Data Trace Editor – See: – Q angle – Malalignment of Patella – Discussion: – distal realignment procedures are chiefly indicated in pts w/ patellar subluxation, absence of hyper-laxity, and increased Q angle; – as pointed out by Fulkerson, et al (1990), less than 2% of patients w/ patellofemoral pain will require tibial tubercle transfer; – as noted … Read more
– See: – Adult Condylar Fractures – Distal Humeral Nonunion – Humeral Fractures – Non Operative Treatment: (cast bracing); – some orthopaedists do not feel that Holestein Lewis Frx are amenable to cast bracing; – some of these fractures are amenable to cast bracing and often elbow stiffness (most feared complication) is not a problem; … Read more
Local Tenderness – Nonossifying fibroma (common) – Ewing’s sarcoma: (common) —————————– Yes (diaphyseal region); – Eosinophilic granuloma ——————————– Yes – Aneurysmal bone cyst – Giant Cell Tumor of Bone; —————————– Yes – Fibrous Histiocytoma – Fibrosarcoma of bone; ——————————— Yes – Adamantinoma – Osteoma: middle 1/3 (rare) – Desmoplastic fibroma (rare) The Treatment … Read more
– See: – IM nailing of tibia fractures – menu – tibial plafond fractures – Distal Tibia Fracture: – see: external fixation for distal tibia fracture, outcomes of external fixation vs IM nailing, and plate fixation; – w/ frx extension into the joint, consider placement of percutaneous … Read more
– See: Distal RU Joint – Surgical Options: – Hemi-resection Arthroplasty of RU Joint – Darrah’s Procedure – Modified procedure (Bower’s) – Sauve Kapandji – Complications: – distal ulna resection can lead to carpal migration and ulnar snapping; – w/ failed arthroplasty arthrodesis (in neutral or slight dorsiflexion) may be required; – fusion is often favored … Read more
– See: – Reduction of Dorsal Angulation – Discussion: – measured on lateral, from angle created between articular surface of distal radius & line perpendicular to long axis of radius; – normal volar tilt measures between 0 to 22 degrees (mean 11 to 14.5 deg); … Read more
– See: – Distal Radius Frx Menu – External Fixators for Distal Radius Frx – Intra-Articular Fractures of the Distal Radius – Unstable Distal Radius Frx – Radiographs: – scapholunate dissociation – Technique: – first perform closed reduction under … Read more
– See: distal radius fracture menu / percutaneous pin fixation – Discussion: – Kapandji’s Technique / Intra Focal Pin Fixation: – a technique in which pins are inserted into the fracture site which are then used to pry the distal fragment into optimal position; – indicated for extra-articular distal … Read more
– See: Palmar Tilt – Discussion: – frx needs to be reduced prior to skin incisions & Ex Fix application; – longitudinal traction combined w/ thumb pressure and wrist flexion restores palmar tilt; – progressive wrist flexion will not restor palmar tilt until dorsal ligaments begin to tighten … Read more
– See: – Distal Radius Frx Menu – External Fixators for Distal Radius Frx – Intra-Articular Fractures of the Distal Radius – Unstable Distal Radius Frx – Discussion: – clinical outcome studies – Radiographs: – r/o concomitant scapholunate dissociation; – Anatomic Considerations: – die punch fragment: – following fixation of the radial styloid fragment, the … Read more