– Anatomy and Discussion: – term describes abnormal flexion posture of PIP joint of one of lesser 4 toes; – the hammer toe deformity is similar to the curly toe deformity but is not malrotated; – flexion deformity of PIP may be fixed or supple; – w/ … Read more
– Technique: – place the leg in a figure of 4 position; – make a small longitudinal incision opposite the tibial tuberlce, midway between the tubercle and the the posterior edge of the tibia; – palpate the pes anserinus; – generally only the gracilis … Read more
– Discussion: – inflammation can be related to a Haglund deformity (postero-superior prominence – normal varient) which causes an overlying bursitis; – prominence of the posterior superior calcaneal tuberosity contributes to inflammation of the overlying tissues and the Achilles tendon; – most often occurs in women and is related to shoe wear w/ rigid heels … Read more
– See: – adolescent bunion – bunionette – Discussion: – pathophysiology – blood supply of MCP joint – windlass mechanism – diff dx: – gout – hallux rigidus (cheilectomy); – references: – Anatomic variations in the first ray: Part I. Anatomic aspects related to bunion surgery. – Muscle in hallux valgus. – Kinematics of the … Read more
– See: – Cervical Spine Menu: – Halo Placement in Children: – Discussion: – most effect orthosis for controling motion at C1-C2 articulation; – contra-indications: – unstable skull frx; – traumatized skin overlying pin sites; … Read more
– Discussion: – common shapes includes round nose, wadcutter, and semi-wad cutter; – missile velocity: – high velocity: – greater than 2000-2500 ft/sec; – M16 travels at 3250 ft/sec; … Read more
– Discussion: – bullets in soft tissue are rapidily encapsulated by fibrous tissue and are therefore essentially eliminated from circulating body fluids; – where as serum is a poor solvent and bullets that are in joints are more threatening because of their contact with synovial fluid combined with joint motion, will … Read more
Co-authors: Milford H. Marchant Jr., M.D., Allston Stubbs, M.D., Carl J. Basamania, M.D. March 15, 2005 – Background: – Definition: In situ death of bone within the humeral head due to disruption of blood supply – Other Names: Avascular … Read more
– Discussion: – comprise 12-15% of clavicular frx & are subclassified according to location of CC ligaments relative to fracture fragments; – distal clavicle fractures may have a high incidence of non union but most of these are asymptomatic, and of these only a small number will be severe enough to require surgery; – … Read more
– See: Atlanto-Axial Subluxation: – Discussion: – atlantoaxial rotary subluxation in association w/ pharyngeal infection, occurs predominantly in children; – it results in severe torticollis, resistant to manual therapy; – > 5 mm of anterior displacement of arch of C-1 (Fielding type III) indicates disruption of both facet capsules as … Read more