– Definition: – see instability following TKR – is space between the posterior coronal cut on the distal femur & transverse cut on proximal tibia, while knee is in flexion; – effect of resection of PCL (see posterior stabilized prosthesis); – in report by Kadoya, et al, effect of PCL resection … Read more
– Discussion: – if there is free movement at hip, subtalar & mid-tarsal joints rotation at the knee is not essential for restricted function of prosthetic joint; – in contrast, an arthrodesed ipsilateral hip is a relative contra indication to knee replacement, for it prevents rotation of thigh as … Read more
Discussion results from fibrosis of sternal head; can result from unilateral shortening of sternocleidomastoid, commonly associated with fibrosis of the muscle; may also involve the platysma and scalene muscles; birth trauma, occlussion of venous flow, or hematoma results in fibrosis of muscle & palpable mass noted w/in first 4 wks of life; nontender enlargement may … Read more
Discussion when the innervated ligamentous layer of the outer annulus fibrosis is stretched because of segmental instability, pain results; acute sprain probably represents partial tearing of annular tissue; if annular tissue becomes weakened to the point of allowing nucleus to protrude beyond the normal confines of the annulus, it may actually be a prelude to … Read more
Discussion main causes of toe walking are idiopathic toe walking and cerebral palsy history may include continuous toe walking vs normal gait followed by delayed toe walking by age 2 yrs; idiopathic toe walking is often caused by a congenitally short heelcord or an overactive calf muscle; heel cord lengthening may be an option after … Read more
– Discussion: – most common type of pediatric ankle fracture; – involves adduction injury to a supinated foot; – Classification: – type I: (involves fibula); – separation of distal fibular epiphysis (SH I or II frx); – epiphyseal separation involves distal fibula … Read more
– Discussion: – w/ foot in full supination, ankle is submitted to plantar flexion force; – most often causes a SH type II frx (less often SH I) of distal tibia; – fibular fracture may or may not be present; – Radiograph: – on lateral x-ray look for … Read more
See: Surgical Approach Tension Band Theory Discussion transverse frx involving less than 50% of proximal sigmoid notch are suited to stable internal fixation by tension band; Weber modification provides improved frx rigidity; may also use T.B.W. along with a 6.5 mm cancellous screw, 7.0 mm screws, or 7.3 mm screw; surgical consent: patient should understand, … Read more
The Most Up-to-Date Book on ESWT A Accessory Bones of the Foot Accessory Navicular Achilles Tendinitis Akin Procedure Amputation of Foot and Ankle Anterior Impingement Snydrome of Ankle Arthrodesis of First MTP Joint Avulsion of Base of 5th Metatarsal B Bunionette C Calcaneus Calcaneal Apophysitis Calcaneovalgus Foot Cavovarus Foot Cheilectomy of First MTP Chevron Osteotomy … Read more