Ortho Oracle - orthopaedic operative atlas

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Subtalar Extra-Articular Fusion in the Treatment of Valgus and Varus Deformities in Children: A Review of 162 Operations in 136 Patients

Acta Orthop Scand. 1972;43(5):438-460   Lahdenranta U, Pylkkänen P ABSTRACT               The subtalar extra-articular fusions performed at the Orthopaedic Hospital of the Invalid Foundation from 1956 to 1969 were reviewed. One hundred forty-one ankles were operated on for poliomyelitis and 21 for other diseases. Valgus deformity was the cause of 134 and varus deformity … Read more

Stress Fracture of the Tibia Following Extensive Hindfoot and Ankle Arthrodesis: A Report of Three Cases

Foot Ankle Int. 1996 Sep;17(9):583-584 Comment on: Foot Ankle Int. 1995 Jul;16(7):445-448 Alvarez R ABSTRACT    Arthrodesis of the hindfoot and/or ankle is a commonly performed procedure for ankle or subtalar joint arthritis. Extensive arthrodesis for involvement of both the ankle and subtalar joints is performed more rarely, but is not uncommon. In all cases of … Read more

Strain

– See:       – Elastic strain:       – Biomechanics: – Discussion:     – change in linear dimensions of a body resulting from the application of a force or load;     – strain energy is the energy a body is capable of absorbing by changing its shape under the application of … Read more

Steroids: for Rheumatoid Arthritis

– See:       – Rheumatoid Arthritis       – Steroids – Discussion:     – corticosteroids may occassionally be used to alleviate intractable joint inflammation or vasculitis in RA;           – however, there is a risk of iatrogenic Cushing’s syndrome;     – intraarticular instillation of steroids is … Read more

Straight Leg Raise/Sciatic Nerve

– Discussion:     – straight leg raising, by itself, can produce pain from a variety of sources, including myogenic pain, ischial burisitis, annular tear, and            hamstring tightness, as well as herniated disc;     – the critical distinction is made by the sciatic stretch test;           – this test is … Read more

Steroid Topics

   – Relative Potency and Characteristics Steroids:    – Articular Steroid Injection:    – Peri-Operative Dosing (for patient on Steroids):    – MSK changes associatted w/ Steroids:    – Steroids: for Rheumatoid Arthritis:           – when giving steroids for inflammatory arthritis, be sure that the arthritis is not due to a cryoglobinemia … Read more

Sternoclavicular Joint Injury

– See: Adolescent SC Joint Injury – Anterior SC Dislocation:     – more common than posterior dislocation;     – closed reduction is usually not successful;     – persistent prominence is usually present but not of functional significance;     – atraumatic dislocation:            – no specific treatment is … Read more

Steindler Flexorplasty

– Theory:     – flexor-pronator muscles arising from medial epicondyle are transposed to more proximal point on the humerus so that their moment for          elbow flexion is incresed enough to permit active control;     – muscles originating from the medial epicondyle (Pronator Teres, FCR, PL, & FCU) must have normal or … Read more

Sternocleidomastoid

  – See: torticollis: – origin: sternal head:  anterior surface of the manubrium; clavicular head: superior surface of the medial half of clavicle; – insertion:     – lateral surface of the mastoid process of the temporal bone and lateral half of the superior nuchal line of the occipital; – action:     – acting unilaterally, … Read more