Ortho Oracle - orthopaedic operative atlas

Spine

Biceps Tendonitis – Tendonopathy

– See: Proximal Biceps Tendon Rupture: and SLAP tear and arthroscopic rotator cuff repair – Discussion:     – inflammation of long head of biceps tendon usually occurs w/ rotator cuff inflammation (esp subscapular tears);     – clinically, it may be difficult to differentiate the pain patterns of rotator cuff and biceps tendon inflammation;         … Read more

Bibliography for osteosarcoma

– Ref Prognostic Features – Ref for Pulmonary Resection in Osteosarcoma – Ref for Surgery & Surgical Limb Salvage – Ref for Radiation Rx for Osteosarcoma – MRI Ref – Chemotherapy Ref Medical Progress: Osteosarcoma: fifteen Years Later. Surgical treatment for osteosarcoma Osteosarcoma of the spine Limb-salvage treatment versus amputation for osteosarcoma of the distal end … Read more

IM Nailing and Sliding Screw Fixation of Femoral Neck Fractures:

  – See:  Femoral Neck Fracture – IM Nailing of Femoral Neck Fractures:       – closed reduction technique: – TFN nail – references: – Vertically oriented femoral neck fractures: mechanical analysis of four fixation techniques. – Vertical shear fractures of the femoral neck. A biomechanical study. – Basicervical fractures of the proximal femur. A biomechanical … Read more

Back Pain in the Child

– Diff Dx:  – Developmental disorders  – Herniated Disc in the Child:  – Osteomyelitis of the Spine:  – Tuberculous Spondylitis:  – Diskitis  – Spinal Cord Tumors  – Primary Bone Tumors  – eosinophilic granuloma  – ewing’s sarcoma  – metastatic neuroblastoma  – Slipped Vertebral Apophysis:  – Spondylothisthesis  – Kyphosis  – Scheuermann’s disease is the most common cause … Read more

Axillary Artery

– See: Arteries of the Upper Limb – Discussion:     – the axillary artery begins at the first rib as a direct continuation of the subclavian artery and becomes the brachial artery at the lower border of the teres major     – artery passes behind pectoralis minor in its course thru axilla & is conveniently described as having 3 … Read more

Axillary nerve

– Discuussion: – axillary nerve (C5, C6) originates from and passes backward from posterior cord of brachial plexus  – at level of axilla; – it arises immediately posterior to the coracoid process and conjoined tendon; – it crosses the inferolateral surface of the subscapularis, 3-5 mm medial to the musculotendinous border; – sweeping a finger … Read more

Axillary Approach to the Shoulder

– Indications:     – most often used for anterior shoulder reconstructions – Positioning:     – beach chair w/ full access to posterior aspect of shoulder;     – holding shoulder in flexion, will relax shoulder & facilitate exposure;     – consider the Mconnel Shoulder Positioner;     – references:       … Read more

AVN: Pathogenesis

– Discussion: (See: Blood Supply to Femoral Head)     – there are certain areas of bone in which vascular supply is precarious;     – these areas are subject to infarction and avascular necrosis;     – three such regions are head of femur, body of talus, & scaphoid;     – they have the … Read more

Avulsion Fracture

– See:       – Surgical Approach:       – Transverse Fractures – Discussion:     – transverse frx line divides small proximal fragment of olecranon process from rest of ulna;     – this frx is most common in elderly patients; – Resection of Olecranon:    – Surgical Approach:    – resection … Read more