Ortho Oracle - orthopaedic operative atlas

Osteochondral Lesions of the Talus

Discussion although a traumatic etiology is believed to play a major role in production of these lesions, idiopathic osteonecrosis may be another factor; anterolateral lesions: may result from impaction of talus on fibula as the dorsiflexed ankle is forced into inversion (see ankle sprain); the vast majority are caused by trauma; these lesions tend to … Read more

Osteochondrosis / Stress Frx of Medial Epicondyle

– See: Pediatric Elbow Injuries  – Discussion:  – a traction apophysisitis of the medial epicondyle which needs to be distinguished from avulsion frx of the medial epicondyle  – the medial epicondyle is an apophysis which is connected to the MCL as well as being connected to the flexor-pronator mass;  – both of these structures will … Read more

Ossification of Soft Tissue and Periosteum

– See:   – Diff Dx: Hypercalcemia   – Diff Dx: HyperPhosphatemia   – Approaches To Differential Diagnosis In Musculoskeletal Imaging: Soft Tissue Calcifications – Discussion:     – calcium hydroxyapatite can be deposited in periarticular soft tissues or within joints;     – in either event the disease may be monoarticular or polyarticular;   … Read more

Orthotics for the Foot

– See: Metatarsalgia: and Running Injuries – Discussion:     – functional anatomy:              – normal foot during gait will become supple by eversion to allow for wt bearing during heel strike, and will become a rigid lever during push off by heel inversion;              – in … Read more

Os Odontoideum

– See: Development and Anomalies of the Axis: – Discussion:     – dens may be completely absent, hypoplastic, or incompletely fused to body of C2 (lesion called os odontoideum)     – the os odontoideum is smaller than the normal dens but size may vary;            – the base of the … Read more

Os Trigonum / Posterior Talar Impingement

– See: – Diff Dx: Posterior Ankle Pain – Fractures of Posterior Talar Process – Discussion: – accessory bone found just posterior to talus (accessory ossification center of the posterior process of the talus); – it may be considered a non united portion of the lateral tubercle; – os trigonum is round, oval, or triangular … Read more

Orthopaedic Manifestations of Myelomeningocele

– Discussion of Myelodysplasia – Spinal Deformities: – vertebral column development: – scoliotic & kyphosis in myelomeningocele may be either congenital or paralytic, or combination of both; – scoliosis in myelomenigocele: – kyphosis in myelomenigocele: – need to distinguish between 2 distinct types of kyphosis both of which are centered over mid lumbar segment; – … Read more

Orthopaedic Anesthesia

– See:         – Anesthesia and Timing for Femoral Neck Fractures:         – Anesthesia in the Spinal Cord Injured Patient:         – Cardiac Orders / Meds:         – Malignant Hyperthermia:         – Risk Assessment:          – Anesthetic Agents:                – Lidocaine:               … Read more