The Hip - book

External Fixation for Pelvic Frx

– Discussion and Indications:     – definitive stabilization of frx may be achieved w/ external fixation in certain rotationally unstable but vertically stable injuries;     – relative contraindication is iliac wing fractures;     – antero-posterior compression injuries:            – external fixation is most applicable to stable “open book” … Read more

Exam: Spondylolithesis

– See: Back Pain in Children – Discussion:     – results of exam may be normal in child w/ spondylolysis or mild (Grade-I or Grade-II) spondylolisthesis. – Back:     – tenderness to palpation in the low back;     – splinting as well as guarding & restriction of side-to-side motion of low back, particularly … Read more

Ewing’s Sarcoma Bibliography

Ewing’s sarcoma. Prognostic factors, disease control, and the reemerging role of surgical treatment. Limb reconstruction with vascularized fibular grafts after bone tumor resection. Fractures of long bones previously treated for Ewing’s sarcoma. The cellular biology of bone tumors. Pelvic Ewing’s sarcoma. Advances in treatment. Second cancers in long-term survivors of Ewing’s sarcoma. The role of surgical … Read more

Ewing’s Sarcoma

– See: Bone Tumor Menu – Discussion:     – prevalence:          – it represents approx 7% of all primary bone malignancies;           – second most common primary malignant bone tumor (behind osteosarcoma) (2.1 per 1 million children)          – Ewing’s sarcoma is more common in males and is rare in blacks;     – … Read more

Eosinophilic Granuloma

– See:       – Bone Tumor Menu:       – Eosinophilic Granuloma of Spine: – Discussion:     – includes a group of disorders characterized by a variety of tumor like lesions, which arise from from clonal proliferation of Langerhans-           type histiocytes;     – most common in children less than 12 … Read more

Dynamic Compression Plates, DCP, 3.5 mm

– See:  Synthes Plates and Screws:3.5 MM DCP, LC-DCP   3.5 MM LCP    4.5 MM LCP RECONSTRUCTION PLATE       – Dynamic Compression Plates:       – DCP, 3.5 mm Applied as a Self Compression Plate:       – DCP 3.5 mm Applied as Self Compression Plate w/ Lag Screw Thru Plate – Dynamic Compression … Read more

DVT & PE arising from Trauma, Pelvic Fractures, and Extremity Fractures

– See: DVT Discussion: – Discussion:     – 30-50 % occurance of DVT in trauma pts w/ lower extremity fractures;     – preexisting conditions such as heart disease, obesity, carcinoma, diabetes, and hypertension could theoretically push the numbers even             higher;     – mortality for pulmonary embolism may approach 10%;     – ref: … Read more

Dual Photon Absorptiometry

– Discussion:     – this technology allows subtraction of soft tissue density from bone density of bone mass of the hip, pelvis, and spine;     – dual-photon absorptiometry uses transmission scanning w/ isotope source that emits two photoelectric peaks;           – it allows(bone density to be measured independently of … Read more