– Urinary Injuries: – see: renal / urogenital trauma – frx patterns at risk: – Malgaigne frx: rupture of bladder & urethra occurs in 20 % of patients; – pubic rami frx: (especially from straddle injuries); … Read more
Discussion allows assessment of DVT from the external iliac vein down to the popliteal veins visualization distal to the popliteal veins is usually not possible may be able to detect patency of major vessels, but it is not effective for smaller vessels will not diagnose pelvic thrombi note that clots seen on ultrasound comprise a … Read more
– See: DDH – Discussion: – ultrasound allows description of the morphology of the acetabulum and the stability of the joint (dynamic examination); – ultrasound becomes less useful after 6 months of age because of progressive ossification of the femoral head; – joint stability: … Read more
– See: spine in osteoporosis – Discussion: – caused by long term calcium deficiency; – there is an age related decline in renal production of 1,25 Vit D with subsequent hyperparathyroidism & bone loss; – these pts have already lost most of the bone they ever will lose; … Read more
– See: Posterior Frx Dislocations of the Hip – Discussion: – prognostic features: – long term results are proportional to the degree of intial trauma – this explains percentage of good results progressively decreasing from type II to type V injuries. … Read more
– Discussion: – least common pediatric femoral neck frx (about 7%); – capital femoral epiphysis may stay w/in acetabulum but in 50% of cases the capital fragment is dislocated; – tends to occur in infants and young children; – this injury may be the result of a … Read more
– Discussion: – both column frxs separate the roof from the iliac wing or sacroiliac joint (no articular segment remains attached to a segment of the iliac wing or SI joint); – Radiology; – The Spur Sign – Both Column Frx – Operative Rx: – indicated … Read more
Local Tenderness – Osteosarcoma (common)—————————– Yes – Ewing’s sarcoma: (common) ———————— Yes – chondrosarcoma ———————————– Yes – Osteochondroma (Osteocartilaginous Exostosis) – Fibrous Dysplasia ——————————– Yes – Eosinophilic granuloma ————————— Yes – Aneurysmal bone cyst – Prostatic Ca: – most of prostatic ca mets are blastic & do not require … Read more
– See: – Myobacterium tuberculosis – Vertebral Osteomyelitis – Discussion: – 4000 cases of extrapulmonary involvment each year in the US; – most common extra pulmonary location of TB is the spine; – spine is the extrapulmonary site in over 50% of the cases of … Read more
– Discussion: – acute slip: – acute on chronic slip: – chronic slip: – treatment of is designed to fuse epiphysis on femoral neck which prevents further slipping; – this usually involves insertion of one or more screws into anterior aspect of greater trochanter or … Read more