– Discussion: – Fibular Harvest: – Hip Preparation: Various methods have been advocated for the treatment of acascular necrosis of the hip in the young patient. From the literature an operative treatment for the symptomatic hip is the conservative method of management. Reports on core decompression, osteotomies, electrical stimulation, and bone grafting have been difficult … Read more
– Technique: The fibula is approached through a lateral incision simultaneous to the hip approach. The surgeon stands on the posterior side. The incision is planned on a line directly over the fibula. The fibular bone cuts will be 15 cm apart with the distal cut at 10 cm proximal from the distal fibular tip. … Read more
– See: – ALIF with Revision Decompression and Reinstrumentation – Anterior-Posterior Lumbar Interbody Fusion – Posterior Lumbar Single-Level Decompression and Fusion with Instrumentation – Anterior Arthrodesis of the Subaxial Cervical Spine: – AAOS – Bulletin: A minute of malpractice – Cage Fixation: (interbody fusion) … Read more
– See: – Burn Management: – Chemical Burns: – Electrical Burns: – Frost Bite: – Discussion: – full thickness injury which extends thru the entire dermis, and therefore spontaneous re-epithelialization will not occur; – clinical features: wound is insensate, … Read more
Management of Difficult Shoulder Problems–Symposium: The Frozen Shoulder Diagnosis and Management. Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. The frozen shoulder. Diagnosis and management. Frozen shoulder. A long-term follow-up. Combination treatment for adhesive capsulitis of the shoulder. The resistant frozen shoulder. Manipulation … Read more
– See: – Growth of Proximal Tibial Epiphysis – Avulsion of the Tibial Tubercle – Discussion: – injuries of prox tibial epiphysis are rare (3 % of lower extremity epiphyseal frx); – injury is uncommon because knee ligaments bypass proximal tibial epiphysis and instead insert more distally; … Read more
– 2 types: Avulsion and Compression Fractures – Avulsion Fractures: – is the more common of the 2 fractures; – mech: adduction, plantarflexion, & tension placed on bifurcate ligament; – bifurcate ligament: – this ligament connects the anterior process of the calcaneus to both the cuboid and navicular bones; … Read more
– See: – Adult Lateral Condylar Fractures – Pediatric Elbow – Discussion: – common frx in children (20% of pediatric elbow frx); – occurs most often between 6-10 yrs of age; – mechanism: fall on the outstretched arm w/ forearm in abduction & elbow in extension; … Read more
– Discussion: – most common form of spinal cerebellar degenerative dz; – onset usually before 10 years old; – tends to have acute onset; – dz caused by defeciency of the frataxin gene – Clinical Manifestations: – staggering gait – pes cavus: … Read more
– Technique: – centered in groove at upper margin of eyebrows, between supraciliary ridge and the frontal prominences; – saggitally, fromt pins should be placed just superiorly to outer half of eyebrows, to avoid the supraorbital nerve and vessels; – placed too inferiorly, the pins might … Read more