Ortho Oracle - orthopaedic operative atlas

Osteoarthritis: Predisposing Causes

  SCFE   Trauma   Inflammatory arthritis   Calcium Pyrophosphate Dihydrate Crystal Arthritis      – these pts may have symptomatology at atypical sites of the hand such as the second and third MP joints;   Osteonecrosis   Intra-articular Steroids   Hyperparathyroidism      – it can cause subchondral bony erosions and collapse of the articular … Read more

Orthotics for the Foot

– See: Metatarsalgia: and Running Injuries – Discussion:     – functional anatomy:              – normal foot during gait will become supple by eversion to allow for wt bearing during heel strike, and will become a rigid lever during push off by heel inversion;              – in … Read more

Ortolani’s Test: for Congenital Hip Dislocation

– Discussion:     – early dx by postnatal screening w/ Ortolani or Barlow’s Test is essential to detect hip instability or dislocation;     – strictly interpreted, the Ortolani sign is the palpable sensation of the gliding of the femoral head in and out of the acetabulum;           – femoral … Read more

Orthopaedic Manifestations of Child Abuse

– Discussion:     – child abuse occurs most often under the age of 3 years;     – when child abuse goes unrecognized, the mortality rate may be as high as 5%;     – common patterns for abuse:            – unwitnessed spiral fractures            – fractures occuring prior to walking age;     – common fractures:            … Read more

Orthopaedic Manifestations of Myelomeningocele

– Discussion of Myelodysplasia – Spinal Deformities: – vertebral column development: – scoliotic & kyphosis in myelomeningocele may be either congenital or paralytic, or combination of both; – scoliosis in myelomenigocele: – kyphosis in myelomenigocele: – need to distinguish between 2 distinct types of kyphosis both of which are centered over mid lumbar segment; – … Read more

Orthopaedic Infections

– Types of Orthopaedic Infections:         – bacterial / parasite menu: / antibiotic menu        – studies:  – WBC, ESR, C-reactive Protein, Radioisotope scanning         – risk assessment for infection:                 – risk ractors for infection in TJR; – Methods to Prevent Infection    – Addition of … Read more

Orthopaedic Joint Infections: Intra-articular Antibiotics

– Discussion:      – properties of antibiotics to cement / properties of vancomycin in cement     – THR infections / – TKR Infections     – septic arthritis     – specific organisms:             – gram negative bacilli: – gram negative cocci: – gram positive bacilli: – gram positive cocci  – Technique and Dosing:     – … Read more

Orthopaedic Anesthesia

– See:         – Anesthesia and Timing for Femoral Neck Fractures:         – Anesthesia in the Spinal Cord Injured Patient:         – Cardiac Orders / Meds:         – Malignant Hyperthermia:         – Risk Assessment:          – Anesthetic Agents:                – Lidocaine:               … Read more

ORIF of Calcaneal Frx Using Lateral Approach

– Preoperative Planning:                   – Surgical Stratedgy:      – pt in true lateral position      – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap);      – extension from tuberosity to calcaneo-cuboid (watch peroneals)      – … Read more