Data Trace Editor – Discussion: – deformity is characterized by severe angular deformity with a prominent gibbus at the apex of the curve; – etiology involves either failure of segmentation or defect in formation of vertebral body elements; – defect of formation: – failure of formation of … Read more
– See: myopathic disorders: – Discussion: – congenital myopathies are a group of different conditions, w/ variable genetic patterns of inheritance, that lead to muscle weakness in infancy and early childhood; – include central core disease, nemaline myopathy, myotubular myopathy, congenital fiber type disproportion, and centronuclear myopathy; – children w/ congenital myopathies present as … Read more
– See: – Anterolateral Bowing – Neurofibromatosis – Discussion: – is rare, occurring equally in girls and boys; – disease is almost always unilateral; – acute frxs occur during first 2 yrs of life, usually shortly after birth. – … Read more
– Indications: – for patients with hemivertebrae only and no kyphosis; – age > 5 years (although some surgeons will perform this procedure on patients as young as 2.5 yrs); – short curvature of less than 50-70 degrees involving < 6 or less vertebrae; – Technique: – … Read more
– Discription: – broad cloverleaf shaped plate which is designed to butress comminuted supracondylar fractures; – this plate may be especially indicated for comminuted distal fractures w/ a coronal shear frx; – plate is designed to contour to the lateral aspect of the distal femoral … Read more
– Discussion: – this fracture most commonly splits off a single condyle, resulting in disruption of the joint and angular deformity of the finger; – common atheletic injury; – best diagnosed with an oblique x-ray; – can be mistreated as sprain which results in finger angulation and … Read more
– Discussion: – see considerations for sliding screw placement – osseous anatomy of proximal femur dictates where internal fixation device should be placed for maximum purchase in femoral head; – maximum bone density is found in the area where compression & tension trabeculae coalesce in center of head; … Read more
– See: – Absent Thumb – Annular Band Syndrome – Camptodactyly – Delta Phalanx – Hypoplastic Thumb – Lobster Hand – Macrodactyly: – Pouce Flottant Thumb – Polydactyly … Read more
– Discussion: – capitellum is hypoplastic and the radial head is ovoid or dome-shaped; – ulna may be short in relation to the radius; – in about 1/3 of patients there will be an additional anomaly of the upper extremity, and in about 1/3, there will be an anomaly in … Read more
– Charnley Method: – compression arthrodesis as accomplished by Charnley shows little consideration of biomechanical principles; – he used one talar pin & one tibial pin w/ compression between them; – pin is placed anterior in the talus so posterior pull of the Achilles tendon will keep the arthrodesis compressed; – this provides stability in only … Read more