Data Trace Editor – 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
– PreOp Planning – most important step in reconstruction of any intra articular frx, is to expose the fracture w/o devasclarizing the fragments; – treatment plan: – open reduction; – elevation of the depressed plateau; – bone … Read more
– Discussion: – displaced, stable frx; – frx fragments are displaced > 2-3 mm, but collateral ligaments are intact; – frx may be non-comminuted (Type IIA) or comminuted (Type IIB). – no sign of subluxation; – Non Operative Treatment: – immobilized in mid flexion, these … Read more
– 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
– 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
– 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
– Discussion: – due to loss of estrogen & affects postmenopausal women; – 2-3% accelerated (loss for 6-10 yrs which then returns to basal loss of 0.3-0.5 %/year; – primarily loss of trabecular bone: – associated w/ greater decline in medullary bone & preservation … Read more
– 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
– 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
– See: – surgical neck fracture – lesser tuberosity fractures – greater tuberosity fractures