Data Trace Editor – Discussion: – tight distal fit techniques achieve toggle control of stem in medullary canal; – tight distal fit is correlated w/ lower prevalence of thigh pain; – torsional stress is transferred thru proximal fixation in specimens w/ both proximal and distal fixation despite the fact … Read more
(See Ref for Colles Fx) Current Concepts Review. Fractures of the Distal End of the Radius. Forearm fractures. Early functional bracing – A preliminary report. Hand and wrist function after external fixation of unstable distal radial fractures. Fractures of the distal end of the radius in young adults: a 30-year follow-up. Comminuted fractures of the proximal … Read more
– See: Pediatric Elbow Injuries – Discussion: – most frx involving total distal humeral physis occur before age 6 or 7; – in an infant less than one year of age, whose elbow is swollen 2nd to trauma or suspected trauma, frx involving the entire distal humeral physis should always be … Read more
– Discussion: – distal biceps may rupture off the radial tuberosity; – presents w/ painful swollen elbow usually in a 50-60 yo active male, most often in the dominant side (uncommon in women); – incidence of distal biceps rupture is 1.2 per 100,000 persons per year; – single traumatic event involving flexion against resistance, w/ … Read more
– Two Incision Approach (Boyd and Anderson) – advantages: – two-incision technique to limits the anterior dissection and therefore may limit pain; – may reduce injury to the radial nerve, which can occur w/ a one incision technique that incorporates drill holes thru the … Read more
– One Incision – Modified Henry Approach: – see: Henry Approach to the Forearm; – some surgeons feel that this is the prefered technique noting that modern suture anchors anchors have permitted safe repair of biceps tendon through one anterior incision; – advantages: direct approach, avoids PIN injury, … Read more
– Discussion: – degenerative valgus deformity of knee is less common than varus deformity; – genu valgum is more common in pts w/ history of trauma, RA, renal osteodystrophy, rickets, or infantile poliomyelitis; – Treatment Options: – goal of is to correct the angle between anatomic … Read more
– See: – Dorsal Dislocation of the PIP joint – Phalangeal Injury – Rotary PIP Subluxation – Volar PIP Dislocation – Fracture Dislocations of the PIP Joint: – distinguish between avulsion chip frx from frx dislocation of PIP joint; – Chronic PIP Dorsal Dislocations: – leads to … Read more
– See: Bennet’s Fracture CMC Joint Instability Thumb DIP Joint Dislocation of Finger MP Joints – Mechanism (dorsal dislocation) – thumb MP joint is vulnerable to ligamentous abduction & extension injuries; – dorsal dislocation is … Read more
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