– Considerations: – anesthetic considerations: – generally GEA is the standard of care: – some anesthesiologists state that there is no such thing as safe pediatric conscious sedation; – hematoma block may be dangerous and is usually ineffective; … Read more
– See Quads – Origin: – Straight Head: Anterior Inferior Iliac Spine – Reflected Head: Groove on upper brim of acetabulum; – Insertion: Upper border of patella by the ligamentum patella into tibia tuberosity; – Reversed origin-insertion action: Flexes the pelvis on the femur and gives anterior stabilization to the pelvis; … Read more
– Discussion: – normally separates from the anterior tibial artery as it perforates the interosseous foramen; – this branch heads superiorly and in the direction of patellar tendon, supplying the skin overlying patellar tendon, – supplies the anterior aspect of the knee, the superior tibiofibular joint, and the lateral condyle of the … Read more
– AP view: – patient is supine with the foot internally rotated 15 deg to obtain best views of the femoral neck; – central beam is directed toward the femoral head; – X-ray tube should be positioned 100 cm from focal plane of film cassette to yield an … Read more
– See: PreOp Planning: – Discussion: – a candidate for HTO should have relatively normal lateral and patellofemoral compartments; – degenerative changes confined to medial compartment should be apparent in x-rays, although minor arthritic changes in lateral compartment or patellofemoral joint are not absolute contraindications – HTO is contraindicated w/ lateral compartment or patellofemoral symptoms … Read more
– Anatomy of Olecranon: – Radiology: – insist on a true lateral X-ray of the elbow joint to evaluate: – extent of frx & displacement: – non comminuted = displacement of less than 2 mm; … Read more
– Harris Beath View – Oblique View: – patient is supine with the knee flexed; – lateral border of the foot is elevated 40 to 45 degrees with – medial border of the foot against the cassette; – central beam is directed vertically to the base of the 3rd M.T. … Read more
– AP and Lateral: – radiographs are assessed for frx locations, displacement, alignment; – lateral plateau is convex from front to back & side to side, whereas medial one is concave; – lateral plateau is higher than medial one, which indicates amount of plateua … Read more
– Discussion: – radiographs of knee hemarthrosis, may show the capsule in distension; – synovitis, cartilage thinning, widening and ersion of intercondylar notch; – enlargement of ossification centers, esp distal end of femur; – hemorrhage can displace periosteum to such extent that huge soft tissue mass results … Read more
– Discussion: – complete knee series should include an anteroposterior, lateral, & axilla view as well as a tunnel view in skeletally immature pts; – Specific Views: – Axilla View – Lateral Radiograph – Tangential Patellar Views – Tunnel Radiograph – X-ray Features of … Read more