Two Part Humeral Shaft Fractures
– See: – surgical neck fracture – lesser tuberosity fractures – greater tuberosity fractures
– See: – surgical neck fracture – lesser tuberosity fractures – greater tuberosity 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
– Discussion: – turf toe is a tear of joint capsule from MT head which results in subluxation or dislocation of first MTP joint – caused by hyperextension (most common), hyperflexion, or valgus injury; – associated w/ decr ROM at first MTP joint & its sequele can include hallux … Read more
– Discussion: – tunnel radiograph of knee provides an angled PA projection of knee; – patient is prone with the knee flexed at 40 deg; – central beam directed caudally toward the knee joint at a 40 deg angle from the vertical; … Read more
– Osteochondroma – Osteosarcoma – Giant Cell Tumor of Bone – Ewing’s sarcoma: (diaphyseal region); – Chondroblastoma – Chondromyxoid fibroma – Fibrous Dysplasia – Eosinophilic granuloma – Aneurysmal bone cyst – Simple bone cyst – Giant cell sarcoma – Fibrous Histiocytoma – Fibrosarcoma of bone; – Adamantinoma – Osteoma: middle 1/3 (rare) – Pearls: – … Read more
– Osteosarcoma (common) – Enchondroma (relatively common) – Ewing’s sarcoma: diaphyseal region; – Periosteal chondroma (just proximal to insertion of deltoid) – Osteochondroma – Chondroblastoma – Chondromyxoid fibroma – Aneurysmal bone cyst – Simple bone cyst – Giant Cell Tumor of Bone; – Chondrosarcoma: (affects the shoulder girdle) – Fibrous Histiocytoma – Fibrosarcoma of bone; … Read more
– Diff Dx: – Osteosarcoma – Osteochondroma – Fibrous Dysplasia – Ewing’s sarcoma: – Osteoid Osteoma – Eosinophilic granuloma – Aneurysmal bone cyst – Simple bone cyst – Chondrosarcoma: – Fibrous Histiocytoma – … Read more
Local Tenderness – Osteosarcoma (common)—————————– Yes – Ewing’s sarcoma: (common) ———————— Yes – chondrosarcoma ———————————– Yes – Osteochondroma (Osteocartilaginous Exostosis) – Fibrous Dysplasia ——————————– Yes – Eosinophilic granuloma ————————— Yes – Aneurysmal bone cyst – Prostatic Ca: – most of prostatic ca mets are blastic & do not require … Read more
– Nonossifying fibroma – Osteosarcoma – Giant Cell Tumor of Bone – Ewing’s sarcoma: – Osteochondroma – Chondroblastoma – Chondromyxoid fibroma – Eosinophilic granuloma … Read more
Local Tenderness – Fibrous Dysplasia ————————————— Yes – Eosinophilic granuloma: ——————————— Yes (may also occur in mandible) – Adamantinoma (mandible); – Osteoma (rare but occurs in … Read more