Data Trace Editor – Discussion: – nonunion of fractures of the distal humerus usually occurs when stable internal fixation has not been achieved Open reduction and internal fixation of delayed union and nonunion of the distal humerus. Reconstruction after malunion and nonunion of intra-articular fractures of the distal humerus. Methods and results in 13 adults. Non-union of fractures of … Read more
– Discussion: – Non Union – General Discussion: – definition of fracture union: defined as bridging callus (ideally both cortices) on 2 orthogonal views with the disappearance of fracture lines – care must be taken not to mistake a pseudoarthrosis for a simple hypertrophic nonunion; – treatment of the pseudoarthrosis requires complete resection of the synovial tissue, and … Read more
– Avulsion frx of lateral malleolus (Weber A) – frequently does well w/ closed reduction; – w/ lateral and oblique medial malleolus injuries; – pronation of foot & abduction will reduce frx; – however, is an unstable pattern which requires operative Rx; – SER/Weber B: … Read more
– Discussion: – also known as fibrous cortical defect; – most common bone lesion (40% children); – it results from defect of periosteal cortical bone development which leads to failure of ossification; – natural history: – lesion typically develops in childhood … Read more
– Non Resurfaced Patella Considerations: – eventhough non resurfaced patella gives good clinical results, in some patients, the added thickness of the native patella interferes with surgical exposure for the rest of the case (which can compromise subsequent bone cuts); – patellar decompression: – The efficacy of patellar decompression for improving anterior … Read more
– Discussion: – most useful in patients with an acute flare-up and in patients with minimal and intermittent symptoms; – avoiance of use of wrist, placement of wrist splint in a neutral position for day and night use, and NSAIDS; – only 20% of these pts … Read more
– See: Phalangeal Injury Menu: – Discussion: – undisplaced frxs and impacted transverse frx of phalanges are treated w/ buddy taping assumming that: – frx is stable (impacted and undisplaced); – no angulation in any plane: (ie, there is no volar angulation); … Read more
– Discussion: – few indications, except in elderly and osteoporotic patients w/ low energy extra-articular fractures; – these fractures have a high rate of hardware failure w/ operative treatment; – unfortunately, non operative treatment in elderly patients can also be associated w/ a … Read more
– Discussion: – blood has has high-signal intensity on T1; – areas of high-signal intensity on T1 images generally are fat or blood; – abscesses tend to have low-intensity capsule on both T1 & T2 images – signal intensity of fluid may vary, depending on the protein … Read more
– See: – Humeral Fracture Non Union – Tibial Non Unions – Femoral Shaft Non Union – Discussion: – see bone healing and bone blood supply – definition: fracture that lacks potential to heal without further intervention – frx of shaft of long bone should not be considered nonunion until at … Read more