The Hip - book

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

Turf Toe / Dislocation of MTP

        – 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

Tumors of the Proximal Tibia

– 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

Tumors of the Proximal Humerus / Scapula

– 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

Tumors of the Proximal Femur

– Diff Dx:     – Osteosarcoma     – Osteochondroma     – Fibrous Dysplasia     – Ewing’s sarcoma:     – Osteoid Osteoma     – Eosinophilic granuloma     – Aneurysmal bone cyst     – Simple bone cyst     – Chondrosarcoma:     – Fibrous Histiocytoma     – … Read more

Tumors of the Pelvis

                                               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

Tumors of the Cranium

                                                  Local Tenderness – Fibrous Dysplasia ————————————— Yes – Eosinophilic granuloma: ——————————— Yes      (may also occur in mandible) – Adamantinoma (mandible); – Osteoma     (rare but occurs in … Read more