– Discussion: – IM may be most reliable technique for achieving union; – w/ TKR infection, IM fusion needs to be performed in a staged fasion with removal of components and control of infection before fusion is attempted; – contra indications: – active infection: … Read more
– See: – AP view – Radiology of the Pelvis: – Internal (Obturator) Oblique View: – shows iliopectineal line anterior column of pelvis & posterior wall; – pt is supine w/ involved side of pelvis rotated anteriorly 45 deg & beam directed vertically toward affected hip; … Read more
Joint Topics: Friction and Lubrication Neurogenic joint Open Joint Injuries Septic Joint Specific Joints / Regions: Acromioclavicular Joint Ankle Joint Cervical Spine CMC Joint of Thumb Elbow Joint Foot Hand Hip Joint Knee Joint MP joint Phalangeal Joints Radial Ulnar Joints Sacro-iliac Joint Shoulder joint Spine Sternoclavicular Joint: Sub-Talar Joint Thumb CMC and MP Joints … Read more
– See: Midfoot/Forefoot Fractures – Discussion: – involves frx at base of fifth metatarsal at metaphyseal-diaphyseal junction, which typically extends into the 4-5 intermetatarsal facet; – Jones frx is located w/in 1.5 cm distal to tuberosity of 5th metatarsal & should not be confused w/ more common avulsion frx of 5 th metatarsal styloid; – … Read more
Discussion – rare disorder manifested by tissue accumulation of iron affecting liver, pancreas, heart, and gonads; – approx 1.7% of men & 0.6 percent of women are homozygotes; – hereditary disorder of iron metabolism – diabetes is common (bronze diabetes) – 20% develop joint involvement; – most pts are male between ages of 40-60 yrs; – … Read more
– Discussion: – as with all femur fractures be sure that a femoral neck fracture is not present; – Operative Technique: – position: – supine with several folded sheets placed underneath the injured thigh and knee; – the injuried thigh must be … Read more
– Ender nails introduced in 1970; – nails backing out of the medullary canal – perforation of nails thru the femoral head – external rotational deformity at the fracture site – distal migration – ref: – The use of Ender’s … Read more
– Discussion: (see IM Nailing of subtrochanteric fractures) – a type of intramedullary device (designed for intertrochanteric and subtrochanteric fractures) which allows controled sliding of the femoral head screw within the IM nail glidign hole; – advantages of IM device: – IM nail with interlocking reconstruction … Read more
– Discussion: – frx occur as a result of a fall – from direct and indirect forces; – occurs along lines between greater and less trochanters; – theoretically extracapsular, however, it is not always possible to distinguish betwee intertroch and basilar femoral neck frx; – extracapsular intertroch frx occur thru cancellous bone, which has an … Read more
(for Discogenic Pain) – Discussion: – performed with the patient prone with arms at the sides; – examiners thumbs finds an interspace and exerts sharp downward pressure seeking a reproduction of pain; – several interspaces are tested to find levels that are not painful for comparison; – if no … Read more