Fundamentals of Orthopedics Fundamentals of Orthopedics Mukul Mohindra MS (ORTHO) DNB MNAMS Jitesh Kumar Jain MS (ORTHO) Fellow National Board (Arthroscopy and Fellow National Board (Arthroscopy and Sports Medicine) Sports Medicine) Sports Injury Center Sports Injury Center Safdarjung Hospital and VMM College Safdarjung Hospital and VMM College New Delhi, India New Delhi, India Words of Wisdom Deepak Chaudhary MS (ORTHO) Forewords Himanshu Kataria MS (ORTHO) WHO Fellow (Liverpool) Deepak Joshi MS (ORTHO) Vineet Jain MS (ORTHO) DNB MNAMS The Health Sciences Publisher New Delhi | London | Philadelphia | Panama Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd. 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 E-mail: [email protected] Overseas Offices J.P. Medical Ltd. 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Inquiries for bulk sales may be solicited at: [email protected] Fundamentals of Orthopedics First Edition: 2016 ISBN: 978-93-5152-957-6 Printed at Dedicated to My parents for their blessings, my wife, Bhumika for her unconditional love and my family for always being there —Mukul Mohindra My parents, whose nurturing gave me courage to dream, my wife, Zeepee who strengthened me to realize my dreams and my brother, Manish who has always been there whenever I needed support —Jitesh Kumar Jain Contributors Ammar Aslam MS (Ortho) Paritosh Gogna MS (Ortho) DNB MNAMS Senior Resident Dip SICOT (Belgium) Department of Orthopedics Fellowship in Adult Knee Reconstruction Maulana Azad Medical College and and Sports Medicine associated Lok Nayak Hospital Consultant, Orthopedic Center New Delhi, India Vasal Hospital Jalandhar, Punjab, India Spondyloarthropathies and Sole Author of Chapter on Crystal Deposition Disorders. Recent Advances Ankit Thora MS (Ortho) Ruchi Dudeja MD (Pediatrics) Senior Resident Senior Resident Department of Orthopedics North Delhi Medical College Maulana Azad Medical College and New Delhi, India associated Lok Nayak Hospital Rickets and Scurvy New Delhi, India Storage Disorders Peripheral Nerve Injuries of Upper and Lower Limbs Sahil Batra MS (Ortho) DNB MNAMS Fellow National Board (Spine) Ankur Wadera MD (Radiodiagnosis) Indian Spinal Injury Center Fellow (Diagnostic New Delhi, India Neuroradiology) Spinal Injuries LTMMC, Sion PIVD and Canal Stenosis Mumbai, Maharashtra, India Scoliosis and Kyphosis Imaging in Orthopedics Anurag Tiwari MS (Ortho) DNB Sahil Gaba MS (Ortho) Senior Resident Senior Resident Department of Orthopedics Department of Orthopedics Maulana Azad Medical College and All India Institute of Medical Sciences associated Lok Nayak Hospital New Delhi, India New Delhi, India Pediatric Orthopedics Bone Infections Multiple Myeloma and Soft Tissue Sarcomas Ashish Rana D’Ortho DNB (Ortho) Saurabh Agarwal MS (Ortho) Fellow of Arthroplasty Consultant Indraprastha Apollo Hospital Indraprastha Apollo Hospitals New Delhi, India New Delhi, India Hyperparathyroidism Anatomy and Composition and Pagets Disease of Bone and Bone Growth Balaji Sambandam MS (Ortho) DNB Shivali Arya Fellow National Board Maulana Azad Medical, College (Arthroscopy and Sports Medicine) New Delhi, India Ganga Hospital Illustrations Coimbatore, Tamil Nadu, India Injuries Around Ankle Instruments and Implants Zeepee Godha MS (OBS and Gyne) DNB Senior Resident Milind Tanwar Department of Obstetrics and Department of Orthopedics Gynecology Pt. B.D Sharma, PGIMS Deen Dayal Upadhyay Hospital Rohtak, Haryana, India New Delhi, India Amputations, Splints and Tractions Osteoporosis Words of Wisdom “Hard work beats talent when talent doesn’t work hard” is a universal truth. The master key to success is determination, to do that extra bit and to go that extra mile. But effort should always be well disciplined. Discipline means persistence and perseverance—the ability to continue through bad times, obstacles and problems in a competent manner. This book is a diligent effort by a team of people to share the knowledge and experience they gained over the sleepless nights of hard work to give you the best. So get set to reach your goals with a mentor to guide and steer you through till you reach what you deserve. Always remember the 6Ps that demarcate the bridge between mediocrity and excellence. Proper Prior Planning Prevents Poor Performance Deepak Chaudhary MS (ORTHO) Director Sports Injury Center Safdarjung Hospital and VMM College New Delhi, India