Data Trace Editor – See: Femoral Neck Fracture – IM Nailing of Femoral Neck Fractures: – closed reduction technique: – TFN nail – references: – Vertically oriented femoral neck fractures: mechanical analysis of four fixation techniques. – Vertical shear fractures of the femoral neck. A biomechanical study. – Basicervical fractures of the proximal femur. A biomechanical … Read more
(See also: Radiographs for Supracondylar Frx) Baumann’s Angle humeral capitellar angle: angle between long axis of humeral shaft & growth plate of lateral condyle, will reliably predict final carrying angle after reduction; normal is about 85-89 deg, but it is best to judge the carring angle as compared to the uninjured side; a deviation more … Read more
– Discussion: – discussion of addition of antibiotics to cement and osteomyelitis / vancomycin in ca sulfate – after fracture stabilization has been completed, osseous defects may be filled w/ antibiotic-PMMA beads; – these beads provide local depot administration of antibiotic and maintain space for subsequent bone graft; – as noted by Keating, et … Read more
– Discussion: – is X-linked recessive dystrophy that shares many of the features of DMD, including pseudohypertrophy of muscles; – main clinical difference is that the course is more protracted; – patients are usually able to walk as late as early adulthood and often live into their 30s and … Read more
– Discussion: – is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex; – lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability; – when Bankart lesion occurs, there is obligitory concomitant capsular disruption, w/ stretching or elongation … Read more
Carl J. Basamania M.D. – Discussion of Bankart Lesions – Assessment of Bankhart Lesion: … Read more
– See: – Congenital Hip Dislocation – Ortolani’s test – Discussion: – Barlow’s test identifies unstable hip that lies in the reduced position but can be passively dislocated (and hence unstable); – less than 2% of infants will have a positive Barlow test; … Read more
– Discussion: – Rare in upper extremity – Ulcerated skin lesion – cyst formation – pigmentation – elevated edge may appear pearly – may be subungual – Location: – … Read more
– See: Complex MP Joint Dislocations; – Discussion: – marginal fractures of the base of the base of the proximal phalanx involving MP joint usually represent avulsion fractures of collateral ligament; – often there is a significant sized palmar-ulnar or palmar radial fragment; – Non Operative Treatment: – nondisplaced … Read more
– See: Septic Hip – Discussion: – after age two years, most septic arthritis in children is caused by S. aureus (about 50%) or streptococci (25 %) so empiric coverage is directed toward these pathogens; – in teenagers, gonococcal arthritis now predominates and is exquisitely sensitive to penicillin; – … Read more