Ortho Oracle - orthopaedic operative atlas

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Erosion of the Distal Phalanx

Superficial Acral Fibromyxoma of the Toe, with Erosion of the Distal Phalanx             Superficial acral fibromyxoma (SAFM) is a slow growing soft tissue tumor commonly located at the distal ungual region of the fingers and toes. SAFM, was first medically acknowledged in 2001. SAFM has a predilection towards males, ages 14-72.              In this clinical … Read more

Estimating the Insertion Site during Retrograde Intramedullary Tibiotalocalcaneal Arthrodesis

Foot Ankle Int. 1996 Dec;17(12):781-782   Stephenson KA, Kile TA, Graves SC   ABSTRACT   Intramedullary tibiotalocalcaneal arthrodesis (IMTCA) is an increasingly used procedure for salvage of complex hindfoot and ankle disorders. To avoid injury to vital plantar neurovascular structures, it is important to begin with an appropriate insertion site during retrograde IMTCA. We use … Read more

Femoroacetabular Impingement (FAI)

Co-Authors:  Milford H. Marchant Jr., M.D.; Thomas P. Vail, M.D.; Steven A. Olson, M.D. July 2006 Femoroacetabular Impingement (FAI)        – Descriptive Diagnosis characterized by a combination of clinical signs, symptoms, and pathology that may be responsible for the progression of degenerative changes in patients with osteoarthritis of the hip        – … Read more

Curly Toes and Overlapping Toes

– Overlapping Toes: – involves an dorsal-adduction deformity of the 5th toe; – other components of the deformity include external rotation of the digit, contracture of the EDL tendon; – in some cases there may be dislocation of the MTP joint; – often the deformity is familial and bilateral; – clinical findings: – the deformity … Read more

Current Orthopaedic Trends

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>br/> b>These are the introduction slides.   We may want to have Lee redo this segment, so that the audiencebr/>     understands the motivation and reasoning behind the Ponsetti method./b>br/> br/>         a href=”/voice/jeh_motivation_2_01.wav”>img src=”/images/jeh100a.jpg”/> img src=”/images/jeh1a.jpg”/> img src=”/images/jeh21a.jpg”/>/a>br/> br/> hr size=”3″/>br/> b>These are some prenatal … Read more

Orthopaedic Disaster Preparedness and Trauma Care Resource Library

Journal of Surgical Orthopaedic Advances  Editor: L. Andrew Koman, MD (The articles presented in the issues below were written by members of SOMOS and are exclusively devoted to disaster preparedness and trauma care.) Volume 21, Number 1 Special Issue Editor: Jonathan A. Forsberg, MD Combat Orthopaedics for the Civilian Provider, With Special Emphasis on the Dismounted … Read more

I. Combat/Disaster Injuries

Tom Large, MD Ben Kam, MD   A. Define the spectrum of injury   I. Mechanisms             A. Combat/disaster injuries often via high energy mechanisms and of magnitude not frequently seen in everyday civilian sector                         1. improvised explosive devices (IEDs)                         2. land mines                         3. rockets or rocket-propelled grenades (RPGs)                         4. mortars                         … Read more

Disaster Injuries (continued)

Tom Large, MD Ben Kam, MD C. Demonstrate knowledge of the indications for and ability to implement emergent orthopedic interventions (tourniquet, etc.)   I. Tourniquets             A. Prehospital tourniquet use shown to have significant beneficial effect on blood loss, shock, and mortality without increased risk for amputation or conversion to higher amputation levels1, 2             B. Application … Read more