– See: Adult Olecranon Frx: – Discussion: – secondary ossification centers of olecranon (bipartite olecranon or patella cubiti) should not be misdiagnosed as fractures; – Radiology: – ossification center of olecranon appears at 10 yrs of age & is usually fused to proxomal ulna by age 16 yr; – rarely … Read more
– See: – Below Knee Amputation: – BKA prosthetics – Pediatric Amputation – Discussion: – Anterior bowing assoc. w/ posterior tilting of epiphyseal plate; – Varus type of bowing with distal element pointing medially; – Fibula will usually out grow tibia, which may … Read more
(see: juvenile RA menu) Discussion definition: < 4 involved joints. most frequently encoutered subgroup, accouting for 30-40% of JRA; peak age is 2-4 years more common in girls (4x) differential dx Clinical Presentation> begins w/ incidious onset which can be painless swelling, warmth, and restriction of motion are common sx; knee, ankle, and elbow (& … Read more
– Discussion: – Pavlik harness is a dynamic flexion abduction orthosis used to treat DDH in infants up to 6 months of age; – harness usually leads to stability of reduced hip w/ in 4 wks, but its use should be continued until clinical exam & x-rays of hip are normal; … Read more
– Bipartite Patella – Bursitis – Chondromalacia – Malalignment syndromes – Multipartite Patellae: – Osteochondritis Dissecans – Patella Overload Syndrome – Patella Alta – Synovial Plica – Subluxation Pathomechanics of the femoropatellar joint following total knee arthroplasty. A systematic approach to reconstruction of neglected tears of the patellar tendon. A case report. Modified technique for tibial … Read more
– Discussion: – osteoarthritis represents a gradual processes of destruction & regeneration; – early in dz, articular cartilage loses its glistening appearance; – later on surface layers flake off while deeper layers develop longitudinal fissures, process termed fibrillation; – cartilage becomes thin and sometimes denuded; – … Read more
– Discussion: – combination of genetic and environmental factors in its etiology; – an important early event may result from the interaction of antigen presenting macrophages w/ T cells (helper/inducer); – HLA-D allele DR4 is associated w/ RA patients; – although clinical laboratories measure IgM rheumatoid factor, … Read more
– See: Congential Clubfoot Menu: – Clinical Anatomy: – affected limb may be shortened, calf muscle is atrophic, and foot is short compared to opposite side; – medial rotation of tibia; – joints: – ankle and subtalar joints are in fixed equinus; … Read more
– History: 1963 – Maurizio described the association of patellar tendonitis with jumping 1973 – Blazina, et al. coined the term “jumper’s knee” 1978 – Mariani, et al. and Roels, et al. widened the term “jumper’s knee” to include pathology of the patellar tendon at the tibial tuberosity 1986 … Read more
– See: Subluxation of the Patella – Fulkerson Classification: – type I, subluxation alone; – type II, subluxation and tilt; – type III, tilt alone; – type IV, no malalignment; – Clinical Presentation: – anterior knee pain with a tight, … Read more