Javs Apley

Little black submarines ☠️🏎️
R4 Traumatología y Ortopedia HCM

[Javs Apley @JavsV13]

Acompañenme en esta travesía postguardia sin dormir, con 2 scoops de preentreno rumbo a 2 Osteosíntesis de cadera 🥴🥴

[Javs Apley @JavsV13]

Perras mamadas de castigos, váyanse ALV pinche gente abusiva y muerta de hambre, no sean R+ pasados de verga 🤙🏼

[tudoctorfavorito @doctorfavorito]

Una vez, un R4 me castigó un mes, entraba a las 5am y me dejaba salir hasta las 12 de la noche. Yo aguanté el castigo todo el mes (el único en la residencia que tuve y el único R pasadísimo de verga), el último día del castigo me dijo:
Ya cumpliste, no lloraste, estudiante e hiciste lo que se te pedía de los pendientes, ahora solo tráenos la cena y te vas.
Yo le contesté - estás pero bien pendejo, pinche miserable, no voy a traer nada y si no te parece vamos para afuera y lo arreglamos.
El wey obviamente se pandeó y jamás me volvió a molestar.

A lo que voy, es que aveces hacen falta dos, uno que quiera y otro que se deje.

[Randy M. Cohn, MD 🇺🇸 @randymcohn]

Say it with me #orthotwitter… an AP and scapular Y xray are not adequate to assess shoulder dislocation. Get an axillary EVERY TIME.

[Javs Apley @JavsV13]

La RSA dijo adiós!!

[RJ @northwoods1980]

Someone please teach me something here🥺

[J Bone & Joint Surg @jbjs]

Unusual Presentation of Hip Pain in a Pregnant Woman Due to Bilateral Cervical Neck Stress Fractures
#trauma #hip

https://t.co/38Jr1f0I4F

[Leonardo Lustosa, MD 🦴 @DrLeoLustosa]

What is the sign? Answer in GIFs 🤓

#OrthoTwitter

[Javs Apley @JavsV13]

ALV!! Ay güey mi mente!!

[The Bone & Joint Journal @BoneJointJ]

This annotation provides an overview of the evolution of augments, their function, and the outcomes of their use in complex primary and revision THA.

#BJJ #TotalHipArthroplasty #Surgeons @sahilsanghavi

https://t.co/Z8tfCU9UGs

[Dr. OMID BANDARCHI @OBandarchi]

Wrist pain differential diagnoses beautifully demonstrated 👍 Remamber that radial-sided wrist pain is more common that ulnar-sided wrist pain.

[Dr.Yesos @DrYesos]

Residentes de 4 año del ISSSTE SUSULA MERIDA EXIGIMOS NUESTRO PAGO DE SUELDO, tenemos 1 mes trabajando sin pago y nadie nos da solución.
#Losdoctorestambiencomen

@ISSSTE_mx @MauVila @lopezobrador_ @Claudiashein @XochitlGalvez @telediario @DiariodeYucatan @DrVicOficial @uady_mx

[JM ZuluetaOdriozola @JM_Zulueta_O]

I recently read this article published in @ArthroscopyJ and I find it extremely useful. This example shows how the “perfect circle” better fits the typical native glenoid morphology once the AP diameter is calculated using the 2/3 of glenoid CC diameter.
https://t.co/fAHWJxiCyc

[Dr. OMID BANDARCHI @OBandarchi]

SCAPHOID main blood supply comes from Dorsal Carpal Branch of Radial Artery, which needs to do a U-turn (arch back on itself) to provide what is called "retrograde blood flow".

The front of the bone become deprived of the blood when a Fx happens in middle of the bone(waist Fx)

[Devpriyo Pal @drdevrad]

Illustration on Apophyseal attachments of the pelvis!

[Dr. OMID BANDARCHI @OBandarchi]

Common types of rotator cuff lesions👍

It is worthy of noting that for specific Types of Rotator Cuff Tears, there are different classifications such as Snyder Classification, Ellman Classification, ...

From: Radiology Key

[Dr. OMID BANDARCHI @OBandarchi]

🔴The attached illustration beautifully demonstrates the commonly seen avulsion fractures of the knee:
-Stieda Fx,
-Reverse segond Fx,
-Segond Fx,
-Posterior cruciate ligament avulsion, -Anterior cruciate ligament avulsion, -Arcuate sign
-Tibial tuberosity avulsion.

[Javs Apley @JavsV13]

Bitácora del R3: salí positivo a covid en mi última guardia de R2, me incapacitaron hasta la primera postguardia del R3, ya no aguanto la espalda y la perra tos

[Cris Ojeda-Thies @ojedathies]

“J sign” de maltracking rotuliano. La “quilla” de la rótula se medializa al entrar en el surco rotuliano con la flexión, y se lateraliza en los últimos grados de extensión.

[Javs Apley @JavsV13]

Latarjet 🤙🏼

[MSK Teaching Room @mskteachingroom]

Young patient

What has been done ?

#radres

[Mo Imam @MoAImam]

SLAP Classification
I
Labral and biceps fraying, anchor intact (11% of cases)
II
Labral fraying with detached biceps tendon anchor (41% of cases)
III
Bucket handle tear, intact biceps tendon anchor (33% of cases)
(Biceps separates from bucket handle tear)
IV
Bucket handle tear with detached biceps tendon anchor (15% of cases)
(Biceps remains attached to bucket handle tear)
V
Type II + anteroinferior labral extension (Bankart lesion)
VI
Type II + unstable flap
VII
Type II + MGHL injury
VIII
Type II + posterior extension
IX
Circumferential
X
Type II + posteroinferior extension (reverse Bankart)

[Glade Roper, MD - MSK/IR @darthglader]

Interesting #MSK case - shoulder pain after a fall in the kitchen.

[Javs Apley @JavsV13]

Mi co-R: hay que quitarle ese clavillo
El Javs: fuck, no traigo pinzas, peeeero 👀