Elgassi Ehnisch

specialist in orthopedics and trauma surgery 🥼

[Prof Omid Khaiyat M.D., PhD @Omid_HopeUni]

Rotator Cuff full thickness tear patterns

a–c 👉crescent-shaped, U-shaped, L-shaped
d–f 👉MRI arthrography showing the above patterns

#tendon #shoulder
https://t.co/Cudp2uIHZZ

[J Bone & Joint Surg @jbjs]

"Tension Band Wiring Versus Precontoured Plate Fixation for 2-Part and Multifragmented Olecranon Fractures" by Midtgaard et al.

https://t.co/mgvq8JYq9h

#trauma #shoulderandelbow

[Mo Imam @MoAImam]

Elbow Alignment Overview: In the coronal plane, the lateral column angles ~20° and the medial column ~45° from the shaft, creating a net carrying angle of ~15°. The capitellar facet positions the forearm in 3–8° internal rotation (frontal plane) and ~40° (sagittal plane). (Adapted from Rockwood & Green’s Fractures in Adults, 8th ed.)

[Mo Imam @MoAImam]

Anatomy of a standard X-ray of the shoulder. Credit
@TheRadiologyGuy

[Yelena Bogdan, MD, FACS, FAAOS @InvictaOrtho]

Really good talk from Mike McKee on proximal humerus. One excerpt I want to point out is "potting" of shaft into proximal humerus if you have gap in calcar - it is important to do this symmetrically & not into varus. Or can bone graft but potting easier. https://t.co/vsgdqQo0lo

[Dr sthanu subramanian @drsthanus]

Differential diagnosis of Bone tumors.

https://t.co/2k6LGVz6cc

[Official JAAOS @OfficialJAAOS]

Exploring the latest research: 2023 American Academy of Orthopaedic Surgeons: Management of Osteoarthritis of the Hip Evidence-Based Clinical Practice Guideline: Case Studies. https://t.co/SW0DxbMTe2

[Osgenic @osgenic]

A quick overview of the intramedullary nailing of the tibia.

#orthopaedics #trauma #tibianail #orthotwitter #orthoX #meded

[sciqst @sciqst]

It's intriguing to see the comparison between L5-S1 and L4-L5 fusions. The increased revisions at L5-S1 might point to anatomical challenges or mechanical stress unique to that segment. Are there specific pre-operative or surgical techniques that might influence these outcomes? #SpinalSurgery #Medicine

For those looking for detailed biomedical reviews or with further questions on such topics, I recommend checking out https://t.co/4Y9Imt92yh. It's a comprehensive resource for biomedical inquiries.

Support Medical Doctors in Uganda: Help by sharing this GoFundMe! 🙏 ❤️ → https://t.co/SAKzlpVD9D

[Spine @SpinePhilaPA76]

Current Issue: Response to Letter to the Editor Regarding: Intraoperative Hypotension is an Important Modifiable Risk Factor for Major Complications in Spinal Fusion Surgery https://t.co/2fQmenbQW1

[Spine @SpinePhilaPA76]

#ICYMI: Researchers investigated the incidence of PSI (11.4% (20/176)) @ 2y postop in pts w/ scoliosis corrected using VCA. Pts w/ preop L shoulder elevation, esp Lenke t2, are at ⬆️ risk of PSI, MTC rate wasn't an identified risk factor

#OrthoSpine #NSGY
https://t.co/aTdLlERJRW

[Knee Surgery, Sports Traumatology, Arthroscopy @KSSTA]

Does ACL deficiency affect medial meniscus biomechanics under load? Thisstudy reveals reduced meniscus extrusion in ACL-deficient knees during weight-bearing, suggesting altered biomechanics and instability. #ACLInjury #Meniscus #Orthopedics
Reach here: https://t.co/xZNfupyb6X

[Official JAAOS @OfficialJAAOS]

Exploring the latest research: Intraoperative Complications in Medial Opening Wedge High Tibial Osteotomy. https://t.co/h0yDRx9q0p

[Orthobullets @orthobullets]

Can you answer our FREE Question of the Day?

A 10-year-old female presents to her pediatrician for an annual physical exam. The medical assistant records her vitals and notes that her height is 5'2", her weight is 223 pounds, and her blood pressure on two separate measurements exceeds 168/92. Her lab results show a Hemoglobin A1c of 5.3% and a fasting triglyceride level of 133 mg/dL. The child's mother notes that she is concerned about the way that her legs have started to look, noting that her child has started to "waddle" more as she walks. Radiographs of the more symptomatic extremity obtained in the office are shown in Figures A and B. Which of the following is the most likely diagnosis?

1. Adolescent Blount disease
2. Congenital hypothyroidism
3. Metabolic Syndrome
4. Primary varus gonarthrosis
5. Vitamin D deficiency

QID: 218720
Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation.
https://t.co/QiZLCyGv6I
#orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

[John Asghar @JahangirAsgha10]

I am a technically average surgeon…
And the odds are so are you…
It’s not an insult. It’s the truth.

I firmly believe in the 90/5 philosophy
5% of us are amazing
5% of us are horrible
90% of us are average…

In my lifetime, I have observed only a couple surgeons that are true technical masters and innately gifted.

most of us, however, work hard to improve throughout our careers. It’s the repetition, planning, and knowledge gained that distinguishes us.

The constant observation and assessment of your environment. That is how mastery is achieved…

You will often hear me downplay, enabling technology… having operated in both low and high resource environments, I still think in many ways we grossly overvalue it.

The one true positive for most of the tools is that it forces solid preoperative planning…

I will argue that planning is likely the biggest factor in improving outcomes…. More so than the technology itself.

#OrthopedicSurgery #Neurosurgery #SpineSurgery

[Elgassi Ehnisch @AlgasiE]

Smith & Nephew Knee arthroplasty Basic instrument

[Arthroscopy Journal @ArthroscopyJ]

Check out Drs. Waterman and Trassolini demonstrating how new knotless implants can allow for re-tensionable direct fixation of medial meniscus posterior root tears #MeniscusTear #SurgeryDemonstration @H2O_SportsMD @WakeSportsMed

https://t.co/yMyLANfWT5

[Osgenic @osgenic]

Open achilles tendon repair using the Bunnell suture technique. Care should be taken not to injure the sural nerve during the procedure.

#orthopaedics #trauma #AchillesTendonRepair #Bunnell #orthotwitter #orthoX #meded

[Sanj Kakar MD @sanjkakar]

How do you treat perilunate dislocations? Consider arthroscopic reduction & stabilization without morbidity of an open approach ⁦@IWAS_Wrist⁩ ⁦@AAOS1⁩ ⁦@FESSHEurope⁩ ⁦@HandSurgeryAssn⁩ #perilunate #wrist ⁦@AANAORG⁩