The Hip - book

Radiographic Aspects

– Rosenburg View:  – used to evaluate for narrowing of the cartilage space in the wt. bearing, flexed knee position;  – this provides a film with the anterior margin of the tibial plateau superimposed on the posterior margin;  – technique:       – patient is standing with the knees flexed at 45 deg;       … Read more

Radial Head Prosthetic Replacement

– Discussion: – indicated for comminuted radial head frx which occur w/ concomitant MCL injury, dislocation, or RU joint disruption (Essex Lopresti  Fracture); – will serve as spacer & will prevents proximal migration of radius; – w/ RU joint disruption, radial head spacer alone does not restore satisfactory axial stability w/o pinning the distal radioulnar … Read more

Radial Head Frx: Type II

          – Discussion:     – marginal radial head frx w/ displacement, depression, or angulation.     – by definition has less than 30% of articular involvement and more than 2 mm of displacement;     – motion may be blocked by articular step off; – Non Operative Treatment:     – decisions regarding treatment … Read more

Puncture of the Knee Joint

– Discussion: – multiple approaches can be used, but a medial approach is easiest w/ knee in extension as the patella can be rocked up anteriorly to     aid in entry; – if pt will allow the knee to be flexed to 45 deg., then do so; – palpate the inferomedial and inferolateral borders … Read more