Data Trace Editor – see postoperative radiographic evaluation of total hip replacement – Discussion: – acetabular component loosening: – osteolysis / polyethylene wear: – Component Position: – acetabular component flexion: – to measure postoperative cup position, a standing true lateral view of the operated hip allowed direct measurement of … Read more
– anterior erosion of the odontoid process – anterior posterior erosion of odontoid process (applecore odontoid) – subluxation of C1 on C2; – focal soft tissue calcification anterior to the ring of C1 – ankylosis of the apophyseal joints (often leading to ankylosis & fusion of the vertebrals bodies); – longitudinal and circumferential growth abnormalities … Read more
– See: – Ficat Classification – Enneking’s Stages of Osteonecrosis – Discussion: – combination of osteoclastic resorption and new bone formation in revascularized areas creates x-ray appearance of mottled density; – when collapse of segment of necrotic bone occurs, the compression of more bone into smaller … Read more
– Discussion: – useful for reducing bone pain and progression of tumor growth; – adjuvant radiation may be indicated for all patients with surgically treated metastatic bone disease; – external beam radiation is used perioperatively to assist in the local control of the disease in the majority of patients; … Read more
– Rosenburg View: – used to evaluate for narrowing of the cartilage space in the wt. bearing, flexed knee position; – this provides a film with the anterior margin of the tibial plateau superimposed on the posterior margin; – technique: – patient is standing with the knees flexed at 45 deg; … Read more
– Characteristics: – permeative destructive lesion in which amorphous neoplastic bone is detected; – lesion is predominately osteoblastic, but may have osteolytic component; – cortical destruction, lack of containment; – periosteal bone formation, & poorly defined margins; – periosteal reaction may take … Read more
– Discussion: – anatomical and pathological changes that occur with rickets or osteomalacia differ principallyaccording to the age of pt & severity of the disorder. – children: – physeal cupping / widening – bowing of long bones; … Read more
– Diagnosis: – early changes are limited to the soft tissues w/ fusiform swelling and joint effusion; – juxta-articular osteoporosis may become more generalized w/ dz progression; – cartilage destruction produces narrowing of the joint; – erosion of bone occurs characteristically in the metaphyseal region underlying collateral … Read more
– Discussion: – helps to determine preoperative pathology; – in infancy, ossification centers of the talus, calcaneus, and cuboid are present, whereas the navicular does not appear until 3-4 yr; – Method of Beatson and Pearson – AP of Foot: – taken in 30 deg … Read more
– See: – Anterior Approach to the Radial Shaft: (Henry) – Blount Fracture: Both Bone Forearm Fracture – Boyd Surgical Approach – Distal 1/3 of the Radius through an Anterolateral Incision – Dorsal Approach (Thompson) – Galeazzi’s Fracture – Proximal 1/3 of the Radius thru the Anterolateral Incision – Approach to the Radius: – when … Read more