Data Trace Editor – Discussion: – at time of the injury, calcaneus is driven up toward center of body; – lateral wall is driven outward, as are the peroneal tendons; – this results in shortened functional length of gastrocnemius-soleus complex, flat foot, lateral impingement of peroneal structures, & locked … Read more
– See: Comminuted Femoral Shaft Fractures – Complications: – compartment syndrome of thigh – femoral IM nail infection – avascular necrosis from IM nailing – femoral non union – Implant failures: – associated w/ either the insertion of a small diameter nail or use of an interlocking … Read more
– Discussion: – osteonecrosis of proximal fragment; – non union if proximal fragment is too thin; – delayed union or nonunion occurs in 1-3% of pts & is treated by bone grafting or by repeat osteotomy when correction is lost; – ref: Results … Read more
– Acute Complications of ORIF of Distal Radius Fractures: – median, radial or ulnar sensory neuropathy; – acute and late carpal tunnel syndrome; – loss of reduction – deformity – decreased motion – arthritis … Read more
– Disscussion: – compartment syndrome is uncommon in thigh because of large-volume that the thigh requires to cause a pathological increase in interstitial pressure; – fascial compartments of thigh blend anatomically w/ muscles of hip,potentially allowing extravasation of blood outside compartment; – compartment syndrome may be caused by a decrease … Read more
– See: Fasciotomy of the Leg – Discussion: – general discussion of compartment syndrome – compartment syndrome following tibia fractures are most common in closed frx (upto 20% of frx) but may also occur following open frx; – references: – Outcome at 12 to 22 years of 1502 tibial shaft fractures – Compartment syndrome in … Read more
– Antebrachial Compartment Syndrome: (see compartment syndrome menu) – causes: – may follow supracondylar fr(x) of humerus, or both bone forearm fractures; – compartment syndromes in the forearm after wrist fractures usually involve the volar compartment; – compartment syndrome monitoring – technique of forearm fasciotomy: (see … Read more
– See Simple Dislocations of the MP joint – Discussion: – by definition, an irreducible MP dislocation; – involves infolding of the proximally disrupted volar plate between metacarpal head and base of proximal phalanx; – complex dislocations occur most commonly in index finger followed in incidence by thumb & … Read more
– Discussion: – dislocations of the elbow associated with fracture are termed complex; – comprimise 49% of elbow dislocations; – most of these fractures are inherently unstable and require surgery; – prolonged elbow immobilization produces poor results. – surgery must achieve sufficient stability to allow … Read more
– See: – Essex Lopresti Fracture: – Radial Head Frx & Elbow Dislocation