– See: – Physical Exam of the Knee: – Mechanism: ACL Tear: – Anteromedial Rotatory Stability: – Anterior Cruciate Ligament – Anterior Drawer Test – Anterolateral Rotatory Instability – Clunk Test – Lachman – Losee Test – … Read more
– Discussion: – pes arserinus is final common tendinous insertion of sartorius, gracilis, & semitendinosus along proximal medial aspect to tibia; – these muscles serve as flexors & internal rotators, & help protect knee … Read more
– See: TKR Menu: – Peroneal Nerve and Peroneal Nerve Palsy – Nerve Injury from THR – Discussion: – peroneal nerve palsy following TKR usually presents acutely but in some cases there will be a delayed presentation; – risk factors: – use of epidural anesthesia; … Read more
Discussion: – peroneal nerve – peroneal palsy following TKR – nerve injury – discussion: – peroneal nerve palsy may lead to severe disability w/ foot drop and paresthesias; – note that in contrast to other types of nerve palsies, peroneal palsy may … Read more
– See: Peroneus Longus / Peroneus Brevis: – Discussion: – acute dislocation occurs by sudden forced dorsiflexion w/ concomitant eccentric contraction of the peroneal muscles; – classic teaching that the tendon dislocation occurs from a combination of dorsiflexion and eversion (like skiing), where as other authors feel that the injury occurs from dorsiflexion and inversion … Read more
– See: – Casting of Tibial Fractures – Distal Tibial Fracture – Intercondylar Eminence Fracture – Proximal Tibial Physeal Fractures – Proximal Tibial Metaphyseal Fractures – Tibial Tuberosity Fractures – Pediatric Ankle and Distal Tibia Fractures: – … Read more
– See: Osteochondral Frx – Discussion: – type of osteochondral frx of the patella which results from high impact jumping activities – mechanism: eccentric contraction of the quadriceps on the flexed knee; – occurs when the inferior pole of the patella of a child or … Read more
– See: – Methods to Etimate Growth Potenital: – Growth Plate Anatomy – Appearance of Ossification Centers: – skeleton incompletely ossified at birth, & portions such as carpals, patella, navicular, cuneiforms, will radiographically appear entirely cartilaginous; – ossification centers will enlarge in all directions, until it becomes bounded on … Read more
– Discussion: – most commonly presents at 14 to 36-months; – bowleg deformity in children w/ short stature & may indicate skeletal dysplasia; – developmental knee alignment: – normal knee alignment progresses from 10-15 deg of varus at birth to maximal valgus angulation of … Read more
– See: – Distal Femoral Physeal Fractures – Hip Fractures in Children – IM Nailing of Pediatric Femoral Fractures – Discussion: – commonest site of fracture of the femoral shaft is in its middle third, where normal anterolateral bowing of the diaphysis is at its maximum; … Read more