‘Bone Joint and Nerve Clinic’ was started in the year 2018 by one of the Best Orthopaedic Surgeons in Patna, Dr. Neeraj kumar.

To establish the centre of excellence in Orthopaedics Dr. Neeraj kumar focused on its specialities by providing a safe & secure environment and performed the duties with utmost competency through utilising effective and innovative clinical practices with profound academic research.

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11 Oct

Posted at 09:10h in Uncategorized by
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INDICATION Painloss of functionDeformity CONTRAINDICATIONS InfectionExtensor mechanismPrecious arthrosisPoor muscle power and ligamentsLimb ischemiaCharcots joint(neuropathic joint) X-RAYS weight bearing PA(Rosenberg view)lateral in 300 of flexionSkylinealignment view both lower limb MANAGEMENT OF OSTEOARTHRITIS ConservativeNon surgical alternative method should be exhausted before surgical management.weight loss BMI > 30 has high complication rate and poor survivorshipPhysiotherapylow...

06 Oct

Posted at 08:59h in Uncategorized by
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Also known as fibular collateral ligamentOrigin - 3.1 mm posterior and proximal to lateral femoral epicondyle and posterior and proximal to popleteusinsertion - anterolateral fibular head, most anterior structure followed - popleteofibular ligament - biceps femorisIsolated injury extremely rare less than 2%Pathophysiologytraumaassociated injuryPLC InjuryACL...

03 Oct

Posted at 11:24h in Uncategorized by
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JUVENILE called osteochondritis dissecans(OCD)subchondral delamination due to micro trauma or AVNBetter prognosisOpen distal femoral physics is the best predictor of successful non-operative managementLocationposterolateral aspect of lateral femoral condyle(poor prognosis)posterolateral aspect of medial femoral condyle(most common)Pathophysiolologic sequenceinitial soft articular cartilageseparation of zone of articular cartilageformation of loose...

01 Oct

Posted at 07:55h in Uncategorized by
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Anatomy 3 cm in length1 cm In diameter2 bundlesAnteromedial - tight in flexion and more isometric, anteroposterior stabilityPosterolateral - tight in extension, more horizontal and provides rotational stability, responsible for medial rotation.anterolateral ligament bears load in setting of ACL tear90% type 1 collagenstrength - 2200Nmale :female...

29 Sep

Posted at 07:43h in Uncategorized by
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Introduction Incidence: 5 - 20%Failure of resorption of central portion of meniscus(in utero failure of apoptosis)Usually lateral meniscus but 25% bilateral Watanabe Classification type 1 - completeType 2 -incompleteType 3 -wrisberg variant (lack of minisco-tibial ligament but present menisci-femoral ligament of wrisberg. Presentation pain ,Cluck felt at 110 degree with...

27 Sep

Posted at 15:28h in Uncategorized by
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Anatomy Fibro-cartilaginous disc crescentic in shapeWedged cross section with tapered inner border Generates hoop stressLoading causes water to drive out of meniscus and unloading attracts water Peripheral 1/3 is vascular, whereas, inner border is avascular. Macro- structure 3 layersSurface , superficial radial fibre and deep circumferential...

27 Sep

Posted at 06:30h in Uncategorized by
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Aims of THR Hip centre of rotation restoration limb length correction correct offset and abductor tension component positioning to be done properly. Implant of choice Depends on patients age, amount of deformity, amount of bone loss, any under lying disease or comorbidity. either cemented or uncemented Templating Helps favourable implant selection and sizing for...

26 Sep

Posted at 11:42h in Uncategorized by
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Spontaneous onset progressive pain with loss of shoulder range of motion. most commonly in female between 40 to 60 years. activity of daily living is affected patients with history of diabetes, hypothyroidism or trauma has special predilection. Staging freezing painful frozen stiff thawing Treatment PhysioNSAIDSSUPRACLAVICULAR/SUPRASCAPULAR nerve blockManipulation under anaesthesia and steroid injectionArthroscopic capsular...