The Hip - book

Clinical Features of Osteoarthritis

– See: Predisposing Conditions – OA of Hip:     – pain on wt-bearing felt in the groin, buttock, or medial thigh;     – trendelenburg gait will decrease mechanical stress on joint and thereby lessen pain (forces acting on hip joint);     – pain during sleep results from loss of protective function of … Read more

Clinical Manifestations: Hemophilic Arthropathy

– See: Extra-articular Manifestations – Discussion: – manifests itself in one of three typical forms: – acute hemarthrosis; – subacute hemarthropathy; – chronic hemarthropathy; – severity of hemophilia A depends upon level of factor VIII clotting activity; – severe deficiency: – factor VIII activity level of < 1%; – pt characteristically bleeds into joints or … Read more

Operative Treatment of Clavicle Fractures

– Discussion:     – indications for surgery:             – open fracture             – gross displacement of fracture w/ tenting of skin             – fractures w/ signficant medialization (causing medialization of the shoulder girdle);              – ref: Fixation of Displaced Midshaft … Read more

Claw Toes

– See: – Hallux Claw Toe – Hammer Toes – Muscles of Foot – Polio: Claw Toes – Anatomy and Discussion: – claw toe consists of hyperextension at the metatarsophalangeal joint, and flexion at the proximal (and distal interphalangeal joints); – all of the toes are usually affected, although contracture of the great toe can … Read more

Cleeland’s ligament

  – Discussion:     – Grayson’s & Cleland’s ligament hold skin in position during flexion and extension of the finger;     – Cleeland’s ligaments are firm fascia bands that run from side of phalanges to the skin, dorsal to the neurovascular bundle;     – they are not involved in Dupuytren’s dz;     – … Read more

Cleidocranial Dysplasia (Dysostosis)

– Discussion:     – autosomal dominant proportionate dwarfism that affects bones formed intramembranously (eg. facial bones, cranium, & clavicles);     – dislocations of hips, knees, and the radial heads may occur;     – clavicle:           – most commlonly, absence of the central portion of the clavicle with rudimentary … Read more

Clenched Fist AP

    – See:       – PA View of the Wrist       – X-ray findings: in scapholunate dislocation – Discussion:      – used to evaluate widening of scapholunate interval;      – those pts suspected of having SLD should have compression stress view, which is performed by having pt clench his fist … Read more

Clavicle Fracture: Implants

– Fracture: Mid Shaft:      – Implants:          – 3.5 mm reconstruction plate;          – 3.5 mm DCP or LC-DCP; – Fractures: Neer type II (lateral)      – Implants:            – small T plate:            – tension band figure … Read more

Clavicle Fractures

– See:  – Clavicular Frx in Children /  Congential Pseudoarthrosis of Clavicle – AC joint / Sternoclavicular Joint Injury / Scapula Fracture – Discussion and Classification – Exam Findings:     – brachial plexus – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology:  – Serendipity View – best visualized sitting up … Read more