The Hip - book

Klippel Feil Syndrome

– History:    -Maurice Klippel and Andre Feil first to describe syndrome in 1912    -Characterized by patients with:              Short neck              Low hairline              Decreased cervical motion    -Fewer than 50% with congenital defects of cervical spine have … Read more

Knee Arthroplasty: Polyethylene Wear

    – See:        – Polyethylene Wear: Discussion        – Total Knee Replacement Menu: – Resistance to Wear:     – conformation of the bearing surfaces is important because it is factor in the determination of contact stress;     – increases in material strength, will usually result in increases … Read more

King Type I Scoliosis

(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. – See: Selection of Fusion Level:  – Discussion  – S thoracolumbar curve crosses midline;  – flexibility: lumbar < thoracic – lumbar curve is larger;  – treatment: fuse lumbar and thoracic vertebrae;  – treatment:  – the goal w/ this type of curve … Read more

King Type II Scoliosis

(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. – See: Selection of Fusion Level:  – Discussion:  – “S” shaped thoracolumbar curve crosses midline;  – thoracic curve is larger and stiffer than lumbar curve;  – selective arthrodesis of the thoracic curve in King type II curves may lead to larger … Read more

King Type III Scoliosis

(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. – See: Selection of Fusion Level:  – Discussion:  – consists of a major thoracic curve (does not cross mid-line) and a flexible secondary lumbar curve;  – treatment:  – distraction is the primary form of treatment;  – fusions should not end at … Read more

Judet and Letournel Classification and Column Theory

– 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

Joint Depression Calcaneal Fracture

– Discussion: – there is a transverse fracture in the coronal calcaneal plane that occurs between the posterior facet and the Achilles insertion; – hence, the secondary fracture line extends from crucial angle of Gissane to posterior border of calaneus, exiting on superior surface of calcaneus (posterior to posterior margin of posterior facet); – the posterior … Read more

Joint Index

Joint Topics: Friction and Lubrication Neurogenic joint Open Joint Injuries Septic Joint Specific Joints / Regions: Acromioclavicular Joint Ankle Joint Cervical Spine CMC Joint of Thumb Elbow Joint Foot Hand Hip Joint Knee Joint MP joint Phalangeal Joints Radial Ulnar Joints Sacro-iliac Joint Shoulder joint Spine Sternoclavicular Joint: Sub-Talar Joint Thumb CMC and MP Joints … Read more

Jones Fracture

– See: Midfoot/Forefoot Fractures – Discussion: – involves frx at base of fifth metatarsal at metaphyseal-diaphyseal junction, which typically extends into the 4-5 intermetatarsal facet; – Jones frx is located w/in 1.5 cm distal to tuberosity of 5th metatarsal & should not be confused w/ more common avulsion frx of 5 th metatarsal styloid; – … Read more