– Discussion: – medial and lateral muscle bellies each carry long flaps of skin and fascia from the posterior calf and are most often used as myocutaneous flaps; these flaps are most useful for upper tibial defect reconstruction; – Contra-indications: – knee dislocation or … Read more
– See: external rotators of the hip: Origin: the outer surface of the spine of the ischium Insertion: the posterior medial surface of the greater trochanter on the femur; Action: external rotation of the femur at the hip; Nerve Supply: sacral plexus, L5, S1, S2; (see innervation) Synergists: piriformis, obturator externus, obturator internus, quadratus femoris, … Read more
– See: DDH – Discussion: – indicated for residual dysplasias in adolescents and young adults; – allows both anterior and lateral rotation as well as medialization of the hip; – can expect good improvement in the center edge angle (avg correction of 31 deg); – does not … Read more
– See: Garden Alignment Index – Garden I: – incomplete or impacted fracture, in which the trabeculae of the inferior neck are still intact; – femoral head is tilted in a posterolateral direction, causing vaglus angulation at the frx site; – non surgical treatment: – … Read more
– See: – Achilles Tendon: – Gastrocnemius Flap: (see reconstructive surgery for the leg): – Anatomy: (see superficial posterior compartment); – origin: – lateral head: lateral condyle and posterior surface of femur; – medial head: medial condyle … Read more
– See: – Pediatric Game Keeper’s Thumb – Thumb Deformities in RA – Rheumatoid Gamekeeper’s Thumb – Thumb MP Joint Dislocation – Discussion: – involves injury to ulnar collateral ligament of thumb MCP joint, causing instability at that joint; – the orignal description refered to … Read more
– Discussion: – type of muscinous filled cyst whch is found adjacent to joint capsule or tendon sheath; – it consist of an outer fibrous coat and an inner synovial lining and contains a clear, colorless, gelatinous fluid; – ganglions usually occurs singly but may be multilocular; … Read more
Discussion frx of radial shaft (between middle and distal 1/3’s) & dislocation of distal radioulnar joint; usually the dislocation is dorsal, but in some cases can be palmar; frx is almost always located just above proximal border of pronator quadratus; usually there is anterior angulation w/ transverse or short oblique config; ref: A Historical Report … Read more
– Positioning and Prepping: The patient is placed on a beanbag support in the lateral position. The entire axilla to foot area is prepped with betadine solution. A waterproof stockinette is used on the lower extremity with a sterile tourniquet in place at the thigh. Betadine impregnated vidrapes are used to isolate the hip and … Read more