Description of Bhagna as per Sushrutha samhitha & contemporary surgical practice. Corresponding author Dr. Rajeshwari P. N
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1 Description of Bhagna as per Sushrutha samhitha & contemporary surgical practice Corresponding author Dr. Rajeshwari P. N drrajeshwariphd@gmail.com
2 Definition Fracture: A fracture may be a complete break in the continuity of a bone or it may be an incomplete break or a crack. Dislocation: A joint is dislocated or luxated when its articular surfaces are wholly displaced one from the other, so that all apposition between them is lost.
3 Sushrutha s view Sushrutha has classified the fractures and dislocations as Kandabhagna (fracture) -12 types Sandhimuktha (dislocation) -6 types in single heading as Bhagna. -Su.Ni 15/4
4 Reasons for fractures Pathana Peedana Praharana Akshepana Vyala mriga dashana Abhighata Su.Ni. 15/3 Fractures due to sudden injury or trauma Fatigue or stress fractures Pathological fractures.
5 Clinical and diagnostic features as per Sushrutha Samhita Shwayathu bahulyam Spandana vivartana Sparshasahishnutham Avapeedyamane shabdha Srasthangatha Vivida vedana pradurbavah Sarvasu avasthasu na sharma labhah Su.Ni.15/9
6 Clinical features of a fracture Visible or palpable deformity Local swelling Local tenderness Marked impairment of function Abnormal mobility Crepitus or grating when the injured part is moved. Visible bruising or Echymosis Radiological confirmation is essential after clinical diagnosis.
7 Understanding explanation of Sushrutha and contemporary system Shwayathu bahulyam Spandana vivartana sparshasahishnutham Avapeedyamane shabdha Srasthangatha Vivida vedana pradurbavah Sarvasu avasthasu na sharma labhah Local swelling Local tenderness over the bone Crepitus or grating Visible deformity Pain of various types Marked impairment of functions.
8 Classification of traumatic condition of bones I) Kandabhagna- fractures Sandhimukta- dislocations 11) Savrana fracture with open wounds Avrana fracture without any active open wounds or simply closed fractures
9 Types of Kandabhagna Karkataka Aswakarna Choornitha Pichitha Asthichallitha Kandabhagna Majjanugata Athipathita Vakra Chinna Patitha Sputitha
10 Types of Sandhimukta Uthpishta Vishlishta Vivarthita Avakshiptha Athikshipta Theeryakshipta
11 Classification of fracture as per contemporary medical science a) 1. Fractures caused by sudden injury-direct violence or indirect violence 2. Fatigue or stress fractures 3. Pathological fractures b) 1. Closed fracture or simple fracture 2. Open fracture or compound fracture c) External compound and Internal compound
12 d) Based on pattern 1. Transverse fracture 2. Oblique fracture 3. Spiral fracture 4. Comminuted fracture 5. Compression fracture 6. Greenstick fracture 7. Impacted fracture
13 Analyzing.. Karkataka bhagna Ashwakarna bhagna Choornitha bhagna Pichitha bhagna Asthichhallitha bhagna Kandabhagna Majjanugata bhagna Athipathita bhagna Vakra bhagna Chinna bhagna Patitha bhagna Sputitha bhagna Transverse fracture Oblique fracture Comminuted fracture Amputation fracture Longitudinal fracture Transverse fracture Impact fracture Comminuted fracture Greenstick fracture Transverse or oblique fracture Fissure like fracture Multiple or cracks
14 Management of fracture and dislocation Depends on Principle of 3 R s Reduction Retention Rehabilitation.
15 Management by Acharya Sushruta REDUCTION Anchana Peedana Sankshepana RETENTION Bandhana Kapatashayana taila droni REHABILITATION mrith, lavana, paashaana dhaarana. In few references simple Vyayama word is told to highlight the importance of rehabilitation. Su.Chi. 3
16 REDUCTION A. 1.Closed reduction 2.Open reduction B. 1.Closed manipulative 2.Gravity 3.Traction
17 RETENSION 1.Gravity 2.Traction 3.Plaster cast or slab 4.Internal fixation REHABILITATION 1.Excersises 2.Physiotherapy
18 Conclusion We can conclude that the re is similarity in the description of fracture and its management in Sushrutha Samhita and contemporary medical science. Current orthopedic practice is more apt with the technical advancements like X-ray, CT, MRI like investigations. Basic concept and the principle of approach remains the same from ancient to till date
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CHAPTER 28 Musculoskeletal Injuries Musculoskeletal System Anatomy & Physiology Bones provide framework. Joints allow for bending. Muscles allow for movement. Cartilage provides flexibility. Tendons connect
Elbow Problems.
Elbow Problems www.fisiokinesiterapia.biz Anatomy Hinged joint formed by humerus and ulna produces flexion and extension Rotation producing pronation and supination from radial head and humerus Assessment
Musculoskeletal Review. By: Bayly, Jared, Phillip
Musculoskeletal Review By: Bayly, Jared, Phillip Sprain Tearing of ligament, tissue that may be slight moderate or complete. Carpal Tunnel Syndrome (CTS) Painful condition resulting from compression of
Supracondylar Fractures of humerus in Children
Supracondylar Fractures of humerus in Children Introduction By Dr John Ebnezar Children below 10 years, especially boys, are more prone for fall from heights like tree, buildings, bicycle etc. (Fig No
Bones 101: Introduction to Emergency Orthopedics
Bones 101: Introduction to Emergency Orthopedics Claire Plautz, MD (with special thanks to) Andrew D. Perron, MD University of Virginia Health System Intro to ortho: Overview General Terms & Principles
SYLLABUS FOR M.S. ORTHOPAEDIC SURGERY
SYLLABUS FOR M.S. ORTHOPAEDIC SURGERY SCHEME OF EXAMINATION 3 Years Course : Part I (At the end of First Year) Theory Title Duration Maximum In Hours Marks Paper I Applied Basic Sciences 3 100 50% Marks
Fractures of the Proximal Tibia (Shinbone)
Fractures of the Proximal Tibia (Shinbone) A fracture, or break, in the shinbone just below the knee is called a proximal tibia fracture. The proximal tibia is the upper portion of the bone where it widens