– See: Phalangeal Boutonnere Injuries – Discussion: – most common thumb deformity in RA; – results from arthritic involvement of MP joint and elongation or erosion of the attachement of the EPB tendon to the base of proximal phalanx (leading to flexion deformity); – EPL tendon & adductor expansions … Read more
– See: – Discussion: – refers to Boutonniere injuries more than 2 months after injury; – is difficult to treat due to shortening of: – central slip & contracture of the lateral bands; – transverse retinacular ligaments; … Read more
– Discussion: – there is inherent graft weakness during period after implantation when allograft& autograft tissues undergo necrosis, revascularization, and cellular proliferation; – weakest link initially is graft fixation site; – it is important to achieve strong fixation initially; … Read more
– See: – Bone Patella Bone Allografts – Non Bone Patella Bone Reconstruction – Discussion: – Anatomy of ACL; – ACL Biomechanics; – Graft Tunnel Sites / Isometry: – Graft Biomechical Characteristics: – … Read more
– Discussion: – is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex; – lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability; – when Bankart lesion occurs, there is obligitory concomitant capsular disruption, w/ stretching or elongation … Read more
– Discussion: – a type of cyst which results from egress of fluid through a normal communication of a bursa (semimembranosus or medial gastrocnemius bursa) or may be caused by herniation of the synovial membrane through the joint capsule; – symptoms develope most often in bursa beneath the medial head of gastrocnemius … Read more
– See Human Bite – Bacteria Sensitive to Augmentin / Unasyn – staph aureus – along w/ streptococcus is the most common inciting organism in hand infections; – streptococcal Gr A beta hemolytic – shows cellulitis, lymphangitis, lymphadenopathy, fever, and a … Read more
Discussion: – pathogenesis – vascular interruption: – blood supply to femoral head – specific inciting causes – natural history – diff dx: – synovitis; – Idiopathic Transient Osteoporosis of the Hip – femoral neck stress frx – metastatic disease – trochanteric bursitis: – ref: Avascular necrosis of the femoral head presenting as trochanteric bursitis. – … Read more
– Discussion: – Cx & Gram’s staining are obligatory when infection is suspected. – Definitive diagnostic test is either the demonstration of bacteria by Gram’s stain, usually best seen on a concentrated sediment of centrifuged synovial fluid, or the recovery of bacteria from the synovial-fluid culture; – Gram’s stains are positive … Read more
– Discussion: – the Coventry type of HTO, creates an osteotomy above the tibial tubercle; – in choosing a closing wedge osteotomy, the surgeon should be sure that the major deformity is on the tibial side (vs femoral side); – the disadvantages of this type of osteotomy include possible … Read more