– Discussion: – least common pediatric femoral neck frx (about 7%); – capital femoral epiphysis may stay w/in acetabulum but in 50% of cases the capital fragment is dislocated; – tends to occur in infants and young children; – this injury may be the result of a … Read more
– Discussion: – see shoulder replacement discussion (total shoulder vs hemiarthroplasty vs reverse arthroplasty) – the indications for total shoulder arthroplasty (versus hemiarthroplasty) are controversial; – there is some controversy regarding pain relief and component survivorship; – Gartsman GM, et al (2000), the authors compared hemiarthroplasty (24 … Read more
Discussion although the disease is generally more likely to be chronic, acute mycobacterial arthritis has been reported; periarticular bone lesions may accompany the synovial involvement; pulmonary tuberculosis is evident in only half the patients with skeletal involvement; pulmonary TB signs vary with stage of dz, few early on; later high fever, wt loss, prolonged, productive … Read more
(see also: Blair Fusion; Charcot Marie Tooth ; Equinovalgus; Grice Arthrodesis; Kocher approach; Ollier incision; Subtalar Fusion) Discussion results in fusion of subtalar, calcaneocuboid, and talonavicular joints; most effective procedure for fixed hindfoot and forefoot deformities; triple arthrodesis tend to have a high (50%) failure rate in children under 10 years of age; triple arthrodesis … Read more
– See: – Phalangeal Injury – Congenital Trigger Thumb – Rheumatoid Trigger Finger – Discussion: – results from localized tenosynovitis of superficial and deep flexor tendons adjacent to A1 pulley at a metacarpal head; – inflammation causes nodular enlargement of tedon distal to pulley; – occurs most often in middle or ring fingers (occassionally in … Read more
– Discussion: – relatively short lived acute inflammatory process; – usually seen in boys aged 2 to 10 years; – frequently follows an upper respiratory tract infection; – most common cause of painful hips in childhood; – is a diagnosis of exclusion; – … Read more
– See: – Safe Zone of Pin Insertion Wires Insertion Techniques – Wire Characteristics: – in general 1.5 to 1.8 mm wires need no incision or drill sheath, but larger, 2.0 wires may be inserted w/ sheath through incision; – larger diameter wires will increase … Read more
– Synovial Fluid Exam – Systemic JRA – Septic Arthritis – Leukemia – Systemic Lupus Erythematosus – Reiter’s Syndrome – Reactive Arthritis – Sickle Cell Anemia – Serum Sickness – Acute Rheumatic Fever – Vasculitis: (H.S.P. / Kawasaki’s) – Inflammatory Bowel Disease
– Exposure of the Subscapularis: – the upper portion of the subscapularis tendon is exposed by partial release of the CA ligament off the coracoid, by placement of a Homan retractor directly above the coracoid, and by abduction and external rotation of the arm; – the upper portion of the … Read more