Ortho Oracle - orthopaedic operative atlas

Femoral Component Offset:

– Discussion:     – see acetabular component, reestablishment of acetabular floor, and component position;     – see: preoperative and post operative radiographic eval     – femoral offset is measured from the distance between the center of the femoral head and a line drawn down center of femoral shaft;     – note that increasing … Read more

Femoral IM Nail Entry Point

      – Discussion:     – two sites have been proposed for nail entry:     – tip of the greater trochanter and the piriformis fossa; – Entry thru Piriformis Fossa;      – main advantage a colinear trajectory with the long axis of the femoral shaft      – accurate positioning of the entrace hole is critical.      … Read more

FDS Laceration

– See:       – Zone I injuries       – Zone II injuries       – Zone III injuries       – Zone IV and Zone V: – Discussion:      – FDS serves as an isolated activator of middle phalanx;      – function is determined by holding adjacent … Read more

Femoral Anteversion in Children:

– See: adult femoral and acetabular anteversion – Discussion:     – femoral version is defined as the angular difference between axis of femoral neck and transcondylar axis of the knee;     – excessive femoral anteversion (medial femoral torsion) is most common cause of in-toeing that first presents in early childhood;     – … Read more

Femoral Anteversion

– Discussion:     – femoral version is defined as the angular difference between axis of femoral neck and the transcondylar axis of the knee;     – excessive femoral anteversion (medial femoral torsion) is most common cause of in-toeing that first presents in early childhood;     – it is twice as common in girls as … Read more

Femoral Arteriogram

– Discussion:     – perform arteriography for any projectile that passes thru anteromedial quadrant of the thigh;     – because of the size of common femoral artery, the femoral arteriogram is the easiest to obtain;     – when placing the Cournand needle in common femoral artery in groin, placement into a tributary must be avoided; … Read more

Fat Embolism Syndrome

– Discussion:     – FES results when embolic marrow fat macroglobules damage small vessel perfusion leading to endothelial damage in pulmonary            capillary beds leading to respiratory failure and ARDS like picture;            – ref: Early-Onset Fat Embolism Syndrome. A Case Report     – risk factors for FES:            – … Read more

Fat Pads

– Discussion:     – two fat planes on lateral view & 5 fat planes on PA view are useful for analysis;     – deep fat pad of pronator quadratus (lateral view), which lies between the pronator quadratus muscle and the flexor tendon sheaths, normally forms a slight ventral concave line and is convexly bowed in a ventral … Read more