– See: – Cervical Spine Menu: – Halo Placement in Children: – Discussion: – most effect orthosis for controling motion at C1-C2 articulation; – contra-indications: – unstable skull frx; – traumatized skin overlying pin sites; … Read more
– Discussion: – firearms tutorial – missile characteristics: – NRA website – Weapons Effects and Parachute Injuries – Shooting Soldiers: Civil War Medical Images, Memory, and Identity in America – General Management: – most important issue is to get the correct diagnosis (no viceral injury, no compartment syndrome, no … Read more
– Discussion: – general discussion of GSW: – care of the spine injured patient: – stability: – most gun shot wounds to the spine are stable, and therefore do not require operative stabilization; – indications for bullet removal: … Read more
– See: – Enchondral Ossification – Limb Development – Growth Deformities of the Limbs – Pediatric Bone Circulation – Physeal Bone Bridge – Salter Harris Classification – Undifferentiated or Resting Cartilage Cells: – immediately adjacent to epiphysis are … Read more
– See: Green Stick Frx – Discussion: – occurs most often in children less than 8 yrs of age as a result of a fall on an outstretched hand; – anatomically the frx tends to occur just distal to insertion of pronator teres, and therefore distal fragment is supinated as compared … Read more
– See: Atlanto-Axial Subluxation: – Discussion: – atlantoaxial rotary subluxation in association w/ pharyngeal infection, occurs predominantly in children; – it results in severe torticollis, resistant to manual therapy; – > 5 mm of anterior displacement of arch of C-1 (Fielding type III) indicates disruption of both facet capsules as … Read more
– See: – Bigelow’s Maneuver: for Posterior Hip Dislocation – Closed Reduction – Discussion: – described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method; – believed to be least traumatic; – pt is in prone position w/ lower limbs hanging from end of table; – assistant immobilizes the … Read more
– Exam: – Radiographs: – Treatment: – these pts have a high deg of lumbosacral kyphosis have sig deformity; – prophylactic fusion in children & adolescents w/ slippage > 50% is recommended; – w/ a L-5 to S-1 spondylolisthesis, treatment consists of bilateral posterolateral arthrodesis in situfrom … Read more
Background: By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later half of 2007 at Franklin Regional Medical Center. This procedure involves harvesting the gracilis and semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone anchors. The drill holes for the bone anchors serve as a source for hematopoetic … Read more
– Anatomy: – origin: posterior gluteal line of the ilium, tendon of sacrospinalis, – dorsal surface of sacrum, coccyx and sacrotuberous ligament; – insertion: gluteal tuberosity of femur and iliotibial tract of fascia lata – it inserts partly into the … Read more