Ortho Oracle - orthopaedic operative atlas

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 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

Type I Radial Head Fracture

– Discussion:     – fissure or margin sector fracture w/ displacement less than 2 mm;     – type I fractures may be difficult to identify;     – fat pads are intracapsular but extrasynovial;     – anterior fat pad is normally visible anterioir to coronoid fossa;     – posterior fat pad … Read more

Type I FDP Avulsion

– Discussion:     – tendon retracted to the palm, held up by the lumbrical origin     – tendon retracts into palm, severing all blood supply and creating extensive scarring in tendon sheath;     – vincula are ruptured;     – patients are tender in palm, but able to fully flex PIP joint;     – location of … Read more

Type I Supracondylar Frx of the Humerus

– Discussion:     – undisplaced or minally displaced frx;     – lateral view: anterior humeral line remains intact but a posterior fat pad sign may be present;     – frx may be seen on oblique x-ray;     – treatment:           – treated w/ immobilization in long arm … Read more

Type I: Pilon Frx

– Discussion:     – articular fracture without significant displacement;     – malleolar fractures with large plafond fragments;     – these fragments are usually posterior;     – posteroinferior tibiofibular ligament & deep transverse ligament are attached to the fragment;     – first reduce & fix fibula;           … Read more

Type I Epiphyseal Injury: of Proximal Humerus

– Discussion:     – encountered in infants and young children;     – this frx is difficult to diagnose since humeral epiphysis since it is mostly cartilage; – Treatment:     – if arm is shortened and abducted then restore length & alignment by applying longitudinal traction w/ arm in 90 deg of abduction, … Read more

Two-Column Fractures

  – Discussion:     – both column frxs separate the roof from the iliac wing or sacroiliac joint (no articular segment remains              attached to a segment of the iliac wing or SI joint); – Radiology;    – The Spur Sign    – Both Column Frx   – Operative Rx:      – indicated … Read more

Type 2 Dens Frx

– Discussion:     – most common;     – occur thru base of odontoid process & may be caused by either hyper-flexion or hyperextension forces;     – blood supply is often comprimised in a type 2 frx     – type II frx occurs at base of dens, typically, frx plane is transverse; … Read more