– See: – Dorsal Dislocation of PIP joint – Extension Block Casting – Phalangeal Injury – Discussion: – long moment arm of the PIP joint, places this joint for higher risk of this injury; – mechanism and anatomy of injury: … Read more
– Discussion: – contractures and progressive weakness of lower extremities render walking increasingly difficult for patients who have DMD; – average patient is unable to walk effectively by the time that he is ten years old, in the absence of treatment; – age at which walking ceases, however, is … Read more
– See: – Phalangeal Menu: – Nail Bed Injuries: – Finger Tip Injuries: – Mallet Frx – Discussion: – fractures of the distal phalanx usually result from crushing injuries that produce significant soft tissue injury; – in such injuries the primary concern is soft tissue repair; – when the fractures are comminuted, the fragments are … Read more
– See: – Growth Deformities of Limbs – Growth Plate Arrest – Discussion: – anatomy of distal femoral physis: – account for approx 5% of all physeal frx; – displacement in sagittal plane is assoc w/ N/V injury in popliteal fossa and instability on closed reduction; – … Read more
– Radiographic Evaluation: – SH Type I: – physeal frx about knee are more common than lig. injuries in children; – stress-views & circumferential physeal tenderness help to make the diagnosis; – SH Type II: … Read more
– See: – Femoral and Tibial Traction Pins – Supracondylar Femoral Fractures – Discussion: – failure of the nail to fill the canal of either the proximal or distal fragment, may lead to postoperative instability; – distal fractures within 10 cm of the joint line often can be treated successfully with standard IM nailing; – Traction Pins: … Read more
– Discussion: – tight distal fit techniques achieve toggle control of stem in medullary canal; – tight distal fit is correlated w/ lower prevalence of thigh pain; – torsional stress is transferred thru proximal fixation in specimens w/ both proximal and distal fixation despite the fact … Read more
– See: Pediatric Elbow Injuries – Discussion: – most frx involving total distal humeral physis occur before age 6 or 7; – in an infant less than one year of age, whose elbow is swollen 2nd to trauma or suspected trauma, frx involving the entire distal humeral physis should always be … Read more
– See: – Dorsal Dislocation of the PIP joint – Phalangeal Injury – Rotary PIP Subluxation – Volar PIP Dislocation – Fracture Dislocations of the PIP Joint: – distinguish between avulsion chip frx from frx dislocation of PIP joint; – Chronic PIP Dorsal Dislocations: – leads to … Read more
– See: Discogenic Pain: – Discussion: – predominence of leg pain (nerve pain) over back pain (usually annular pain); – determine if leg pain is made worse by activities or positions that increase intra discal pressure; – SLR: is key finding in sciatica, but is also found in: … Read more