Dr. Reza Orthopaedics, Hand & Trauma Surgical Solution, Barishal

Dr. Reza Orthopaedics, Hand & Trauma Surgical Solution, Barishal Trauma, Hand & Orthopaedics surgical care

Lag screw insertion. To apply compression,thread must be engaged only in far fragment to pull far fragment toward near f...
26/08/2026

Lag screw insertion. To apply compression,
thread must be engaged only in far fragment to pull far fragment toward near fragment and create compression।
Ot was performed by Dr Mazharul rezwan reza at Rahat Anwar Hospital, Barishal

18/07/2026

হাতের টিউমার সার্জারী

Skyline viewFor assessing oa Trochlear dysplasia
07/06/2026

Skyline view
For assessing oa
Trochlear dysplasia

Mastering the Digital Nerve BlockCalling all junior orthopedic surgeons and residents: mastering regional hand anesthesi...
06/06/2026

Mastering the Digital Nerve Block

Calling all junior orthopedic surgeons and residents: mastering regional hand anesthesia is an essential skill for the ER, clinic, and minor procedure room.

This illustration provides a fantastic visual guide, mapping out the palmar digital nerves and highlighting key anatomical landmarks (color-coded dots) for targeted local anesthesia.

Here is a quick breakdown of what we are looking at:
The Anatomy: The yellow tracts clearly show the common palmar digital nerves branching into the proper palmar digital nerves as they travel distally.
The Technique Shown: The syringe is demonstrating a Web Space Block (targeting the blue dot). By injecting Lignocaine at this bifurcation point near the metacarpal heads, you can effectively anesthetize the adjacent halves of two separate digits with a single needle stick.

Mapping the Zones:
Proximal (Orange): Targeting the common digital nerve proximal to the A1 pulley.
Web Space (Blue): The bifurcation point for adjacent digit coverage.
Distal (Red/Green): The course of the proper digital nerves along the phalanges (often targeted in variations of the digital ring block).

Quick Clinical Pearl: When performing these blocks, always remember to aspirate before injecting to avoid intravascular delivery. Furthermore, keep your injection volumes low (usually 2-3 cc per web space) to prevent dangerous fluid tension and minimize the risk of digital compartment syndrome.

Let's discuss in the comments: When treating a simple distal phalanx laceration, do you typically prefer this volar web space approach, or do you default to a traditional dorsal ring block?




Mastering Wrist Nerve Blocks: Key Landmarks for SuccessAs young surgeons, mastering peripheral nerve blocks is crucial f...
02/06/2026

Mastering Wrist Nerve Blocks: Key Landmarks for Success

As young surgeons, mastering peripheral nerve blocks is crucial for outpatient procedures and ER coverage. The wrist block is elegant, efficient, and avoids broader anesthesia risk. The key is in these essential landmarks from ⁠image. Let's break it down:

Figure A: The Median Nerve Block

Goal: Anesthesia for the thumb, index, middle, and radial half of the ring finger, and the associated palm.

Landmarks: Find the Palmaris Longus (if present) and the Flexor Carpi Radialis (FCR). Your sweet spot is between these two tendons, just proximal to the wrist crease.
Tip: Inject about 5 mL of local anesthetic here.

Figure B: The Ulnar Nerve Block

Goal: Anesthesia for the pinky finger and the ulnar half of the ring finger, and the associated palm.

Landmarks: Relate this to the Flexor Carpi Ulnaris (FCU). Block just radial to the FCU tendon, again, proximal to the wrist crease. The nerve runs deep to the artery here.

Figure C: The Radial Nerve Block

Goal: Anesthesia for the dorsal hand from the radial side. This is purely sensory.

Landmarks: Locate the Radial Styloid process. This is the anatomical snuffbox region. The target is the superficial radial nerve branches that fan out over the styloid process.

Tip: This is more of a subcutaneous "field block." Create a fan-shaped wheal of anesthetic from the radial side of the artery around to the dorsal aspect. A "Range of Infiltration" as seen in ⁠image⁠ is key here.

Combined, a complete wrist block provides comprehensive anesthesia to the entire hand, distal to the block site. It's safe, provides long-lasting postoperative analgesia, and minimizes patient time in the recovery bay. Learn these landmarks, practice, and you'll add a powerful tool to your arsenal.
What's your go-to nerve block technique in the wrist? Share in the comments!

CROSS TABLE LATERAL VIEW OF HIP🔰:•Cross-table lateral view of the hip (also called the axiolateral or Danelius-Miller me...
26/05/2026

CROSS TABLE LATERAL VIEW OF HIP🔰:
•Cross-table lateral view of the hip (also called the axiolateral or Danelius-Miller method) is a specialized horizontal-beam X-ray projection primarily used to evaluate acute hip trauma, suspected fractures, or post-operative joint alignment without requiring the patient to move or roll onto their side...

