– Discussion: – dislocate the hip posteriorly by flexing, adducting, and gently internally rotating the hip; – this may drive the femur against posterior edge of acetabulum; – place bone hook beneath femoral neck at level of lesser troch. to gently lift the head out of the acetabulum; … Read more
– See: Innervation – Discussion: – adductors of the thigh take origin from body & inferior ramus of pubis & from ramus of ischium & insert on medial side of femur; – innervated obturator nerve; – Adductors Include: – adductor bevis – longus – magnus – … Read more
– Discussion: – hip fusions acn occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone). – they also occur spontaneously due to ankylosing spondylitis; – surgical fusions are performed for young adults with advanced arthritis; – indications: … Read more
– See: Ossification of Soft Tissues: and Myositis Ossificans – Discussion: – occurence and formation of mature bone in non-osseous tissue; – may present w/ signs of localized inflammation or pain, elevated skin temp, ect. – tends to occur after thr, spinal injury, head injury (11%), burns, bruises, elbow trauma, total hip replacement; … Read more
– Discussion: – general features: – pediatric bone circulation – age of patient: – osteomyelitis in the newborn – in infants below the ages of 1 year, some metaphyseal vessels may transverse … Read more
– See: Bipolar Arthroplasty: – Discussion: – indications: indicated for patients w/ a femoral neck frx who meet the following criteria: – poor general health thay would prevent a second operation; – pathologic hip fractures: – parkinson’s disease, hemiplegia, or other neurological disease; – physiologic age > 70 yrs; – severe osteoporosis w/ loss of primary … Read more
– See: Hemangioma of Soft Tissue – Discussion: – typically seen in asymptomatic patients; – symptomatic patients over 40 years old may present following small spine fractures; – hemangiomas affect bone are rare; – these tumors may be located on the periosteal surface, within the cortex, or … Read more
– Discussion: – firearms tutorial – missile characteristics: – NRA website – Weapons Effects and Parachute Injuries – Shooting Soldiers: Civil War Medical Images, Memory, and Identity in America – General Management: – most important issue is to get the correct diagnosis (no viceral injury, no compartment syndrome, no … Read more
– See: Pediatric BKA: – Overgrowth Phenomena: – occurs as a result of appositional growth (not physeal growth); – in order of frequency it occurs in the: humerus, fibula, tibia, and femur; – AKA: – hemiatrophy of pelvis associated with coxa valga and elongation of lesser trochanter; femur … Read more
– See: Total Hip Replacement Menu: – Discussion: – indications for osteotomy: – considerations for wire re-attachment: – wires can theoretically undergo gavanic corrosion if they are close to or touch the metal implant; – this is usually of little significance even if the wires … Read more