– Type I: – non displaced fracture of talar neck: – only those frxs in which there is no displacement of the subtalar joints should be designated as type I frxs; – type I frxs are treated w/ below the knee cast immobilization for 8-12 weeks until clinical & x-ray signs … Read more
– See: – Anatomy – Biomechanics – Classification of Patellar Fractures – Osteochondral Frx – Pediatric Patellar Avulsion Fractures – Discussion: – classification of patellar fractures – mechanism: – direct trauma … Read more
– See: – Lateral Collateral Ligament – Maisonneuve Fracture – Discussion: – occur most often in association w/ proximal tibial fractures, esp w/ split compression, bicondylar, and subcondlylar fractures; – look for injury to peroneal nerve, anterior tibial artery, biceps tendon, & lateral collateral ligament; … Read more
– Discussion: – hip dislocations are typically caused by high-energy trauma, usually from motor-vehicle accidents. – they occur most frequently in young patients; – types of dislocations: – anterior dislocation – central acetabular fracture dislocations … Read more
– See: Prosthetic Feet: – Discussion: – it is important that the foot gets flat on the floor as quickly as possible after heel strike; – if plantar flexion bumper provides too much resistance at heel strike, the knee may buckle; – SACH foot with a firm heel cushion … Read more
– Discussion: – in the majority of cases, there will be an open fracture of either the femur or tibia; – multiple injuries are common and hospital stays can last over one month; – amputation may be required in upto 20-30% of cases; – Technical Considerations: – … Read more
– Discussion: – results from arthrodesis w/ distraction involving lower lumbar spine; – young patients can compensate via flexion of hips & knees; – adults > 40 years loss ability to compensate & go on to develop fatigue-like pain along w/ a stooped posture; – Prevention: – operations … Read more
– See: – TKR Menu – Flexion Contracture of TKR – Flexion Gap / Extension Gap – Joint Line Position – Valgus Deformity / Varus Deformity – Discussion: – first: Malalignment should always be corrected first; – second: soft tissue adjustments which … Read more
– See: TKR Menu – Discussion: – soft tissue component is most frequently a result of of contracture of posterior capsule, but gastrocnemius, hamstrings, and PCL are also frequently involved; – references: – Flexion Contracture Following Primary Total Knee Arthroplasty: Risk Factors and Outcomes – Preoperative Considerations: … Read more
– Discussion: – most thoroughly analyzed joint in cerebral palsy has been knee; – most common deformity of the knee involves flexion contractures and decreased range of motion; – early changes: – short stride gait and reduced popliteal angle; … Read more