– Discussion: – tendon ruptures can occur as an early or late complication (6 to 7 weeks) – most occur around post op day 10; – after primary repair, most likely site for failur is at repair site; – if rupture is … Read more
– See: Extensor Mechanism Injuries of the Knee: – Discussion: – rupture of quadriceps tendons is most common in the 6th & 7th decades, and is probably associated w/decreased vasculature; – Male:female 8:1 – more common w/ cortisone injections, diabetes, chronic renal failure; hyperthyroidism, and gout; – … Read more
– Discussion: – main function of the tibialis posterior is to invert the subtalar joint, which helps to stabilize the transverse tarsal joint during rheumatoid hindfoot; – pathophysiology: – degenerative tears usually occur distal to the medial malleolus, in a region which coincides with relative hypovascularity and sharp turn of the tendon from a verticle to … Read more
– Discussion: – response to sympathetic blockade is best diagnostic test for RSD; – over 2/3 of patients will obtain significant relief; – patient is given at least two successful stellate ganglion blocks; – if patient has had a technically successful sympathetic block, and does not obtain significant relief, then the … Read more
– See: RU joint – Discussion: – involves resection of ulnar articular head, leaving shaft and styloid relationship intact; – in cases of distal radial malunion, a Bower’s hemiarthroplasty may be indicated to restore passive pronation and supination of the forearm; – this procedure should be considered before performing … Read more
– Discussion: – a wafer of up to 2-4 mm of distal ulnar head is removed, while the styloid process TFCC, and attatched ligaments remain attached; – the procedure is contra-indicated if more than 4 mm of positive variance; – may be indicated for symptomatic … Read more
– Types of Injuries: – short leg syndrome: (see growth deformities of the limbs) – unequal leg lengths may predispose to injury in shorter leg; – trochanteric bursitis: – gluteus medius attaches by a broad insertion into its lateral … Read more
– a series of pairs of small muscles extending from the sacrum to the axis; – origin: transverse processes of the vertebrae; – insertion: bases of the spinous processes of the 1st vertebrae above; – action: acting bilaterally, rotation of the spine to the opposite side; acting unilaterally, extension and hyperextension of the spine; – … Read more
– a series of pairs of small muscles extending from the sacrum to axis; – origin: transverse processes of the vertebrae; – insertion: bases of the spinous processes of the 2nd vertebrae above; – action: acting bilaterally, rotation of the spine to the opposite side; – nerve supply: posterior rami of the spinal nerve; – … Read more
Carl J. Basamania M.D. – Discussion: – rotatory stress test was developed to reliably test for anterior instability of of the shoulder; – in most cases, the test will identify a Bankart Lesion, but on occassion the test will pick up a Hagl lesion (avulsion of IGHL); – Technique: – test begins on … Read more