Ortho Oracle - orthopaedic operative atlas

Arthroscopic Acromioplasty / Cuff Debridement

– See: Open Acromioplasty – Discussion and Indications:     – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients;     – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder … Read more

Arthroscopic Acromioplasty: Discussion and Outcomes:

Discussion:     – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients;     – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder scope will be able to determine the status of … Read more

Arthrogram following THR

– See:       – Total Hip Replacement Menu:       – Puncture of Hip Joint – Discussion:     – most useful for assessment of loosening of acetabular component;     – for acetabular component, contrast at the cement bone interface in all zones or in zones I and II or II … Read more

Arterial Injuries: in THR

– See:         – Total Hip Replacement Menu:         – Anastomosis of Lower Limb Arteries         – Nerve Injuries in THR:         – Acetabular Screw Placement: – Discussion:     – arterial injuries have been reported in 0.1% to 0.2% of all total hip replacements;   … Read more

AP of Spine

– See:       – Pillar View – Discussion:     – this view demonstrates C3 thru C7 vertebral bodies, spinous processes and lateral masses; – Evaluates:     – lateral mass fractures     – sagittal plane frxs (also called vertical compression frx) may be visualized on the anteroposterior view;     – this view … Read more

AP View of Pelvis

See also: X-rays for THR X-rays for Femoral Neck Fractures Discussion this view should demonstrate the iliac bone, sacrum, pubis, ischium, femoral heads and necks, and greater or lesser trochanters; arcuate, iliopubic, ilioischial, and acetabular teardrop lines, sacral foramina, & SI joint should be scrutinized carefully and identified in a systematic manner; patient is supine with the … Read more

AO/ASIF Femoral Distractor

Indications allows unobstructed view of articular surface of acetabulum; Technique proximal bolt is inserted in the iliac wing in its superior portion, just distal to thickened crest; proximal bolt must pass through portion of ilium in continuity w/ sacrum (or frx proximal to this point must be stabilized) prior to application of a distraction force; distal bolt … Read more

AP of Ankle

  – Discussion: – is taken in line with the long axis of the foot; – entire fibula should be included if there is lateral joint tenderness above the joint line; – this view is used to evaluate medial & lateral malleolus anterolateral tibia and proximal fibula; – osteochondral frx of distal tibia and talus; … Read more

AVN and Salvage of Talus Fractures

– See: – Radiographic Evaluation – Blood Supply to Talus- Discussion: – may occur following talar neck fractures or may be atraumatic (from SLE, diabetes, MS ect); – absence of subchondral bone atrophy in talar dome on x-ray after 6 weeks following fracture implies AVN (see Hawkins Sign); – however,  there is not direct correlation between development of AVN and … Read more