– See: subclavian artery and internal jugular approach – Anatomy: – subclavian vein, which in the adult is approximately 3-4 cm long and 1-2 cm in diameter, begins as a continuation of the axillary vein at the lateral border of the first rib, crosses over the first rib, and passes in front of the … Read more
Discussion (see also: subacromial bursectomy) subacromial bursa is large synovial membrane which is adherent to undersurface of coracoacromial ligament, acromion, & delltoid laterally, an is adherent to rotator cuff & greater tuberosity; it envelops proximal humerus, & facilitates gliding of proxiaml humerus under coracoacromial arch References Synovial osteochondromatosis in the subacromial bursa. Subacromial/subdeltoid bursa abscesses. An overlooked diagnosis.
– Examine Recipient Site: – review the reconstructive latter and the requirements for coverage – STSG cannot be placed over bare tendon or bone, and neither can be placed over exposed vessels or nerves; – determine optimal time for grafting; … Read more
– See: Sub-Talar Joint – Discussion: – involves dislocation of distal articulations of talus at both talocalcaneal & talonavicular joints; – ankle joint is undisturbed; – distinguish between medial and lateral subtalar dislocation; – method of reduction is different w/ each type … Read more
– See: – Sub Talar Dislocation – Subtalar Fusion – Transverse tarsal joint – Triple Arthrodesis – Discussion: – anatomy: – axis of rotation: – axis of subtalar joint is approx 42 deg upward from the horizontal in saggital plane & 16 to 23 deg medial to midline of foot in transverse plane; – upward … Read more
– Discussion: – occur as the result of repetitive loading below yeild strength & are most common in lower extremity (metatarsals > calcaneus > tibia); – Matheson, et al.: 370 athletes with stress fractures tibia (49.1%), tarsals (25.3%), metatarsals (8.8%) and bilateral stress fractures in 16.6% of cases; – focal structural … Read more
– Discussion: – stress frx of femoral neck are relatively uncommon injuries, with most reports involving military recruits & athletes who are subjected to increased physical demands; – like most stress frx, women are most often affected and it is important to inquire about amenorrhea and occult eating disorders; … Read more
– Midfoot Fatigue Fractures: – fatigue frx are rare in midfoot (of these frx in navicular are most common); – radiographs & bone scan are necessary to make the diagnosis; – treatment involves eliminating athletic activity until healing is complete, which often takes several months; – Metatarsal Stress Frx: … Read more
Co-Authors: Milford H. Marchant Jr., M.D.; Mark E. Easley, M.D.; James A. Nunley II., M.D. Osteochondral Lesions of the Talus Review Etiology – Primary Causes – Trauma – Ischemic Necrosis – Embolic phenomenon – Ossification Defects – Predisposing Factors – Endocrine Disorders – Peripheral vascular disease – Genetic Predisposition? – 10-25% Bilateral Lesions Evaluation – … Read more