Data Trace Editor Discussion: – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients; – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder scope will be able to determine the status of … Read more
– Discussion: – general discussion: clinical and radiographic findings – in contrast to open excision, arthroscopic excision allows preservation of the superior AC capsular ligaments; – stability of the AC joint comes from capsular ligaments (anterior, posterior, superior, and inferior) – capsular ligaments provide anteroposterior (horizontal) stability of the distal clavicle; – superior AC ligament is … Read more
– Discussion: – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, & joint capsule; – a tourniquet should not be used during this procedure since it has been shown to increase the occurance of postoperative hemarthrosis; – prior to performing … Read more
– Discussion: – rotator cuff anatomy – etiology of RTC tears – how do these tears heal? – massive RTC – open rotator cuff repair – Technique: – arthroscopy exposure and setup – inorder to avoid extrasavation, begin with fluid pressure at 35 mm, and increased pressures incrementally as necessary; – irrigation fluid management – … Read more
– See: Brachial Plexus Injury – Indications: – shoulder paralysis: – may include paralytic dislocation or combined rotator cuff / deltoid paralysis (in which case shoulder arthroplasty would be contra-indicated); – as a requirement for shoulder fusion, the muscles of forearm and hand need to be functional as do the serratus anterior and trapezius; – the … Read more
Discussion in older pts (3-10 yo), medial opening or lateral column shortening osteotomies or cubital decancelization is recommended; for children who present w/ refactory clubfoot late (8-10 yo), triple arthrodesis is only procedure possible to elminate assoc pain; triple arthrodesis is contraindicated in patients with insensate feet because it causes a rigid foot that may lead to ulceration; … Read more
– Discussion: – need to determien whether the fibrous has primarily affected flexion or extension; – need to determine either from radiographs or from MRI, whether incorrecttunnel placement, is the cause of the decrease motion and fibrosis; – also evaluate for patella baja; – … Read more
– See: – Total Hip Replacement Menu: – Puncture of Hip Joint – Discussion: – most useful for assessment of loosening of acetabular component; – for acetabular component, contrast at the cement bone interface in all zones or in zones I and II or II … Read more
– Discussion: – musculoskeletal dz is characterized by congenital immobility of multiple joints. – there may be as many as 10 to 20 specific arthrogrypotic disorders, all with similar joint manifestations; – believed to be caused by oligohydrmnios & conditions limiting fetal movement; – joint develops in … Read more
– Discussion: – Total Shoulder Arthroplasty: (considerations: hemiarthroplasty vs TSA) – Reverse arthroplasty – Indications: – indicated for end stage DJD or RA shoulder involvement; – contra-indications to shoulder arthroplasty include combined rotator cuff / deltoid paralysis and recent joint infection; – in these rare circumstances, arthrodesis may be considered; – may occur as … Read more