– Discussion: – most common malignancy of childhood; – usually affects young children; – most appear systemically ill; – dz can mimic JRA by skeletal and extraskelal manifestations; – joint disease is usually painful monoarticular (frequently hip) although it can be painful polyarticular … Read more
– Discussion – principles of treatment are maintenance of ROM & containment of femoral head through the evolution of healing of the epiphysis; – in child > 5 yrs who has more than 1/2 of epiphysis involved, abduction bracing or surgery are methods of treatment currently employed; … Read more
– Discussion: – view should demonstrate the metacarpals, lunate and radius aligned – hand will appear slightly palmar flexed; – w/ proper technique, the volar pisiform will lie between the distal aspect of scaphoid and the palmar aspect of the head of the capitate; – Specific Point of Evaluation: … Read more
– Discussion: – when the frx is sufficiently oblique & is not comminuted, it can be treated w/ a lag screw to produce intrafragmentary compression, and neutralization plate placed laterally to prevent frx from slippling; – disadvantages of lateral plating: – prominent lateral screws may cause … Read more
– Discussion: Tibial Plateau Frx Menu – lateral plateau frxs include: – type I fractures – type II fractures – type III fractures – local compression frx which are similar to type iii frx – Surgical Stratedgy: – extensile surgical approach that exposes whole … Read more
– See: – Flexion and Extension Views: – Technique: – Upper Cervical Spine: – prevertebral soft tissues – occipital-atlanto-axial injury: – atlanto-occipital disassociation – C1-C2 interspinous space should not be greater … Read more
– Discussion: Anterior Lesion: – lateral compression injury, contralateral type (Bucket Handle): – bucket handle type of injury is usually caused by direct blow to pelvis; – anterior fracture may be on the opposite side to the posterior lesion (contralateral type) or all four rami may fracture anteriorly; … Read more
– Anatomy: – LFCN, as its name suggests, is purely sensory; – it arises from L2 and L3, travels downward lateral to the psoas muscle, crosses the iliacus muscle (deep to fascia), passes either thru or underneath the lateral aspect of the inguinal ligament, and finally travels onto innervate the lateral … Read more
– Discussion: – usually arises from lateral side of deep femoral artery; – in 15% of pts, it arises from femoral artery above profunda; – LFCA passes laterally in front of Psoas & between branches of Femoral Nerve; – passes deep to Sartorius & rectus femoris, and … Read more
– See Laboratory work up for Infected Total Knee: – Culture Specimen: – in the report by Levine BR and Evans BG, the authors studied 3 different intraoperative culture techniques and their diagnostic value in determining clinical infection in patients after a total joint replacement; – 24 patients (34 … Read more