– See: Autograft Discussion – Technique: – the middle crest is quite thin and can be easily shattered; – subperiosteaally, dissect the abdominal musculature and iliacus from the inner wall; – after the tendinous decussation of the gluteal and abdominal muscles has been incised along the supero-lateral aspect of the … Read more
– See: Watson Jones Approach – Discussion: – Smith Petersen improved & revived the anterior iliofemoral approach; – entire ilium and hip joint can be reached thru iliac part of incision; – w/ this approach there is a need for extensive detachment of tendinous insertions & retraction of muscle, w/ potential damage to femoral artery and … Read more
– See: – Anterolateral Approach to Forearm – Forearm Flexors – Plating Techniques – Radial Shaft Fractures: Discussion – Discussion: – anterior approach of Henry utilizes interval between brachioradialis (radial nerve) & pronator teres (or FCR distally, which are innervated by the median nerve); – … Read more
– See: Anterior Approach to Cervical Spine: – Discussion: – Smith Robinson disectomy & block fusion is preferred over Cloward dowel for involvement of one or two interspaces; – for multi-level spondylosis & myelopathy, w/ more extensive anterior decompression involving excision of osteophytes & multiple vertebrectomies, a strut graft fusion … Read more
– See: – Lateral Compartment – Deep Posterior Compartment – Superficial Posterior Compartment – Compartment Syndrome: – Discussion: – anterior compartment of the leg contains tibialis anterior, EDL, EHL, and Peroneus Tertius muscles; – compartment is primarily … Read more
– See: – Anterior Approach to the Shoulder – Discussion: – with plate fixation of the humerus, the anterior approach is preferred for proximal and mid-diaphyseal frx w/ application of plate to anterolateral aspect of the humerus (see humeral shaft fractures); – interval lies … Read more
– See: Anterior Approach to the Humerus Axillary Approach: Posterior Approach Posterior Approach to Humerus Surgical Approach for Proximal Humeral Fractures Positioning and Draping: supine or beach chair; small soft bolster is placed beneath the shoulder blades to protract the shoulder; head is stabilized to prevent hyperextension and subsequent brachial plexus palsy; place patient in … Read more
PreOp Planning consider NG tube and foley catheter; have proper sized C-collar available for post operative care; position: supine w/ halter cervical traction (3-5 lbs) w/ head turned slightly to the right; consider placing a rolled towel between the shoulder blades; prep for iliac crest bone graft; hall burr is helpful for shaping bone graft; … Read more
Discussion lesion labeled annuular tear or internal disruption is based on concept of leaking disc, one which permits the irritating liquid material normally restricted to the center of the disc to come into contact with the innervated tissue; annular tissue that permits egress of this liquid has a poor capacity for healing; at most, a thin layer of scar … Read more
(See also: Annular Tear) Discussion anulus fibrosus makes up peripheral portion of disk structure; composed of fibrocartilage and type I collagen; fibers of anulus run obliquely between vertebrae and are arranged primarily in concentric layers; direction of the fibers in successive layers alternates, w/ one layer crossing another at angles of 30-60 deg; at periphery … Read more