Data Trace Editor – Exposure: – similar to the ilioinguinal approach: – it is necessary to expose the iliac crest & SI joint including the ala of sacrum; – ensure that the patient is on a flouro table and that patient’s pelvis is distal to the main table support … Read more
Discussion anterior facet articulates w/ head of talus; concave in shape and usually located just lateral to the middle facet; anterior and middle facets are often congruent; Radiology slightly concave, frequently is confluent w/ the middle one; lateral oblique view: demonstrates anterior process of calcaneus and the anterior facet of sub-talar joint
– Discussion: – Anterior Talofibular ligament is the primary restraint in anterior drawer test; – testing of ankle in 10 deg of plantar flexion results in greatest amount of translation, although one cadaveric study showed that maximum anterior excursion occurs in dorsiflexion; – injury of the calcaneofibular lig does not increase amount of the anterior drawer; … Read more
– Discussion: – see frx dislocations of the hip – comprise 10-15% of traumatic dislocations of hip; – occur when knee strikes dashboard w/ thigh abducted, falls from ht, or from a blow to the back of pt while in squatted position; – neck of femur or greater trochanter impinges … Read more
– See: intercondylar eminence frx; – Discussion: – pediatric ACL injuries – Transphyseal ACL reconstruction: – references: – Transepiphysial fixation of anterior cruciate avulsion in a child. Report of a complication and review of the literature. – Transepiphyseal Replacement of the Anterior Cruciate Ligament in Skeletally Immature Patients. A preliminary … Read more
– Extra-articular Reconstruction: – these type of procedures are now no longer used as the primary reconstructive method for ACL tears; – some authors feel that the extra-articular reconstruction may have a role in augmenting the intra-articular reconstruction; – references: – Biomechanics of intra-articular and extra-articular reconstruction of the anterior cruciate ligament. – The effect … Read more
Anterior Cruciate Ligament ‐ Anterolateral Ligament: Let’s Stick to the Facts! – Discussion: – anatomy of ACL – biomechanics of ACL – epidemiology_of_ACL_injuries – mechanism: ACL Tear – natural history of the ACL-deficient knee – partial ACL injury – pediatric ACL injuries – Evaluation … Read more
– See: Autograft Discussion – Technique: – the middle crest is quite thin and can be easily shattered; – subperiosteaally, dissect the abdominal musculature and iliacus from the inner wall; – after the tendinous decussation of the gluteal and abdominal muscles has been incised along the supero-lateral aspect of the … Read more
– See: Autograft Discussion – Anterior Crest: Corticocancellous Graft: – position in the supine position with bump under the hip; – make an incision along the undersurface of the anterior crest, beginning about 2 cm posterior to the ASIS which continues a distance of about 7 cm; … Read more
– Discussion: – damage is primarily in the anterior 2/3 of cord, and is related to vascular insufficiency (see blood supply to the spinal cord); – there is sparing the posterior columns (position sense, proprioception, and vibratory sensation); – CT scans may demonstrate bony frags compressing anterior spinal cord; – Clinical Findings: – syndrome is … Read more