Iy1 vutikal orthopaedic examination

8.95. Pathology (7): The radiograph is of an 8-year-old hoy complaining of back pain, malaise, night sweats, loss of spinal movements, and pain on percussion over the spine. There is loss of a disc space, slight vertebral wedging, and a fusiform abscess shadow on both sides of the spine. Diagnosis: the appearances are typical of tuberculosis of the spine.

8.96. Pathology (8): The lateral radiographs show that there is forward slip of L5 on SI of a little less than 25%. There is an associated defect in the pars interarticularis of L5. In the oblique projection the 'Scotty dog' has been decapitated. The patient complained of low back and buttock pain.

Diagnosis: long-standing spondylolisthesis of L5 on SI.

8.98. Pathology (10): This is the myelogram of a patient complaining of back and right leg pain. There was weakness of dorsiflexion and eversion of the right foot, and there was some sensory impairment over the lateral aspect of the calf. The myelogram shows a well defined indentation of the contrast medium at the L4/5 level.

Diagnosis: prolapsed intervertebral disc. At operation the L5 root was found stretched over the prolapse.

8.97. Pathology (9): There is increased density of the bony shadows in the region of the right sacroiliac joint, whose outline has become obscured. There was associated local pain, malaise and pyrexia. Attempts to spring the sacroiliac joints produced great pain. Diagnosis: The appearances are typical of an infective (pyogenic) arthritis of the sacroiliac joint.

Infective ArthritisInfective Arthritis
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