– Fracture Fixation: – plate fixation: – 3.5 mm reconstruction plate, Synthes 3.5 mm calcaneal plates, or a flattened 3.5 mm 1/3 tubular plate; – as noted by Carr, et al, in an cadaveric model, the … Read more
– Discussion: (distal radius fracture menu and colles fracture) – volar surface of distal part of radius is slightly flattened, except for its distal margin, which slopes volarly to form a prominent ridge from which volar radiocarpal ligaments originate. – short radiolunate ligament originates off of volar margin of lunate facet and attaches to volar surface of lunate and helps maintaining stability … Read more
– See: Distal Clavicle Excision – main discussion Discussion: – consider excising only 1 cm of the distal clavicle; – excision of the distal 1.5-2.0 cm of the clavicle ensures that impingement will not occur (excision of this fragment may cut trapezoid ligament); – the remaining conoid ligament is sufficient to anchor the distal clavicle to … Read more
– See: – Closed Reduction – X-rays for Femoral Neck Fractures – Indications: – w/ failure to obtain a closed reduction persists, esp in younger pt or older child, then open reduction is considered; – Posterior Approach: – in young pt requiring ORIF of a displaced femoral neck frx, consider … Read more
See: Arthroscopic Acromioplasty Rotator Cuff Tear Repair – Discussion: – indications: – impingement syndrome – patients w/ a stable impingement syndrome w/ good shoulder function should participate in a formal rehabilitation program for 6 months; – patients w/ … Read more
– See: Back Pain in Children – Discussion: – occult frxs typically occur after minor injuries, such as falls during sports-related activities; – most occult fractures heal spontaneously in 8 months; – diff dx: – disc-space infection – osteoid-osteoma … Read more
– See: Notes for Wrightlock Spinal Fixation System: First, place the OCSTM Hook Holders on the caudal and cephalad hooks on the concave side. Next, tighten the nut on top of the hook holders using the OCSTM Hex Wrench (Figure 8). In preparation for using the OCSTM instrumentation, lubricate the Distraction with instrument milk. Position … Read more
– Discussion: – to evaluate C1 (Jefferson), Dens, superior facets of C2; – for evaluating dens fractures, body of C2, & rotary C1-C2 dislocations; – mach lines – teeth, C1 arch; – open mouth view, along w/ lateral view, will reveal fractures of the dens ; … Read more
– See: Obstetrical Paralysis: – Discussion: – injury to the lower roots (C8 and T1 ) & or C7; – may follow forceful abduction of shoulder, produces weakness in intrinsics of hand as well as long flexors & extensors of the fingers; – these lesions are usually preganglionic; … Read more
– Anatomy: – formed from anterior branches of L2, L3, L4 (see innervation of muscles of the lower limb) – largest nerve formed from anterior divisons of lumbar plexus ; – roots unite within the posterior part of psoas, & then descends thru psoas & runs downward over sacral … Read more