Ortho Oracle - orthopaedic operative atlas

Saphenous Nerve

– Discussion:  (Innervation of the Leg and Foot) – arises from femoral nerve in femoral triangle and descends through it on lateral side of the femoral vessels to enter the adductor canal. – it crosses the vessels obliquely to lie on their medial side in front of lower end of adductor magnus  muscle; – nerve continues its … Read more

Sarcoidosis

– Clinical Manifestations:     – may have fevers, rash, & iritis, which can resemble symptoms of JRA.     – pulmonary dz, erythema nodosum, abdominal pain, liver enlargement, and perihilar adenopathy may also be present.     – labs: elevated ACE serum level is considered to be the activity marker of the disease     – … Read more

Salter Harris IV Fracture of Distal Tibia

– Discussed:     – displaced SH III & IV frx of distal tibia require open reduction;     – this frx is assoc w/ premature physeal closure unless anatomically reduced; – Diff Dx:     – Two Part Triplane Frx     – Tillaux Frx Salter-Harris Type-IV injuries of the distal tibial epiphyseal growth plate, with … Read more

Salter Harris: Type IV

– Discussion:      – may occur at any age      – rare in the hand      – type IV frx potentially interfere with normal growth;      – frx line crosses physis, separating a portion of metaphysis-physis-epiphysis from the remaining metaphysis-physis-ephiphysis;      – if frx is displaced, ORIF is indicated;     … Read more

Salter Osteotomy

– Discussion:     – type of open wedge innominate osteotomy which extends and retroverts acetabulum around fixed axis;     – osteotomy redirects entire acetabulum so that its roof covers femoral head both anteriorly and superiorly;             – extends and retroverts acetabulum around fixed axis;     – in … Read more

Salter Harris Type III Frx

– Discussion:     – usually occurs after 10 years;     – this type of frx generally occurs when the growth plate is partially fused;     – prognosis is poor unless there is early accurate reduction;     – type III physeal injuries involve separations of portion of epiphysis and its associated growth … Read more