– See: – Foot Inclusion: – Safe Zone of Pin Insertion: – Debridment: – aggressive & repeated debridments of all devitalized tissue, including large fragments of bone; – consider debridment of bone ends with a hall burr inorder to promote bony opposition and compression; – … Read more
– see forearm compartment syndrome; – Discussion: – see forearm flexors – in forearm, both volar & dorsal compartments must be relieved by two incisions placed at 180 deg to each other; – release of volar compartment may quell elevated dorsal compartment; – on volar surface, lacertus fibrosis (proximally) & … Read more
– Discussion: – considerations: – removal of press fit components can often be complicated by heavy bone ingrowth, insertion of under-reamed components, or insertion of oversized peripherally oversized cups; – acetabular exposure: … Read more
– See: – OCS Application and Correction – Notes for Wrightlock Spinal Fixation System: Technique Overview: The typical hook placement for a Type III scoliotic curve of about 65 degrees (Figure 1) is derived from that recommended by Harrington. Normally, a six hook construct is used. Couplers are placed between the upper and middle sets … Read more
– See: Diagrams kindly … Read more
– Discussion: – 1st guide wire marks femoral anteversion; – 2nd guide wire marks direction of seating chisel and should be driven into the femoral neck parallel to 1st guide wire; – note that because the greater trochanter lies slightly posterior to the femoral neck, the guide wire needs to be placed slightly anterior to … Read more
– See: – Talocalcaneal Coalition – Calcaneonavicular Coalition – Discussion: – coalition between tarsal bones is frequent cause of painful flatfoot (pes planus) in the older child or adolescent; – tarsal coalition may be osseous, cartilaginous, or fibrous. – calcaneonavicular coalition bar is most common, followed by middle facet of talocalcaneal coalition joint; – single … Read more
(see also: Accessory Navicular; Kohler’s Disease I) Anatomy navicular joins in front w/ medial, intermediate, & lateral cuneiform bones, which articulate anteriorly w/ first, second, and third metatarsals; navicular provides insertion for tibialis posterior; blood supply to the navicular bone is radial and extraarticular & is subject to loss both at time of injury & … Read more
– Tarsal Tunnel Syndrome: – compression syndrome of the tibial nerve in the tarsal tunnel; – tarsal tunnel is formed by the flexor retinaculum behind and distal to the medial malleolus; – inciting causes: – lipoma, ganglia, or neoplasms within the tarsal tunnel; – an accessory flexor digitorum longus muscle is a common cause; – … Read more
– See: – Talar Tilt: Physical Exam – Tilt Measurement: – Mortise view: – line drawn parallel to articular surface of distal tibia; – second line drawn parallel to talar surface should be parallel to each other; – alternative method: … Read more