SurgeNote

Perthes = Pretty Long Hip Recovery = 3-4 Years ⏳ Think of a long but gradual healing process of the hip.

“Myeloma = My plasma cells gone wild 🩸💥”

“1.5 × time = delayed, 2 × time = done (non-union)” ⏳🦴

“Silly Rabbits Will Play” S → Scapula R → Ribs W → Wing of ilium P → Proximal humerus (elderly) Think of a silly rabbit hopping around - no need to tie it down (no immobilization needed).

“CLAST eats bone with ACID” 🧪 👉 OsteoCLAST → Acid phosphatase “BLAST builds bone with ALKALINE” 🧱 👉 OsteoBLAST → Alkaline phosphatase

“TB makes bones THIN before they BREAK” 👉 THIN = Periarticular osteoporosis (earliest) Or shorter: TB Hip = O → J → B → D Osteoporosis (earliest) Joint space narrowing Bone erosion Dislocation (late)

“DDH babies sit like frogs 🐸” 👉 Flexed + Abducted hips

Mnemonic (easy & memorable 😄): “Paget DEFORMS bone” 👉 Paget = DEFORMANS ✅ Final Answer: Osteitis deformans

“SEQUESTER = STAYS SOLID” 🧱 Dead bone stays solid & dense on X-ray