Ortho Oracle - orthopaedic operative atlas

Flexion Tear Drop Fracture

– See: Lower Cervical Burst Frx: – Discussion:     – most severe fracture of cervical spine     – results from combination of extreme flexion & compressive forces     – commonly results from a dive into a shallow pool of water;     – associated w/ acute anterior cervical cord syndrome     … Read more

Flexion Deformity of the Knee in CP

– Discussion:     – most thoroughly analyzed joint in cerebral palsy has been knee;     – most common deformity of the knee involves flexion contractures and decreased range of motion;     – early changes:            – short stride gait and reduced popliteal angle;           … Read more

Flexion Contracture of TKR

– See: TKR Menu – Discussion:     – soft tissue component is most frequently a result of of contracture of posterior capsule, but gastrocnemius, hamstrings, and PCL               are also frequently involved;     – references:              – Flexion Contracture Following Primary Total Knee Arthroplasty: Risk Factors and Outcomes     – Preoperative Considerations:            … Read more

Flexion and Extension Views of C-spine

– See:       – Anterior Subluxation:       – Ligamentous Instability: – Discussion:     – the flexed view is usually most helpful in detecting ligamentous injury that is not apparent on the neutral view     – determines the integrity of the supporting soft tissues and ligaments, as well as the … Read more

Flexion and Extension Spaces

– See:        – TKR Menu                – Flexion Contracture of TKR                – Flexion Gap / Extension Gap                – Joint Line Position               – Valgus Deformity  / Varus Deformity – Discussion:     – first: Malalignment should always be corrected first;     – second: soft tissue adjustments which … Read more

Flat Back Syndrome

– Discussion:     – results from arthrodesis w/ distraction involving lower lumbar spine;     – young patients can compensate via flexion of hips & knees;     – adults > 40 years loss ability to compensate & go on to develop fatigue-like pain along w/ a stooped posture; – Prevention:     – operations … Read more

Finkelstein’s test and the Grind Test

– Finkelstein’s test:     – ask patient to make a fist over his thumb, and ulnarly deviating wrist     – sharp pain at this site is produced by active extension and abduction of the thumb against resistance; – Differential Diagnosis:      – DeQuervain’s tenosynovitis must be differentiated from degenerative arthritis & trapeziometacarpal joint; … Read more

Finger Tip Injuries

– See:       – Phalangeal Injury – Menu       – Thumb Defects:              – Moberg Flap   – Nail Bed Injuries:          – if injury damages the distal phalanx, particularly when the damage extends into germinal matrix, the nail will probably be irregular and                  … Read more