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SurgeNote

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

124. The average duration of Perthes’ disease is:
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123. Gigli saw is:
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“Myeloma = My plasma cells gone wild 🩸💥”

122. Multiple myeloma tumor cells resemble:
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“1.5 × time = delayed, 2 × time = done (non-union)” ⏳🦴

121. The term delayed union is employed when the fracture fails to unite within:
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120. Tuberculosis of the spine most likely originates from:
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“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).

119. Immobilization is not required in fractures involving:
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“CLAST eats bone with ACID” 🧪 👉 OsteoCLAST → Acid phosphatase “BLAST builds bone with ALKALINE” 🧱 👉 OsteoBLAST → Alkaline phosphatase

118. The enzyme found in osteoclasts but not in osteoblasts is:
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“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)

117. The earliest sign of TB hip in X-ray is:
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“DDH babies sit like frogs 🐸” 👉 Flexed + Abducted hips

116. If an unstable hip is detected at birth, the management policy is:
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Mnemonic (easy & memorable 😄): “Paget DEFORMS bone” 👉 Paget = DEFORMANS ✅ Final Answer: Osteitis deformans

115. The synonym for Paget’s disease is:
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“SEQUESTER = STAYS SOLID” 🧱 Dead bone stays solid & dense on X-ray

114. The sequestrum in X-ray appears:
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