Surgery Nuggets

ORTHO NUGGETS>>> 1) Newborn with uneven gluteal folds; limitation in abduction; limp; positive barlow and ortolani est = DDH= more common in females; Do ultrasound and xray = Treat with lexion!"bduction splinting with #alvlic$ harness%%%% after 1 year = open reduction with bony re&alignment by spica cast% ') (' years child with imp and pain in groin*$nee*thigh; abnormal gait; = egg&#erthes disease = Do "# + lateral x&ray for diagnosis=shows small and dense femur head; ,#D is avascular necrosis of epiphysis of femur) -) "dolescent with imp and pain in groin*$nee*thigh; legs showing external rotation=.lipped rotation=.lipped capital femoral epiphysis ,dislocation b*w epiphysis and metaphysis) = do x&ray and do immediate emergency repair  /) young child after respiratory tract infection ; decreased leg movements; painful leg and flexed0 abducted and externally rotated = .eptic arthritis ) racture where one side of bone is bent and other side fractured = 2reenstic$ fracture 3) "bducted "bducted arm; prominent acromian; externally rotated ,4ust li$e sha$ing hand position); after in4ury to shoulder; = "NT56786 "NT56786 D7.89"T78N 8 .H8:D56= do lateral and "# 6"5 95 D7.5".50 7NJ 8 #"#"E5697N5 'A) ?ost common part of urethra which is ruptured in #5E79 6"9T:65 = ?5?@6"N8:. :65TH6"'B) 9ryptorchidism %%%% mostly unilateral ,on right side)%%%%%do surgery after 1 year and before the child goes to school%%%%%%%%%%%% complications i) cancer ii) Torsion iii) Trauma iv) "trophy v) Hernia%%%%%%%%%%%%%%%%%%%%% 8rchidopexy is done but it does not reduce the chance of malignancy in testis%% 'C) .udden onset of testicular pain%%%%%%%% T5.T79:"6 T86.78N%%%%%%%%% differentiate from 5#7D