SurgeNote

Earliest sign of compartment syndrome is pain out of proportion to injury, especially pain on passive stretch of the muscles within the compartment. Paresthesia → appears later Pulselessness → very late sign, poor indicator Paralysis → very late, indicates severe ischemia Mnemonic: Pain first, everything else comes last! ⚡🖐️

Shenton’s hip line – check if the hip’s fine! 🦴🦵

Ewing Sarcoma: "The Onion" هاذن نقاط عشان نفرقوا بينها وبين Osteosarcoma ​1️⃣1️⃣;2️⃣2️⃣ — Translocation 🔀: "Patrick Ewing’s jersey number" (11;22). ​1. O — Onion Skinning 🧅: Layered periosteal reaction on X-ray. ​2. B — Blue Cells 🔵: Histology shows "Small Round Blue Cells." ​3. D — Diaphysis 🦴: Unlike Osteo, this prefers the shaft (mid-section) of bone. ​4. F — Fever & Flank 🔥: Often presents with systemic symptoms like fever (mimics infection).

Ewing Sarcoma Mnemonic

Valgus = Victory V = arms form a wider V ✋🖐

CAVus = CAVe = arch high like a cave roof 🏞️👣

Congenital Talipes Equinovarus (Clubfoot) – “CAVE” mnemonic 🦶 C – Cavus → high medial longitudinal arch A – Adductus → forefoot is turned inward V – Varus → hindfoot is inverted E – Equinus → plantarflexed at ankle Funny way to remember: "CAVE! The foot is trapped!" 🪤🦶

Bucket-handle tear

Bucket in the MEDial kitchen 🪣 = longitudinal tear of medial meniscus.

Patient with knee pain after sports injury, giving way, posterior drawer positive 🔍 Giving way 🦵💥 Posterior drawer positive 🧠 Diagnosis: 👉 Posterior Cruciate Ligament (PCL) injury