– Discussion – principles of treatment are maintenance of ROM & containment of femoral head through the evolution of healing of the epiphysis; – in child > 5 yrs who has more than 1/2 of epiphysis involved, abduction bracing or surgery are methods of treatment currently employed; … Read more
Co-authored by: Jan Van Der Bauwhede MD – Discussion: – disorder of unknown etiology characterised by local proliferation of abnormal fibrous tissue in the plantar fascia – this tissue is locally aggressive and progressively replaces the normal plantar aponeurosis – this leads to often painful thickened fascia with nodules … Read more
– Description – I Open (usually from stabbing) – II Closed (usually from motorcycle accident) – IIa Supraclavicular – preganglionic: – avulsion of nerve roots, usually from high speed injuries with other … Read more
– Discussion: – theory based on reproduction of frx patterns in cadavera; – rationale was to guide closed treatment of fractures about the ankle; – initial position of the foot is either supination or pronation; – supination of foot places tension on lateral structures of ankle; – pronation places … Read more
– origin: broad aponeurosis that originates on the spinous processesof the lower 6 thoracic and all lumbar vertebrae; posterior crest of ilium, posterior surface of sacrum, lower 3 or 4 ribs, and an attachment of the tip of the scapula; – insertion: flat tendon that twists upon itself to insert into the intertubercular groove of … Read more
– See: Retinacular Release for TKR: – Discussion: – see lateral anatomy of the knee and blood supply to the knee; – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, & joint capsule; – a successful release should release the lateral … Read more
– Discussion: – involves impingment of nerve roots lateral to the thecal sac, as they pass thru the neural foramina; – anatomically there is compression from medial aspect of hypertrophic superior articular facet, – often associated with facet joint arthropathy (superior articular process enlargement) and disc disease; … Read more
– Discussion: Type I Fractures: – this is the wedge fracture of a lateral plateau; – it occurs mostly in young people since the dense cancellous bone of lateral plateau resists depression; – “Minimally Displaced Fractures” (from the Holh Classification) – frx shows depression … Read more
– Discussion: – when the frx is sufficiently oblique & is not comminuted, it can be treated w/ a lag screw to produce intrafragmentary compression, and neutralization plate placed laterally to prevent frx from slippling; – disadvantages of lateral plating: – prominent lateral screws may cause … Read more
– Radiographic Findings: – ankle frx: – fibula overlaps posterior aspect of tibia, but posterior tubercle of tibia can still be seen; – posterior subluxation of talus in mortise may be assoc w/ posterior lip frx or posterior talofibular ligament tear; … Read more