– Discussion: – MRI findings in normal subjects (from Boden-SD) – note that there is a 29% prevalence of disc herniation in asymtomatic individuals; – patients less than 60 years of age: – 20 per … Read more
– Discussion: – it is not a neuroma but a perineural fibrosis and it was not first accurately described by Morton but by Durlacher, a chiropodist in 1845; both Thomas G. Morton (1876) and Thomas K. Morton (1892) mistook it for a painful affection of the fourth MTP articulation – it is a type of nerve compression … Read more
– See: MP joint in RA – Planning: – indications: – irretrievable articular cartilage damage; – volar subluxation; – dislocation are indications for surgery; – cautions: – cervical spine … Read more
– See: – Plating Techniques – Monteggia Fractures in Children – Discussion: – Giovanni Monteggia (1814) first described frx of proximal 1/3 of ulna in association w/ anterior dislocation of radial head; – hence dislocation of radial head w/ frx of proximal 1/3 of ulna is known as Monteggia’s deformity. – Mechanism: – proposed … Read more
Discussion short trunk disproportionate dwarfism is established by age of 2 or 3 and progresses; inherited as autosomal recessive trait; children have normal intelligence and survive well into adulthood; pectus carinatum is also apparant; other problems include corneal opacity and abnormal dentition; type of mucopolysaccharidoses in which keratan sulfate accumulates in the tissues; measurement of … Read more
– See: AC Joint – Distal Clavicle Excision: – is often included in the distal clavicular stabilization; – note that in younger patients the AC joint cartilage (and meniscus) is normally wide and therefore, it is not necessary to resect the usual 1 to 1.5 cm of distal clavicle; – Case Examples: … Read more
– Discussion: (RTC menu) – mobilization is often required for massive tear; – simply closing extensive tear will not suffice if atrophied muscles are not contracting adequately and if excessive tensions placed on repaired cuff cause reinjury; – repair of good quality rotator cuff tissue is esp important in achieving an optimal result; … Read more
Cases out of the Past: The First Antiseptic Operations. Lister J. Contemp Surg Vol. 42, May 1993 Chronic non-hematogenous osteomyelitis treated with adjuvant hyperbaric oxygen. The influence of skeletal implants on incidence of infection. Experiments in a canine model. Comparison of indium-labeled-leukocyte imaging with sequential technetium-gallium scanning in the diagnosis of low-grade musculoskeletal sepsis. A prospective … Read more
– See: Ligamentous Instability: – Discussion: – compressive forces are transmitted thru the posterior vertebral body wall onto the two Uncovertebral joints; – there is no significant disk material in this middle column; – tensile forces are w/ stood by posterior longitudinal ligament and the posterior Annulus fibrosus; … Read more
– Discussion: – slightly concave, is situated on the sustenaculum tali; – sustenaculum forms the floor of middle facet; – between middle & posterior articular facets lies interosseous sulcus (calcaneal groove), which opens broadly laterally & forms, w/ talar sulcus, sinus tarsi; – Radiology: – medial oblique axial … Read more