– See: Gun Shot Wounds Plumbism Open Fractures Septic Joint – Classifaction of Open Joint Injuries: (from Collins and Temple (1992)) – type 2: – single capsular perforation or laceration w/o extensive soft tissue injury – A: w/ minimal step … Read more
div class=”mh-row clearfix”> h1>a href=”/image7/accll10.jpg”>img alt=”” align=”middle” src=”/image7/accll10a.jpg”/>/a> a href=”/image7/accll11.jpg”>img alt=”” align=”middle” src=”/image7/accll11a.jpg”/>/a>hr size=”3″/>/h1> div class=”bodycopy”>- See: a href=”/muscles-tendons/notchplasty/”>Notchplasty/a>: br/> br/> hr size=”3″/> strong>- Technique:/strong> br/> – strong>a href=”/bones/tibia-fibula/tibial-tunnel-for-acl-reconstruction/”>preparation – tibial tunnel/a>:/strong> br/> – tibial tunnel is created prior to femoral tunnel; br/> … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>strong>- Discussion: /strong>(see a href=”/muscles-tendons/posterior-oblique-ligament/”>posterior oblique ligament/a>)br/> – passes from insertion of the a href=”/muscles-tendons/semimembranous/”>semimembranous/a> on posteromedial aspect of tibia obliquely & laterally upward to insertion of br/> semimembranosus on the posteromedial aspect of the tibia obliquely & laterally upward toward insertion of the lateral gastroc head;br/> – it acts as … Read more
– See: – Epiphyseal Artery – Metaphyseal Artery – Periosteal Artery – Discussion: – nutrient artery enters into the diaphysis of long bones through an oblique canal; – direction of canal is determined by relative amount of growth that has occurred at … Read more
– Discussion: – abnormally narrow intercondylar notches have been shown to correlate directly with an increased incidence of ACL tears; – w/ excessive internal rotation of the femur, the ACL may be ruptured as it impinges on the edge of the intercondylar notch; – notchplasty is used to widen the anterior portion and recess of the … Read more
– Discussion: – few indications, except in elderly and osteoporotic patients w/ low energy extra-articular fractures; – these fractures have a high rate of hardware failure w/ operative treatment; – unfortunately, non operative treatment in elderly patients can also be associated w/ a … Read more
– Total Femoral Replacement: – indications: reconstruction following tumor resection – technique: – lateral position on a bean bag – begin proximally with a posterior approach to the hip – divide fascia laterally over femur and continue proximally to … Read more
– See: – Charcot Changes in the Diabetic Patient – Diabetic Foot Menu – Pathophysiology: – effects of neuropathy are simply those of the insensate foot; – in the last century the commonest cause of the insensate foot was syphilis, whereas it is now diabetes; … Read more
– See: Neuro Exam – Discussion: – mechanism of injury: – direct neural injury from sacral frx; – indirect neural injury from traction accompanying pelvic displacement; – injury to lumbrosacral plexus is most common w/ L-5 & S-1 roots being at greatest … Read more
– See: Total Hip Replacement Menu: – arterial injuries: in THR – nerve injury – nerve palsy from TKR – Discussion: – incidence of sciatic (tibial and/or peroneal) &/or femoral palsies after THR ranges from 1-3%; – incidence of nerve palsy is 1-2% of primary … Read more