– See: – Anterior Dislocation of the Shoulder – Posterior Shoulder Dislocation – Proximal Humeral Fracture – Three Part Fracture Dislocation – Discussion: – frx dislocations may be considered an extension of two, three, and four part frx classifictions; … Read more
– Discussion: – fracture dislocation injuries involve disruption of all three columns by a combination of compression, tension, rotation, and/or shear; – posteror to anterior shear type: – occurs w/ direct load to back, superior vertebral body segments are displaced anteriorly with respect to those below; … Read more
– Discussion: – 4 segment frx is most difficult to treat & is assoc w/ poorest results; – vascular supply to the humeral head – added to problems of three part frx, namely delayed union or non union, is avascular necrosis of the humeral head; – the … Read more
– Technique: – Brunner Incision is made extending from distal phalanx of thumb to the MP crease; – digital nerves and vessels are identified (protected by Grayson’s ligament); – dissection procedes down to the oblique and transverse flexor tendon sheaths; – the proximal … Read more
– Discussion: – dorsalis pedis flap: – heel pad reconstruction: – complications of free flap reconstruction include weight bearing induced ulceration under the heel; – this may result from poor tailoring of the flap, lack of heel sensation, … Read more
– Discussion: – broad range of forces acts upon the hip joint; – muscles that cross hip joint generate most of the load that it bears; – femoral neck fracture: – distance between the head and shaft of the femur determines the moment arm … Read more
– Above the Level of the Pectoralis: – frx above level of pectoralis allows proximal frag to abduct & rotate internally, owing to action of rotator cuff; – pectoralis has greatest influence on shaft segment & tends to displace it medially and anteriorly; – Above the Deltoid: … Read more
– See: Flexor muscles of the Forearm: – Superficial muscles arise from a common tendon attached to the lateral epicondyle of the humerus, and divide into lateral and medial groups; – Lateral three of these muscles: Brachioradialis Extensor … Read more
– See: Claw Toes – Discussion: – in pts who have a rigid cock-up deformity of toe that is present at skeletal maturity, we perform arthrodeses of the proximal and DIP joints, removing wedges of articular cartilage and adjacent bone based dorsally to correct the deformity, shorten the toe, and allow for apposition of osseous surfaces … Read more
– Diabetic Foot – Treatment Considerations – Syme’s Amputation – Ankle-level amputation. – Chopart Amputations: – The Modified Chopart’s Amputation. – Resurrection of the amputations of Lisfranc and Chopart for diabetic gangrene. – Congenital Chopart amputation. A functional assessment. – Pirogoff: – Pirogoff Amputation for Foot Trauma: An Unusual Amputation Level A … Read more