allow for better shoulder movement. The deltoid muscles, which cover the front, back, and sides of the shoulder, can help in arm mobility without the need for the rotator cuff. This article describes a case of a 70-year-old woman who developed glenohumeral arthritis in addition to a Neer’s four-part fracture of the humerus’ head and neck

Burns represent a significant issue globally. Numerous techniques have been created to address burns. These types of injuries may be challenging to handle. Nonetheless, there exists a validated method that enhances the healing speed of wounds. To hasten the recovery process, sediment is an approach that involves the injection of local stimuli into the injuries. This article considers the prolotherapy role in the preparation of the wound bed.  

This study presents a novel technique employing fluoroscopy and K wire to accurately locate the Flexor Carpi Radialis (FCR) tendon during the modified Henry’s approach for distal radius fracture fixation. Conventional palpation methods can be unreliable, especially in cases of swelling, potentially leading to false incisions that endanger surrounding structures such as the radial artery and median nerve. Our method identified consistent radiological landmarks the waist of the scaphoid and medial one-third of the base of the second metacarpal allowing for precise incision placement in fifty clinically tested patients. This technique enhances the safety and efficacy of the modified Henry’s approach, providing valuable guidance for novice surgeons.  

Benign cystic lesions are encountered on MRI during routine scans done for other pathologies likely Osteoarthritsis, meniscal tear, knee pain etc. Baker’s cyst is a common finding and should be differentiated from other benign cystic lesions and bursas which are misdiagnosed as cyst. Baker’s cyst is seen between the gastrocnemius and semimembranosus tendons and communicates with knee joint but in our case as cyst was very large, its location was not usual and communication of cyst with knee joint could not be established on MRI but this communication with the joint was established during the operation. Hence, we present a case of unusual presentation of baker’s cyst.

Traditionally, Otolaryngological (ENT) and Orthopaedic disorders have been considered separate clinical realms. However, mounting evidence suggests a bidirectional relationship between these fields, where chronic conditions in one can significantly affect the other. This article explores the inter connectedness of ENT and Orthopaedic disorders, emphasizing the need for a multidisciplinary approach to diagnosis and treatment. By examining how chronic ENT conditions can impact musculoskeletal health and vice versa this paper underlines the importance of integrated care to optimize patient outcomes.

Tendon injuries characterized by chronic pain and functional limitation pose a big challenge in sports medicine and orthopaedic practice. The treatment protocols based on rest, physical therapy, and surgery do not seem to cure the root process involved in tendon degeneration, that is, it leads to long-term recovery periods and recurrence. Biologic treatments, including platelet-rich plasma, autologous tenocyte implantation, and stem cell-based therapy, are increasing their acceptance as promising alternatives that encourage tissue regeneration rather than symptom relief. This paper presents various criticisms regarding the use of biologics in the treatment of tendon injuries. It is discussed as to whether biologics are considerably effective, especially in safety terms. PRP has been dominant because it can easily be prepared and used to have acceleration of healing; however, its mixed outcomes arise because of differences in preparation technique. Stem cell therapy has potential indications for severe degeneration but is undependable concerning the stability of cells and the possibility of tumourigenesis. On the other hand, autologous tenocyte implantation is looking at restoring the tendon architecture but is not something that can be attempted with consistency and standardization. Preliminary promising results notwithstanding, biologics remain almost in the province of promises rather than acceptance since outcome data is often inconsistent and long-term safety seems a cause for concern. This article presents on the current state of efficacy as well as safety of biologics in tendon repair, enabling an understanding of the role for these in modern sports medicine.