– Discussion: – undisplaced or minally displaced frx; – lateral view: anterior humeral line remains intact but a posterior fat pad sign may be present; – frx may be seen on oblique x-ray; – treatment: – treated w/ immobilization in long arm … Read more
– See: Posterior Approach to the Humerus; – Positioning: – patient is in lateral position w/ arm brought across the chest; – plan on adusting flexion of elbow inorder to increase or decrease tension; – sterile tourniquet is required; – Technique: – straight longitudinal incision beginning 7-10 … Read more
– See: Posterior Approach to the Humerus; – Discussion: – the distal triceps can be split down the middle with the dissection carried straight down to bone over the olecranon; – care is taken to mobilize full thickness fascial and periosteal flaps both medially and laterally; – the dissection … Read more
– Discussion: – replacement of missing clotting factor remains the essential method of treatment; – many hemorrhages are treated w/ home infusions; – this allows bleeding to be controlled earlier; – major hemorrhagic emergencies are reduced; – Activity of Tranfused Factor … Read more
– See: – Obstetrical Paralysis – Shoulder in brachial plexus injuries: – Discussion: – nonbirth-related Brachial Plexus injuries in children are rare; – as result, very little has been written about this topic; – over 50% have assoc head injuries consistent with high-energy … Read more
– See: – Avulsion Fracture – Comminuted Fractures – Fracture Dislocations – Oblique Fractures – Surgical Approach: – Discussion: – transverse frx enters semilunar notch, & amount of separation of is influenced by the pull of triceps muscle … Read more
– Discussion: – type of supracondylar fractures that occurs within joint capsule; – most commonly occurs w/ osteoporotic bone; – Treatment: – nondisplaced frxs are treated w/ splinting or percutaneous pinning; – displaced frx will require ORIF; – consider molding … Read more
– Discussion: – up to 80 % of patients w/ traumatic DJD may expect a good to excellent result at 5 years; – up to 30 % of patients will sustain a major complication over 5 years, which often will require and additional operation; – indications: – end stage rheumatoid arthritis; – severe intractable pain … Read more
See: Surgical Approach Tension Band Theory Discussion transverse frx involving less than 50% of proximal sigmoid notch are suited to stable internal fixation by tension band; Weber modification provides improved frx rigidity; may also use T.B.W. along with a 6.5 mm cancellous screw, 7.0 mm screws, or 7.3 mm screw; surgical consent: patient should understand, … Read more
– See: – Throwing Elbow: – MCL of elbow: – Diff Dx Pediatric Throwing Elbow – Throwing Shoulder: Throwing Guidelines: – 8-10 year olds: 37 to 67 pitches in approximately 1.5 to 2.5 games per week. – 11-12 year olds: 50 to 86 pitches in approximately 1.5 to 2.5 games … Read more