The Hip - book

Os Odontoideum

– See: Development and Anomalies of the Axis: – Discussion:     – dens may be completely absent, hypoplastic, or incompletely fused to body of C2 (lesion called os odontoideum)     – the os odontoideum is smaller than the normal dens but size may vary;            – the base of the … Read more

Os Trigonum / Posterior Talar Impingement

– See: – Diff Dx: Posterior Ankle Pain – Fractures of Posterior Talar Process – Discussion: – accessory bone found just posterior to talus (accessory ossification center of the posterior process of the talus); – it may be considered a non united portion of the lateral tubercle; – os trigonum is round, oval, or triangular … Read more

Orthopaedic Manifestations of Myelomeningocele

– Discussion of Myelodysplasia – Spinal Deformities: – vertebral column development: – scoliotic & kyphosis in myelomeningocele may be either congenital or paralytic, or combination of both; – scoliosis in myelomenigocele: – kyphosis in myelomenigocele: – need to distinguish between 2 distinct types of kyphosis both of which are centered over mid lumbar segment; – … Read more

Orthopaedic Anesthesia

– See:         – Anesthesia and Timing for Femoral Neck Fractures:         – Anesthesia in the Spinal Cord Injured Patient:         – Cardiac Orders / Meds:         – Malignant Hyperthermia:         – Risk Assessment:          – Anesthetic Agents:                – Lidocaine:               … Read more

Orthopaedic Aspects of Leprosy

– Discussion:     – causative organism of leprosy is M. leprae;           – acid-fast, obligate, intracellular gram-positive bacillus that reproduces maximally at 27°C to 30°C;     – frequent subacute polyarthritis involving the small joints of the hands and feet;     – organism infects the skin and cutaneous nerves, … Read more

ORIF of Calcaneal Frx Using Lateral Approach

– Preoperative Planning:                   – Surgical Stratedgy:      – pt in true lateral position      – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap);      – extension from tuberosity to calcaneo-cuboid (watch peroneals)      – … Read more