Ortho Oracle - orthopaedic operative atlas

Letournel Classification

– Discussion:     – classified pelvic ring injuries simply according to site of injury;     – anterior disruption can occur thru either pubic symphysis or pubic rami;     – injury may be through the ilium, the SI joint, or the sacrum;     – it can involve frx-dislocation of SI joint, which … Read more

Left Thoracic Scoliosis

– Discussion:     – left thoracic curvatures are uncommon (1-2% of curves)     – associatted conditions: (33 % of patients)          – occult syrinx;                – treatment of the scoliosis without recognition of syringomyelia and Chiari malformation can lead to paraplegia;       … Read more

Lathyrism

– Discussion:     – lathyritic animals are known to have soft, deformed bones, many joint dislocations, and aortic aneurysms;     – if the extracellular processes of cross-link formation are inhibited, collagen will remain soluble, which is the case in a disease known as           lathyrism.     – ingestion of agents called lathyrogens, including b-aminopropionitrile, causes … Read more

Latissimus Dorsi

– origin: broad aponeurosis that originates on the spinous processesof the lower 6 thoracic and all lumbar vertebrae;          posterior crest of ilium, posterior surface  of sacrum, lower 3 or 4 ribs, and an attachment of the tip of the scapula; – insertion: flat tendon that twists upon itself to insert into the intertubercular groove of … Read more

Lateral stenosis

– Discussion:     – involves impingment of nerve roots lateral to the thecal sac, as they pass thru the neural foramina;     – anatomically there is compression from medial aspect of hypertrophic superior articular facet,     – often associated with facet joint arthropathy (superior articular process enlargement) and disc disease;     … Read more

Lateral Radiograph of the Ankle

– Radiographic Findings:     – ankle frx:           – fibula overlaps posterior aspect of tibia, but posterior tubercle of tibia can still be seen;           – posterior subluxation of talus in mortise may be assoc w/ posterior lip frx or posterior talofibular ligament tear;     … Read more

Lateral Plateau Frx: Approach & Fixation

– Discussion: Tibial Plateau Frx Menu     – lateral plateau frxs include:           – type I fractures            – type II fractures            – type III fractures            – local compression frx which are similar to type iii frx – Surgical Stratedgy:     – extensile surgical approach that exposes whole … Read more

Lateral Oblique Axial View

  – Discussion:  – demonstrates the posterior subtalar facet;  – foot is passively everted, dorsiflexed and externally rotated 60 deg;  – central beam centered 1 inch below tip of medial malleolus with 10 deg cephalic tilt