The Hip - book

Type II Supracondylar Frx

– Discussion:     – if the frx needs a reduction, then the frx is not a type I but a type II;     – posterior cortex remains intact, making it a greenstick frx;     – technically a type II frx implies posterior displacement, but frequently there will also be medial impaction w/ … Read more

Type III Collagen

– See: Collagen Discussion: – Discussion: – in Dupuytren’s, there is an increase in type III collagen (which is similar to scar tissue); – normal fascia is mostly of type I collagen; – Ehlers-Danlos Syndrome: – see collagen disorders; – at least 9 types of Ehlers-Danlos syndrome have been defined; – mutations in Type III … Read more

Type III FDP Avulsion

– Discussion:     – large bony fragment is avulsed by the tendon and is humg up at the level of distal pulley (A4);           – technically the fragment is distal to the A4 pulley;     – long vinculum remains intact;     – tendon may separate from bony fragment … Read more

Type III Olecranon Frx

– Discussion:         – frx is displaced & forearm is unstable in relation to humerus;         – this injury is really a fracture-dislocation;         – Avulsion Fracture         – Comminuted Fractures         – Distal Olecranon Fracture:         … Read more

Type I Transepiphyseal Separation

– Discussion:     – least common pediatric femoral neck frx (about 7%);     – capital femoral epiphysis may stay w/in acetabulum but in 50% of cases the capital fragment is dislocated;     – tends to occur in infants and young children;     – this injury may be the result of a … Read more

Type II Collagen

– See: collagen – Discussion: – accounts for over 50 percent of the dry wt of cartilage; – type II collagen is also found in small amounts in vitreous gel and in a number of other tissues during early development; – type II collagen mutations: – mutations in type II collagen as a cause of … Read more

Type II Epiphyseal Frx: of Proximal Humerus

– Discussion:     – seen in older children and adolescents;     – fragment of metaphysis remains attached to posterior medial epiphysis;     – articular surface is tilted inferiorly;     – deforming forces:            – humeral shaft is drawn upward, forward, & inward due to pectoralis major, latissimus, … Read more

Type II FDP Avulsion

– Discussion:     – most common form;     – distal end is located in the decussation of the FDS     – small chip of bone is taken off w/ flexor tendon;     – tendon retracts to level of PIP joint or distal to PIP, & long vincululm may remain intact;     – a small … Read more