– See: – Diff Dx of Shoulder Pain: – Shoulder Examination Tests (from shoulderdoc.co.uk) – History: (questions for modified Simple Shoulder Test); – C-Spine: – r/o radiculopathy as well as axillary nerve hypaesthesia; – Spurling’s manuever: – mechanical stress, such as excessive vertebral motion, may exacerbate … Read more
– Discussion: – see discussion shoulder arthroplasty and technical considerations with fracture – operative considerations: hemiarthroplasty vs total shoulder arthroplasty – considered in young pt w/ OA, posttraumatic dz (w/ no have glenoid involvement nor erosion), AVN, or massive RTC tear; – approximate survival rate at 10 years is about 80%; … Read more
– See: Total Shoulder Replacement – Technique: – deliver the proximal humerus: – anteriorly dislocate the humeral head by extending, abducting, and externally rotating the arm; – a blunt Homan retractor is then placed behind the humeral head to maintain its dislocated position; … Read more
– See: – septic arthritis – general orders and treatment – Discussion: – septic arthritis of the hip is a surgical emergency; – it is essential that dx be made ASAP to prevent joint damage; – if any pus is obtained from arthrotomy, … Read more
– Discussion: – indicated for patients w/ delayed unions or non unions of scaphoid waist; – cautions: distal-waist fractures may not be amenable to this form of fixation if the screw threads cross the fracture site; – Technique: – see: volar surgical approach: – may result in … Read more
– See: – Bone Bridge – Distal Femoral Physeal Fractures – Epiphyseal Artery – Epiphyseal Plate – Humeral Physeal Injuries – Suprachondylar Fractures of the Humerus – … Read more
– Safe zone for implant insertion: (from Caputo A) – note that the posterolateral portion of the radial head does not articulate with the ulna, and this is termed the safe zone (since hardware placed here will not enter the articulation); … Read more
– See: Role of Knee Joint in Gait: – Discussion: – for reason of contour of femoral & tibial condyles, flexion & extension of knee joint are not simple hinge movements that occur at the elbow joint. – flexion & extension do not occur about a fixed transverse axis of rotation but rather about a constantly changing … Read more
– Discussion: – 2 subtypes: rim avulsions and rim compression frx; – all knees w/ rim frxs have capsular and collateral ligament injuries; – avulsions of rim of tibial plateau articular surface or compression frx of that rim almost always are accompanied by significant collateral or cruciate ligament injury; – may … Read more