– See: – Green Stick Fractures – Pediatric Distal Radius Fracture – Pediatric Ulnar Fracture – Discussion: – frx may be of green stick type or complete (latter may be undisplaced, minimally displaced, or markedly displaced w/ overridding); – frx … Read more
– See: – Pediatric Distal Tibial Fracture – Pronation-External Rotation Frx – Supination – External Rotation Frx – Supination Inversion Frx – Supination Plantar Flexion – Tillaux Fracture – Triplane Fracture – Discussion: – most … Read more
– Anatomy: – clavicular portion: – originates off of the medial third of the clavicle and inserts at the lateral lip of the bicipital groove; – sternal portion: – originates off of the superior 2/3 of the sternum and the manubrium, as … Read more
– Discussion: – indicated for irreparable injury to the subscapularis which is causing recurrent instability; – Anterior Approach to the Shoulder – Release of Superior Pectoral Tendon: – superior 2.5-3 cm of the pectoralis tendon is released off the humerus; – stay sutures are inserted into the tendon edge; – tension is placed on … Read more
– Post Fixation: – w/ BPB grafts, the sutures are passed thru the bone plug and then are passed around a screw over a washer; – w/ soft tissue grafts (such as tendinous edge of Achilles tendon graft), requires a Krackow stitch (whiped locking stitch) is required; – Spiked Washer Fixation: … Read more
– Discussion: – occurs when pressure in a muscle compartment is > pressure in the capillaries, which leads to progressive muscle ischemia and edema and left untreated can result in infarction of the compartment contents; – ischemia and necrosis of the muscles occur even though the arterial pressure is still high enough to produce … Read more
– Discussion: – medial capsule: – related to repetitive loading of the hallux that leads to attenuation of the medial capsular structures; – medial migration of first metatarsal: – first metatarsal head has no musculotendinous attachments; – head of 1st metatarsal, w/ increased valgus, progressively moves medially off sesamoids, which remain … Read more
– See: – Rheumatoid Boutonniere – Thumb Boutonnere Injuries – Mechanism of Injury: – rupture of central slip directly from its bony insertion commonly results from closed blunt trauma (w/ or w/o fracture); – rheumatoid Arthritis – volar PIP dislocation – … Read more
– Bipartite Patella – Bursitis – Chondromalacia – Malalignment syndromes – Multipartite Patellae: – Osteochondritis Dissecans – Patella Overload Syndrome – Patella Alta – Synovial Plica – Subluxation Pathomechanics of the femoropatellar joint following total knee arthroplasty. A systematic approach to reconstruction of neglected tears of the patellar tendon. A case report. Modified technique for tibial … Read more
– See: – Pathologic Hip Frx – Metastatic Tumors to Bone – Discussion: – fractures which occur from low energy injuries which occur thru an area of bone weakness with a pre-existing abnormality; – injured area demonstrates distored archetecture and distored bone density; – Diff Dx: … Read more