POSITIONING🔰:
•The patient lies completely supine (flat on their back) on the X-ray table...
•The symptomatic leg is kept straight and ideally rotated internally 15° to 20° to bring the femoral neck into profile. (Note: Internal rotation is omitted if a fracture is severely displaced or unstable)...
•The contralateral hip and knee are flexed up beyond 80° to 90° (often resting on a support stand) so that the leg does not block the horizontal X-ray beam...
•The central ray is directed horizontally through the groin at a 35° to 45° angle cephalad, perpendicular to the long axis of the femoral neck...
•The Image Receptor (IR) is placed vertically against the lateral aspect of the affected hip, parallel to the femoral neck and tilted slightly to match its angle...

ROSENBERG VIEW🔰:•Rosenberg View is a specific weight-bearing X-ray view for the knee, taken with the patient standing an...
26/05/2026

ROSENBERG VIEW🔰:
•Rosenberg View is a specific weight-bearing X-ray view for the knee, taken with the patient standing and knees flexed at 45 degrees, using a tilted X-ray beam (caudal angle) to better visualize the posterior joint surfaces...
•This technique Was developed by Dr. Rosenberg and it significantly improves detection of early cartilage loss and joint space narrowing, especially in the medial compartment, making it more sensitive for diagnosing osteoarthritis (OA) than standard X-rays...

POSITIONING🔰:
•Patient is Standing (weight-bearing), with knees bent at 45 degrees...
• It is a Posteroanterior (PA) view, with X Ray beam at 10-20 degree caudal... adiologyeducator
• Its Purpose is To reveal early signs of osteoarthritis, particularly joint space narrowing (JSN) in the medial and lateral compartments, that are often missed on full-extension views...
• It Better shows the posterior aspects of the tibial plateau and femoral condyles, where cartilage loss often begins...

🦴 When a bone defect exists, time alone will not heal the gap. In complex fractures, simply waiting can lead to implant ...
26/05/2026

🦴 When a bone defect exists, time alone will not heal the gap. In complex fractures, simply waiting can lead to implant fatigue, plate failure, and loss of reconstruction opportunities. The challenge is not always the fracture itself, but the biological environment surrounding it. The Masquelet technique offers a strategic solution for critical bone loss through a two-stage reconstruction process. First, the infected or damaged tissue is treated while the body creates a protective biological membrane. Then, the bone graft is placed inside this highly vascularized environment, improving graft survival and bone regeneration. This approach transforms cases once considered hopeless into possibilities for limb preservation and functional recovery. Modern orthopedic reconstruction is not about luck — it is about understanding biology, biomechanics, and applying the right technique at the right moment. Where there is a bone gap, there is still a pathway for reconstruction with proper surgical planning and expertise.

🩻 A post-operative pelvic X-ray of a 45-year-old patient from the United States of America demonstrates the successful s...
26/05/2026

🩻 A post-operative pelvic X-ray of a 45-year-old patient from the United States of America demonstrates the successful stabilization of the pelvis using advanced orthopedic metal plates and screws. The fixation hardware is carefully positioned to support fractured pelvic bones, restore alignment, and promote proper healing after major trauma or reconstructive surgery. These titanium implants provide strength and stability, allowing the patient to gradually regain mobility and improve recovery outcomes. Modern orthopedic techniques like this play a vital role in reducing pain, preventing complications, and helping patients return to daily life with better function and support. The detailed radiographic image highlights the precision of surgical planning and the importance of post-surgical imaging in monitoring bone healing and implant positioning. 🦴⚕️🏥

🦴🔩 Precision matters in femoral neck fracture fixation! Successful healing depends not only on fracture reduction but al...
24/05/2026

🦴🔩 Precision matters in femoral neck fracture fixation! Successful healing depends not only on fracture reduction but also on strategic screw placement that maximizes biomechanical stability while preserving blood supply to the femoral head. The inferior calcar screw acts as the foundational support, resisting varus collapse, while the posteriorly positioned screw enhances rotational and bending stability. In most stable fractures, the inverted triangle configuration remains the gold standard, creating a strong tripod effect for balanced load distribution. In more vertical or unstable fracture patterns, such as Pauwels Type III, a diamond configuration with a fourth screw can provide additional fixation strength and resistance against shear forces. Every millimeter of placement influences compression, alignment, and the biology of fracture healing. Understanding these principles is essential for achieving optimal outcomes, minimizing complications, and restoring hip function effectively in trauma surgery.

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