– See: – Total Hip Replacement Menu: – total hip in DDH – acetabular component menu: – crowe classification – Anatomic Position – Discussion: – w/ low dislocation, attempts should be made for antatomic placement, but should also be considered w/ high dysplastic dislocation; – long term success … Read more
Anatomy & Sites of Compression of Cubital Tunnel – Discussion: – cubital tunnel extends from medial epicondyle to olecranon; – it serves as the major contraint for the ulnar nerve as it passes behind the elbow; – w/ flexion the cubital tunnel becomes taunt, and with extension the cubital tunnel becomes lax; – aponeurotic roof … Read more
Gravity Method of Stimson Bigelow’s Maneuver: for Posterior Hip Dislocation Closed Reduction Discussion patient is placed in the supine position; knee is flexed to relax the hamstrings; assistant stabilizes the pelvis and applies a lateral traction force to the inside of the thigh; longitudinal traction is applied in line w/ axis of femur, and the hip is … Read more
– see bone graft menu – Discussion of Allografts: – see autograft menu and bone healing: – allografts are most indicated when bone grafting is required along with need for mechanical structural support; – morselized bone graft: – structural bone grafts: – fresh allografts – generally … Read more
– Discussion: (see bisphosphonates) – type of aminobisphosphonate (a synthetic analogs of pyrophosphate) which acts as an inhibitor of osteoclast-mediated bone resorption; – due to substantial reduction in bone resorption, bone formation exceeds bone resorption at these remodeling sites, which leads to progressive gains in bone mass; – this … Read more
Clinical Stage Clinical Findings Treatment Newborn Dislocated Dislocatable < 6 mo Dislocatable Unreducible > 6 mo Unreducible Failed Reduction > 3 yr Dislocated + Ortolani + Barlow + Ortolani + Ortolani + Ortolani > 5 mm medial die pool Trendelenburg gait Pavlik harness Pavlik harness Pavlik harness … Read more
Discussion consists of polyostotic fibrous dysplasia, cafe’-au-lait spots of “coast of Maine” variety, and premature menses; it is more common in girls than boys and accompanies approx 1 in 30 cases of polyostotic fibrous dysplasia; there is appreciable coincidence of other endocrinologic dz including hyperthyroidism & Cushing’s dz as well as hyperparathyroidism and hypophosphatemic rickets; in polyostotic cases of … Read more
Origin: anterior of pubis in angle between crest and symphysis; Insertion: middle 1/3 of medial lip of linea aspera; Action: addducts thigh at the hip, lateral rotation as it adducts the thigh. Some assistance in hip flexion; Nerve Supply: Obturator, L3, L2, L4; (See Innervation) Synergists: Gracilis, Adductor Magnus, Pectineus, Adductor Brevis Surgical Management of Sportsman’s Hernia in Professional … Read more
– origin: – posterior fibers: ischial tuberosity; – anterior fibers: ramus of ischium and pubis; – insertion: – from a line extending from the greater trochanter along linea aspera, medial suprcondylar line and adductor tubercle on medial condyle of femur; – action: – … Read more
– See: Infection Menu and Wound Management: and Local Antibiotic Delivery for Septic Joints – Discussion: – basic science: – useful in treating biofilm; – references: – In vitro characteristics of tobramycin-PMMA beads: compressive strength and leaching. – Antibiotic bone cement in THA. An in vivo comparison of the elution properties of … Read more