Ortho Oracle - orthopaedic operative atlas

Arthroscopic Lateral Retinacular Release

– Discussion:     – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, &            joint capsule;     – a tourniquet should not be used during this procedure since it has been shown to increase the occurance of postoperative hemarthrosis;     – prior to performing … Read more

Arthroscopic Acromioplasty / Cuff Debridement

– See: Open Acromioplasty – Discussion and Indications:     – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients;     – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder … Read more

Arthroscopic Acromioplasty

– Discussion, Indications and Outcomes:       – impingement syndrome        – open acromioplasty       – what exactly does an acromioplasty do?                  – [Subacromial denervation as a treatment modality for patients with subacromial pathology] – Radiographs – Initial Set Up:        – prior to inserting instruments into subacromial space it is helpful to prevent subacromial bleeding                 … Read more

Arthroscopic Acromioplasty: Discussion and Outcomes:

Discussion:     – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients;     – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder scope will be able to determine the status of … Read more

Anterior Shoulder Reconstruction

– See: – Arthroscopic Reconstruction – Historic Operations – Revision Bankart Procedure – Bankart Repair: – reattachment of the capsule and glenoid labrum to the glenoid lip; – subscapularis is carefully divided to expose the capsule, and is reapproximated without any overlap or shortening; – PreOp Eval: – rotatory stress test for anterior instability; – … Read more

Anterior Instability of the Shoulder

– Discussion:   – ON THE ARTICULATIONS. by Hippocrates. – pathoanatomy: – bankart lesion – hill sachs lesion – stabilizers of the shoulder: – dynamic / muscular stabilizers – static stabilizers – anteroinferior glenohumeral ligament – references: – Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events. – mechanism of anterior dislocations: – combination of abduction, … Read more

Anterior Impingement Syndrome of the Ankle

    – Bony Impingement:     – pts who have persistent pain in anterior aspect of ankle & who have anterior tibiotalar spur evident on a lateral roentgenogram need additional diagnostic evaluation and management;     – extreme dorsiflexion required by the demiplie position in ballet can lead to impingement of anterior lip of … Read more

Pediatric Anterior Cruciate Ligament Injury

– See: intercondylar eminence frx; – Discussion:     – pediatric ACL injuries  – Transphyseal ACL reconstruction:      – references:                – Transepiphysial fixation of anterior cruciate avulsion in a child. Report of a complication and review of the literature.                – Transepiphyseal Replacement of the Anterior Cruciate Ligament in Skeletally Immature Patients. A preliminary … Read more

Ankle Sprain

Discussion pathoanatomy: fibular collateral ligament is made up of three separate structures; these are not as strong as medial ligaments, since lateral support of ankle is also provide by the fibula; anterior talofibular ligament calcaneofibular ligament posterior talofibular Ligaments cervical ligaments: ref: Elongation behavior of calcaneofibular and cervical ligaments during inversion loads applied in an … Read more