Ortho Oracle - orthopaedic operative atlas

Osteochondral Fractures of the Patella

– See:       – bipartite patella       – pediatric avulsion fractures       – patellar dislocation – Discussion:     – are primarily of two types;     – direct blow, or more commonly patellar dislocation, may cause an immediate frx around the point of contact, separating a single fragment             that … Read more

Osteochondroma / Osteocartilaginous Exostosis

    – Discussion:     – a developmental dysplasia of peripheral growth plate which forms a cartilage capped projection of bone found near metaphyses of long bones;           – peripheral chondroblast grows outward from the metaphysis, acting as an ectopic growth plate, which ceases growth at skeletal maturation;     … Read more

Osteoarthritis: Predisposing Causes

  SCFE   Trauma   Inflammatory arthritis   Calcium Pyrophosphate Dihydrate Crystal Arthritis      – these pts may have symptomatology at atypical sites of the hand such as the second and third MP joints;   Osteonecrosis   Intra-articular Steroids   Hyperparathyroidism      – it can cause subchondral bony erosions and collapse of the articular … Read more

Ossification of Soft Tissue and Periosteum

– See:   – Diff Dx: Hypercalcemia   – Diff Dx: HyperPhosphatemia   – Approaches To Differential Diagnosis In Musculoskeletal Imaging: Soft Tissue Calcifications – Discussion:     – calcium hydroxyapatite can be deposited in periarticular soft tissues or within joints;     – in either event the disease may be monoarticular or polyarticular;   … Read more

Orthotic Management of Blounts Disease

– Discussion:     – principle of orthotic management in infantile tibia vara is alteration of abnormal compressive forces so that normal growth will resume &            genu varum will be corrected;     – patient age:           – historically, bracing has been the treatment of choice for a child 14 … Read more

Ortolani’s Test: for Congenital Hip Dislocation

– Discussion:     – early dx by postnatal screening w/ Ortolani or Barlow’s Test is essential to detect hip instability or dislocation;     – strictly interpreted, the Ortolani sign is the palpable sensation of the gliding of the femoral head in and out of the acetabulum;           – femoral … Read more

Orthopaedic Infections

– Types of Orthopaedic Infections:         – bacterial / parasite menu: / antibiotic menu        – studies:  – WBC, ESR, C-reactive Protein, Radioisotope scanning         – risk assessment for infection:                 – risk ractors for infection in TJR; – Methods to Prevent Infection    – Addition of … Read more

Orthopaedic Joint Infections: Intra-articular Antibiotics

– Discussion:      – properties of antibiotics to cement / properties of vancomycin in cement     – THR infections / – TKR Infections     – septic arthritis     – specific organisms:             – gram negative bacilli: – gram negative cocci: – gram positive bacilli: – gram positive cocci  – Technique and Dosing:     – … Read more