– ROM: – normal flexion is from 0 to 150 deg of motion and 80 deg of pronation and supination; – functional range of motion is from 30-130 deg flexion and 50 deg of pronation-supination; – no tenderness, synovitis, swelling, subcutaneous nodules along the olecranon border (bursa), lateral/medial epicondyle; … Read more
Arthroscopic treatment of the arthritic elbow. Management of elbow osteoarthritis. Primary Osteoarthritis of the Elbow: Current Treatment Options Osteoarthritis of the elbow: results of arthroscopic osteophyte resection and capsulectomy Débridement arthroplasty for primary osteoarthritis of the elbow Debridement arthroplasty for primary osteoarthritis of the elbow. Surgical technique Arthroscopic debridement without radial head excision of the … Read more
(see also: Elbow Arthritis) Equipement 30 deg, 4 mm arthroscope; arthroscopic pump; Positioning patient is usually prone with sandbag placed under antecubital fossa; TV monitor is positioned opposite of the patient; ulnar nerve is palpated to pinpoint its location and to ensure that it does not subluxate with elbow flexion instill fluid into the joint … Read more
– Discussion: – generally the functional range of motion for the elbow is between 30 to 130 deg; – flexion contractures greater than 45 deg will significantly limit ADLs; – hetertopic ossfication: – may occur after isolated spinal cord injury (3-5%), but will tend … Read more
– See: Surgical Treatment of Dupuytren’s: – Discussion: – originally described by Baron Guillaume Dupuytren in 1831; – ref: Guillaume Dupuytren: His Life and Surgical Contributions – usually appears between age 40 to 60 years; – disease occurs more often and is more severe in males or persons of Northern European Origin; – may be … Read more
– Discussion: – dorsal rim frxs usually result from a fall on the outstretched hand; – proximal carpal row impacts against the dorsal lip of the articular surface of the radius, which fracture in compression and displaces proximally and dorsally; – volar radiocarpal ligaments fail in tension, and dorsal … Read more
– natural history: – young patient: – when the patient’s proximal humeral growth plate is open, there is upto 100% rate of redislocation; – in young adults, the rate of … Read more
– Dicussion: – a thickened and wafer shaped lateral meniscus varient; – discoid meniscus may range from complete disc to a ring shaped meniscus; – occurs in upto 5% of population (but only a % of these are symptomatic) (prevalence may be higher in orientals (15%)); – … Read more
– See: Puncture of the Knee Joint – Discussion: – non-bloody effusion suggests an irrative synovitis that may be caused by degenerative meniscusor a chronic process with no super imposed acute injury; – absence of hemarthrosis is not indication of less severe ligament injury, since severe disruptions often cause only minimal joint … Read more
Acromegaly: Ankylosing Spondylitis: Avascular Necrosis: Gaucher’s Disease: Hemochromatosis: Hemophilia Hypermobility Syndrome: this is an arthropathy associated with joint laxity; it is autosomal dominant associated with joint laxity; some of these are associated w/ DDH, but others present no particular surgical problems other than the fact that the surgical scar tends to spread and become broad; associated … Read more