– 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
– See: Green Stick Frx – Discussion: – occurs most often in children less than 8 yrs of age as a result of a fall on an outstretched hand; – anatomically the frx tends to occur just distal to insertion of pronator teres, and therefore distal fragment is supinated as compared … Read more
– Discussion: – Grayson’s & Cleland’s ligament hold skin in position during flexion and extension of the finger; – Grayson’s ligaments are thin and go from tendon sheath to the skin, and to some extent protect the nervovascular bundle (prevent bow stringing of the N/V bundle during flexion); – … Read more
– See: Total Hip Replacement Menu: – Discussion: – indications for osteotomy: – considerations for wire re-attachment: – wires can theoretically undergo gavanic corrosion if they are close to or touch the metal implant; – this is usually of little significance even if the wires … Read more
– See: Fracture Dislocation – Discussion: – isolated displaced greater tuberosity fractures are thought to occur in less than 2% of proximal humeral frx; – greater tuberosity fragments w/ its attached rotator cuff will characteristically have a longitudinal tear in the cuff between the supraspinatus and subscapularis tendons; … Read more
– See: Tibia Fracture Menu and Gustilo Classification – Discussion: – is frx in which there has been extensive stripping of soft tissues and periosteum from bone & where devitalization or loss of soft tissues usually requires plastic reconstructive procedures for closure; – extensive soft tissue loss with periosteal … Read more
– Discussion: – plantar, medial, posterior, and lateral, modifying the extent of release according to the severity of the deformity; – plantar quadrant includes the plantar fascia, the short toe flexors, and the long and short plantar ligaments. – medial quadrant involves talonavicular and subtalar release, lengthening of the posterior tibial tendon … Read more
Background: By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later half of 2007 at Franklin Regional Medical Center. This procedure involves harvesting the gracilis and semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone anchors. The drill holes for the bone anchors serve as a source for hematopoetic … Read more
– Anatomy: – origin: posterior gluteal line of the ilium, tendon of sacrospinalis, – dorsal surface of sacrum, coccyx and sacrotuberous ligament; – insertion: gluteal tuberosity of femur and iliotibial tract of fascia lata – it inserts partly into the … Read more