– Fracture: – displaced unstable fractures of the styloid process; – Implant: – 4.0 mm cancellous bone screws, 3.5 mm cortex screws or 3.5 mm cannulated screws; – 2.7 mm condylar plate; – lag screw fixation with 4.0 mm … Read more
– See: IM Nailing of Tibia Fractures – Discussion: – IM naling of these fractures is technically difficult and often results in malalignment; – other options include: external fixation for open fractures; – Intramedullary nailing versus percutaneous locked plating of extra-articular proximal tibial fractures: comparison of 56 … Read more
– Technique: – at a point 3-5 cm above post. tip of greater troch., an incision is made which extends obliquely (proximally & posteriorly) for 10 cm; – for obese pts begin incision well above greater troch. (7-10 cm) & again extend proximally and posteriorly; … Read more
– See: Humeral Frx – Main Menu: / humeral shaft fractures – Discussion: – may be indicated for multi-trauma patients w/ humeral shaft frx, and patients w/ pathologic frx; – note that following humeral shaft frx, IM nailing provides torsional and bending stiffness of only 20-30% of normal; … Read more
Dr. Mangal Parihar – Discussion: EMG monitoring of patients undergoing lengthening has shown that up to 80% of patients undergoing lengthening show electromyographic changes of neural injury, in spite of no clinical signs. This fact must be remembered especially when large lengthenings are being planned. The patient must have a proper evaluation of the motor … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
– Discussion: – ilioinguinal nerve originates from first lumbar root (L1 ); – emerges from lateral aspect of Psoas muscle, and passes around posterior abdominal wall over quadratus lumborum and Iliacus; – it then travels under external oblique, enters inguinal canal & descends to supply sensory fibers to skin of … Read more
– Discussion: – an overuse phenomenon which is common in runners (more common w/ downhill running); (see running injuries) – pts usually have pain over lateral femoral epicondyle, which is caused by inflammation resulting from friction as iliotibial band slides over condylar prominence; – syndrome may be more common in … Read more
origin: anterior surface of a broad and thick tendon which originates from the sacrum, spinous proceses of the lumbar vertebrae and from the inner lip of the iliac crest; insertion: inferior borders of the angles of the lower 6 or 7 ribs; action: acting bilaterally, extension and hyperextension of the spine; acting unilaterally, laterally flexes the … Read more
origin: superior borders of the angles of lower 6 ribs medial to the tendons of insertion of the Iliocostalis Lumborum; insertion: into the angles of the upper 6 or 7 ribs and into the transverse process of the 7th cervical vertebrae; action: acting bilaterally, extension and hyperextension of the spine; acting unilaterally, laterally flexes the spine; … Read more