Ortho Oracle - orthopaedic operative atlas

Articular Steroid Injections

– Discussion:       – Steroid Menu:      – Relative Potency of Various Steroids:      – Triamcinolone: is the most common choice for joint injection (see knee osteoarthritis)      – Cautions for Intra-Articular Injection:           – local complications:                  – may cause fat necrosis and loss of skin pigmentation in blacks;                  … Read more

Articular Surface Frx of Clavicle: (Type III)

– Discussion: involves articular surface of the AC joint alone; w/ type III frx there is a displacement of articular surface w/o lig injury; frx may be subtle, & may be confused w/ 1st deg AC separation; it may present as late degenerative arthrosis of the AC joint; this may lead to osteolysis of distal … Read more

Aspirin for DVT

Aspirin for DVT:    – Basic Science:         – Why does aspirin decrease the risk of venous thromboembolism? On old and novel antithrombotic effects of acetyl salicylic acid.         – Aspirin for prevention and treatment of venous thromboembolism         – Antiplatelet therapy in prevention of cardio- and venous thromboembolic events.         – Thromboembolic prophylaxis in … Read more

Ascending Cervical Branches to the Hip

Discussion ascending cervical branches arise from extracapsular arterial ring; anteriorly, they penetrate capsule of hip joint at intertrochanteric line; posteriorly, they pass beneath the orbicular fibers of capsule; ascending cervical branches may be divided into 4 br; anterial, medial, lateral, posterior; of these lateral provides most of blood supply to femoral head; at margin of … Read more

Aspiration of Elbow Joint

Discussion elbow can be entered either ulnarly or radially, but radial approach is preferred inorder to avoid ulnar nerve injury; radial nerve is lies anterior to the elbow joint, and may be moved even more anteriorly by supinating the forearm; landmarks for aspiration of the elbow joint are the radial head, lateral epicondyle, and tip of the … Read more

Aspiration of the Hip Joint

– Discussion: – anterior approach: – femoral artery may be palpated in femoral triangle, & may be used as a guide in aspirating the hip joint; – palpate the femoral pulse just as it exits the inguinal ligament; – entry point is one inch lateral to the artery (at the inguinal ligament) and one inch … Read more

Shoulder Arthroscopy: Lateral Portal

– See: Arthroscopic Acromioplasty – Lateral portal: – used for visualization of, or for insertion of instruments into, subacromial space, (usually for arthroscopic acromioplasty or for calcific tendinitis); calcific tendinitis); – the key to lateral portal placement is that it must allow triangulation over the entire undersurface of the anterior acromion; – if the portal is … Read more

Articular Cartilage

– See:        – Chondral and Osteochondral Injuries of the Knee / Articular Cartilage: Injury and Potential for Repair: / Osteoarthritis         – Enchondral Ossification  – Discussion:     – hyaline cartilage caps ends of bones that form synovial joints;      – in other hyaline cartilage structures, surrounding perichondrium contains both capillaries for nutrition and the cells that become … Read more

Articular Cartilage: Injury and Potential for Repair

– See:        – Chondral and Osteochondral Injuries of the Knee        –  Enchondral Ossification         – osteochondral allografting for OCD injuries of the knee Healing of Articular Cartilage in Intra-Articular Fractures in Rabbits.  Viability and apoptosis of human chondrocytes in osteochondral fragments following joint trauma The viability of articular cartilage … Read more