– Discussion: – IM nailing of Intertrochanteric fractures – Synthes Trauma Menu / Proximal Femoral Products – nails designed for trochanteric entry and rigid fixation into the femoral head are optimally used; – indications: – interlocking nails have been used for subtroch frx when lesser trochanter remains attached to the proximal … Read more
– See: Humeral Frx – Main Menu: / humeral shaft fractures – Discussion: – may be indicated for multi-trauma patients w/ humeral shaft frx, and patients w/ pathologic frx; – note that following humeral shaft frx, IM nailing provides torsional and bending stiffness of only 20-30% of normal; … Read more
Dr. Mangal Parihar – Discussion: Proper limb positioning taught early on minimizes the chances of contractures developing later. The commonest cause of a flexion deformity is the tendency to keep a pillow lengthwise under a tibial frame. This causes flexion at the knee. This should be prevented by repeatedly correcting the tendency and keeping an … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
– Discussion: – an overuse phenomenon which is common in runners (more common w/ downhill running); (see running injuries) – pts usually have pain over lateral femoral epicondyle, which is caused by inflammation resulting from friction as iliotibial band slides over condylar prominence; – syndrome may be more common in … Read more
– Discussion: – approach is similar to Smith Peterson; – provides exposure to the outer aspect of the iliac bone and gives exposure of the anterior and posterior columns; – extended iliofemoral approach provides best access to both column fractures (esp w/ greater sciatic notch involvement) & allows best … Read more
– Discussion: – before retractors are placed beneath coracoid process palpate for musculocutaneous nerve as it enters conjoined tendon; – nerve lies on deep surface of coracoid muscles; – most often nerve enters coracobrachialis and biceps from medial aspect about 5 cm distal to tip of coracoid process; … Read more
– See: Musculoskeletal Considerations in Pregancy – Discussion: – uncommon disease which is a diagnosis of exclusion; – most often seen in women during the third trimester of pregnancy and in middle-aged men; – typically there is no antecendent trauma; – up to 40% of patients may … Read more
Origin: superior 2/3 of the iliac fossa, internal border iliac crest, anterior sacroiliac, lumbosacral and iliolumbar ligaments, ala sacrum; Insertion: Lesser trochanter of femur and for a short distance below along medial border of the shaft; Action: Flexes thigh at the hip, minimal activity on lateral rotation of the thigh; Reversed origin-insertion action: when the … Read more
– Discussion: – it is essential to locate axillary nerve when performing any anterior shoulder reconstruction; – to facilitate nerve identification, place arm in adduction & in neutral rotation; – pass a finger along lower aspect of subscapularis, inorder to palpate nerve as it passes medially along subscapularis to … Read more