– See: – PreOperative Planning: – preoperative leg length: – acetabulum: – evaluation of cup position: – acetablar component loosening – use a wax pen to mark the tear drop and the superior aspect of the acetabulum, and overlie … Read more
– See: Occult Spondylolysis – Discussion: – spondylolysis is rarely symptomatic in adolescents; – in children, be especially concerned if symptoms that do not respond to rest or immobilization or if there are neurological findings. – diff dx: – disc-space infection … Read more
– Surgical Technique: – STSG for hand defects – STSG Donor Site – Discussion: – a STSG includes of the epidermis and various amounts of the dermis; – skin that has been transplanted from one area to another maintains most of its original characteristics, w/ exception that sensation & sweating … Read more
– See: Spondyloepiphyseal Dysplasia Tarda: – Discussion: – a type of short trunk disproportionate dwarfism, in which there is involvement of the vertebra and epiphyseal centers; – can be transmitted as autosomal dominant trait, although most cases arise as random mutations; – symptoms include delayed developmental milestones, diminished endurance, and … Read more
– Discussion: – permits the guided insertion of a cannulated blade thru the nail and into the femoral head,at one of three angles to accommodate anatomic or fracture variations; – angle options: – key onto proximal nail end, adapting the nail slot to accept the spiral blade … Read more
– Discussion: – arises from thickening, contracture, and coalescence of the spiral band, Grayson’s liagment, and the lateral digital sheet; – it extends disatlly past the natatory ligament, first lying along lateral margin of the digit, but then courses toward the midline to insert into the central cord at the level of the … Read more
– Discussion: – tend to rotate which is poorly tolerated; – 5 deg of MCP rotation leads to > 1.5 cm of digital overlap; – Operative Treatment: – screw fixation for metacarpal frx – screw menu – when ORIF is … Read more
– Disscusion – these frx are inherently unstable, and requires internal fixation; – Percutaneous Fixation Technique: – reduction is achieved w/ a tenaculum fracture reduction clamp; – 2 or 3 0.28 inch K wires are inserted across fracture, perpendicular to long axis of phalanx & engage both cortices of the … Read more
– Discussion: – spiral band is continuation of pretendinous cord; – at a point just distal to the superficial transverse palmar ligament (which is just proximal to the metacarpal heads), the pretendinous cord bifurcates to form the spiral bands; – spiral band passes deep to the … Read more
– See: Co-authored by Edward J. Harvey MD FRCS(C) – Finger Tip Injuries – Phalangeal Injury … Read more