The Hip - book

FDP Avulsion/Rupture

    – See: Phalangeal Injury – Mechanism: – results from forceful hyperextension of DIP joint w/ FDP in maximal contraction; – classic examples include pts injured by the sudden jerk of a rope, such as starting a lawnmower or retraining an animal; – tendon may rupture directly from its insertion into bone, or it … Read more

Extensor Tunnel I

  – Anatomy:     – transports APL & EPB tendons;     – these tendons represent the radial border of the anatomic snuff box;     – when pts thumb is extended, you can distinguish between the tendons as they exit the tunnel;     – near insertions of tendons, distal to the tunnel, … Read more

Essex Lopresti Fracture

– Discussion: – radial head frx plus dislocation of distal RU joint (& interosseous membrane disruption); – mechanism: fall from height; – in this type of frx, radius will also migrate proximally if radial head is excised; – if injury is not found when it is acute, pt may develop severe wrist pain from radial migration … Read more

ACL Epidemiology

Female soccer and basketball players have the highest rates of ACL injuries Female soccer players have more non contact ACL injuries than male soccer players Male and female basketball players have similar rates of contact and non contact ACL injuries The rates of ACL injuries can be reported as injuries/1000 hrs of exposure or injuries/exposure … Read more

Elbow in RA Patient

– Discussion:     – RA manifests itself in many  ways in elbow joint, including nodules and bursae, synovitis, progressive joint destruction, antecubital cysts, & ulnar or, rarely posterior interosseous palsy;     – note that involvement of the RA elbow is infrequently an isolated and therefore it is important to consider possible involvement in the wrist … Read more