Data Trace Editor – 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
– Discussion: – involves creating an oblique osteotomy of the distal fragment (valgus osteotomy) to obtain stability in unstable intertroch frx; – this osteotomy changes frx plane from verticle to near horizontal & creates contact between the medial and posterior cortex of proximal and distal fragments; … Read more
– 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 II Fractures: – 80% of type II fractures can be managed non operatively; – displaced SH type-I or II frx are reduced closed w/ pt under GEA; – reduction is obtained mainly by traction rather than manipulation; – 90 … Read more
– 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
– 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
– 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
– Non aspirin salicylate derivative which is as effective as asprin; – may cause less gastrointestinal distress; has long half life
– See: – Bone Bridge – Distal Femoral Physeal Fractures – Epiphyseal Artery – Epiphyseal Plate – Humeral Physeal Injuries – Suprachondylar Fractures of the Humerus – … Read more