– Discussion: – arises from posterior aspect of profunda femoris artery; – they course directly against linea aspera of the femur & tendonous insertions of adductor muscles; – inferior gluteus artery gives twigs to upper ends of muscle attaching to ischial tuberosity and transverse branch of MFCA appears … Read more
– See: DDH: – Indications for Treatment: – age: pelvic osteotomies are usually performed between ages 3-8 years; – in children > 3 years, open reduction, femoral shortening, & acetabular redirection will provide concentric reduction, will reduce AVN, & will achieve a functional range of motion; – some will even consider pelvic osteotomy in children as … Read more
– See: – Casting of Tibial Fractures – Distal Tibial Fracture – Intercondylar Eminence Fracture – Proximal Tibial Physeal Fractures – Proximal Tibial Metaphyseal Fractures – Tibial Tuberosity Fractures – Pediatric Ankle and Distal Tibia Fractures: – … Read more
– See: – Methods to Etimate Growth Potenital: – Growth Plate Anatomy – Appearance of Ossification Centers: – skeleton incompletely ossified at birth, & portions such as carpals, patella, navicular, cuneiforms, will radiographically appear entirely cartilaginous; – ossification centers will enlarge in all directions, until it becomes bounded on … Read more
– Discussion: – most commonly presents at 14 to 36-months; – bowleg deformity in children w/ short stature & may indicate skeletal dysplasia; – developmental knee alignment: – normal knee alignment progresses from 10-15 deg of varus at birth to maximal valgus angulation of … Read more
– See: – Distal Femoral Physeal Fractures – Hip Fractures in Children – IM Nailing of Pediatric Femoral Fractures – Discussion: – commonest site of fracture of the femoral shaft is in its middle third, where normal anterolateral bowing of the diaphysis is at its maximum; … Read more
– Discussion: – Pavlik harness is a dynamic flexion abduction orthosis used to treat DDH in infants up to 6 months of age; – harness usually leads to stability of reduced hip w/ in 4 wks, but its use should be continued until clinical exam & x-rays of hip are normal; … Read more
– See: – Pathologic Hip Frx – Metastatic Tumors to Bone – Discussion: – fractures which occur from low energy injuries which occur thru an area of bone weakness with a pre-existing abnormality; – injured area demonstrates distored archetecture and distored bone density; – Diff Dx: … Read more
– See: General Discussion – Hyperparathyroidism – incidence of hip frx is about 10%; – in younger pts with good bone stock, consider ORIF; – in elderly pts consider primary THR; – note, however, when when hyperparathyroidism occurs as a consequence of renal … Read more
– Discussion: – osteoarthritis represents a gradual processes of destruction & regeneration; – early in dz, articular cartilage loses its glistening appearance; – later on surface layers flake off while deeper layers develop longitudinal fissures, process termed fibrillation; – cartilage becomes thin and sometimes denuded; – … Read more