Telangiectatic Osteosarcoma

Background Osteosarcoma is a most common, highly malignant bone tumor affecting children and adolescents in their early ages but it may occur in late ages after an initial bone disease such as Paget Disease . There are two types of osteosarcoma primary osteosarcoma Secondary osteosarcoma Telangiectatic osteosarcoma. It is  least common variant of osteosarcoma. This tumor mainly occur in metaphyseal region within the medullary cavity of long bones. It is characterized by blood filled vascular spaces lined by osteoblast cells. These osteoblast seperated by fibrus septa which contain malignant cells , multinucleated joint cells […]

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Pathology, RheumatologyBy jameel sabar3 comments

Total hip replacement (non cemented)

35 yrs old male presented with pain and limping gait for the last 2 years. On x rays we diagosed him as a case of a vascular necrosis of rt head With no history of diabetes, hakeem medication, sex medication, trauma and negative family history. Base line and special investigations are normal. We planned after medical fitness, cardiac evaluation and anaesthesia assesment thr of rt hip. Pre op Per op Post op Unevent ful recovery We kept patient on partial weight bearing for 6 weeks  

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Lower LimbsBy amoluk ijaz0 comments

Juvenile Ankylosing Spondylitis

Background Ankylosing Spondylitis is a rare chronic inflammatory autoimmune disorder affecting primarily sacroiliac joint and axial skeletal. Affecting males more than females with a ratio of 2:1. It is one of the diseases among Spondyloarthropathies, others include * Psoriatic Arthritis * Reactive Arthritis * Enteropathic Arthritis * Undifferentiated Spondyloarthropathies. There is another form of Ankylosing Spondylitis that is juvenile Ankylosing Spondylitis affecting children under 16 years of age. Clinical Presentation Morning Stiffness lasting more than 30 minutes. Insidious onset pain. onset in early age, before 40. Peripheral  Enthesitis and Arthritis. organ-specific extra-articular manifestation […]

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Rheumatology, SpineBy jameel sabar2 comments

Bimanual Synkinesis in pakistan

Akbar, 24 years old male, factory worker presented to us with a complaint of synergistic movement of both upper limbs that create difficulty during his work and the condition persists since birth   Synkinesis is a neurological symptom in which a voluntary muscle movement causes the simultaneous involuntary contraction of other muscles. An example might be smiling inducing an involuntary contraction of the eye muscles, causing a person to squint when smiling. Facial and extraocular muscles are affected most often; in rare cases, a person’s hands might perform mirror movements. Synkinesis is usually […]

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SpineBy admin0 comments

Avulsion Fracture Phalanx in Pakistan.

usama ashraf, 35 yrs old male, presented to us with history of rta and pain and swelling rt index finger. on x rays there was avulsion fracture base of middle phalanx rt index finger. procedure discussed with patient and procedure done with a new technique with k wire fixation.in the following x rays  u can see that we buttress the avulsed fragment with k wire . An avulsion fracture is an injury to the bone in a location where a tendon or ligament attaches to the bone. When an avulsion fracture occurs, the […]

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Foot & Ankle, Knee & SportsBy admin0 comments