– Discussion: – may be accomplished with a large needle or by open surgical methods; – things to consider before biopsy: – has the workup established metastatic dz (most common in patients over 40) vs isolated bone / soft tissue tumor vs infection (osteomyelitis); – studies that may be performed prior to biopsy: … Read more
– See: – Closed Reduction – Gravity Method of Stimson – Discussion: – pt lies supine, & assistant applies countertraction by downward pressure on the ASIS; – surgeon grasps affected limb at ankle w/ one hand, places opposite forearm behind the knee, and applies longitudinal traction in line of deformity; – adducted & internally rotated … Read more
– Discussion: – integrity of all ligaments of cervical canal is lost, including posterior ligaments, anterior & posterior longitudinal ligaments, disc, and articular facet joints; – this type of injury occurs only when middle & posterior ligamentous structures are disrupted; – there are typically no frxs of facets because … Read more
– Anatomy: – origin: – long head: supraglenoid tuberosity of the scapula – short head: apex of coracoid process of scapula; – synergists: brachialis, brachioradialis, supinator; – innervation: musculocutaneous, C5 > C6; – … Read more
– Anatomy: – origin: – long head: ischial tuberosity and the sacrotuberous ligament; – short head: lateral lip of linea aspera, lateral supracondyle of femur and lateral intermuscular septum; – insertion: – lateral sides of the head of the … Read more
– See: Proximal Biceps Tendon Rupture: and SLAP tear and arthroscopic rotator cuff repair – Discussion: – inflammation of long head of biceps tendon usually occurs w/ rotator cuff inflammation (esp subscapular tears); – clinically, it may be difficult to differentiate the pain patterns of rotator cuff and biceps tendon inflammation; … Read more
– Discussion: Tibial Plateau Frx Menu – consists of wedge frx of medial & lateral plateau; – if articular depression is present, it is usually present on the lateral plateau; – frx may have an inverted Y appearance, w/ the articular frx originating in the intercondylar region; – associated … Read more
– Indirect Reduction Stratedgy: – statedgy forgoes attempts at meniscal reduction (or repair), ligamentous repair, or direct joint reduction; – longitudinal traction is used to align proximal tibial condyles over shaft; – depressed fragments are reduced w/ a bone tamp thru cortical window; – frx reduction is … Read more
– See: Upper Extremity Prosthetics: – Discussion: – below-elbow amputation is extremely functional, and successful prosthetic rehabilitation and sustained use are achieved in 70% to 80% of patients; – forearm rotation and strength are proportional to length retained; – Long Below Elbow Stumps: – in long elbow stump w/ … Read more
– See: – BKA Prosthesis – Amputations in the Diabetic Patient – Pediatric BKA: – Discussion: – length considerations: – ideal bone length is between 12 to 17 cm as measured from the medial joint line; – in … Read more