– Discussion: – longitudinal traction restores skeletal length and improves fracture alignment, – radial styloid frx and scaphoid facet are usually amenable to reduction through ligamentotaxis or by manipulation and reduction with a large, pointed bone clamp; – residual incongruity usually involves the lunate facet of the distal end of … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Technique:/strong>br/> – while obtaining a perfect circle under flouroscopy it is important not to rotate the foot because this will cause a malalignment of the foot progression angle;br/> – instead, rotate either the entire leg as a unit or … Read more
– Discussion: – if frx extends distally past midpoint of trochlear notch, it no longer represents only a disruption of the triceps mechanism; – it comprimises stability of elbow in withstanding varus & valgus forces; – Reduction: – reduction of olecranon frx is easiest w/ elbow in extension which relaxes the … Read more
– See: – Phalangeal Menu: – Nail Bed Injuries: – Finger Tip Injuries: – Mallet Frx – Discussion: – fractures of the distal phalanx usually result from crushing injuries that produce significant soft tissue injury; – in such injuries the primary concern is soft tissue repair; – when the fractures are comminuted, the fragments are … Read more
– Discussion: – generally distal interlocks should be inserted prior to the proximal interlocks; – this allows the leg to be rotated in the most advantageous position for interlock insertion and allows more effecient compression across the frx site (by gently tapping the proximal nail assembly proximally); – … Read more
– Radiographic Evaluation: – SH Type I: – physeal frx about knee are more common than lig. injuries in children; – stress-views & circumferential physeal tenderness help to make the diagnosis; – SH Type II: … Read more
– See: – Femoral and Tibial Traction Pins – Supracondylar Femoral Fractures – Discussion: – failure of the nail to fill the canal of either the proximal or distal fragment, may lead to postoperative instability; – distal fractures within 10 cm of the joint line often can be treated successfully with standard IM nailing; – Traction Pins: … Read more
– Discussion: – distal biceps may rupture off the radial tuberosity; – presents w/ painful swollen elbow usually in a 50-60 yo active male, most often in the dominant side (uncommon in women); – incidence of distal biceps rupture is 1.2 per 100,000 persons per year; – single traumatic event involving flexion against resistance, w/ … Read more
– Two Incision Approach (Boyd and Anderson) – advantages: – two-incision technique to limits the anterior dissection and therefore may limit pain; – may reduce injury to the radial nerve, which can occur w/ a one incision technique that incorporates drill holes thru the … Read more
– One Incision – Modified Henry Approach: – see: Henry Approach to the Forearm; – some surgeons feel that this is the prefered technique noting that modern suture anchors anchors have permitted safe repair of biceps tendon through one anterior incision; – advantages: direct approach, avoids PIN injury, … Read more