div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Technique:/strong>br/> – while obtaining a perfect circle under flouroscopy it is important not to rotate the foot because this will cause a malalignment of the foot progression angle;br/> – instead, rotate either the entire leg as a unit or … Read more
– Discussion: – generally distal interlocks should be inserted prior to the proximal interlocks; – this allows the leg to be rotated in the most advantageous position for interlock insertion and allows more effecient compression across the frx site (by gently tapping the proximal nail assembly proximally); – … Read more
– See: – Growth Deformities of Limbs – Growth Plate Arrest – Discussion: – anatomy of distal femoral physis: – account for approx 5% of all physeal frx; – displacement in sagittal plane is assoc w/ N/V injury in popliteal fossa and instability on closed reduction; – … Read more
– Discussion: – distal biceps may rupture off the radial tuberosity; – presents w/ painful swollen elbow usually in a 50-60 yo active male, most often in the dominant side (uncommon in women); – incidence of distal biceps rupture is 1.2 per 100,000 persons per year; – single traumatic event involving flexion against resistance, w/ … Read more
– Two Incision Approach (Boyd and Anderson) – advantages: – two-incision technique to limits the anterior dissection and therefore may limit pain; – may reduce injury to the radial nerve, which can occur w/ a one incision technique that incorporates drill holes thru the … Read more
– One Incision – Modified Henry Approach: – see: Henry Approach to the Forearm; – some surgeons feel that this is the prefered technique noting that modern suture anchors anchors have permitted safe repair of biceps tendon through one anterior incision; – advantages: direct approach, avoids PIN injury, … Read more
– Discussion: – see: elbow dislocations in children: – elbow dislocation is the second most common major joint dislocation; – dislocation is usually closed and posterior; – mechanism: – dislocations of elbow usually result from fall onto extended elbow. … Read more
– See: Discogenic Pain: – Discussion: – predominence of leg pain (nerve pain) over back pain (usually annular pain); – determine if leg pain is made worse by activities or positions that increase intra discal pressure; – SLR: is key finding in sciatica, but is also found in: … Read more
– See: – Percutaneous Discectomy: – Postop Orders for Diskectomy – Positioning: – position patient in modified kneeling position to allow abdomen to hang free, which minimizes epidural venous dilation and bleeding; – identify the spinous processes of L3, L4, L5, and S1; – Standard Posterior … Read more
– See: – Limb Lengthening Fixators – Distraction Histiogenesis – Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) – Discussion: – growth deformities of the limbs – it is important to distinguish between limbs with good potential for lengthening … Read more