Ortho Oracle - orthopaedic operative atlas

Peroneal Tendon Dislocation

– See: Peroneus Longus / Peroneus Brevis: – Discussion: – acute dislocation occurs by sudden forced dorsiflexion w/ concomitant eccentric contraction of the peroneal muscles; – classic teaching that the tendon dislocation occurs from a combination of dorsiflexion and eversion (like skiing), where as other authors feel that the injury occurs from dorsiflexion and inversion … Read more

Peroneal Artery

– Discussion:     – largest branch of the posterior tibial artery  is peroneal artery arising high in leg and coursing downward in posterior compartment lateral             to and deeper than the posterior tibial artery;            – lies in the deep posterior compartment, just medial to fibula, just posterior to tibialis posterior, and just anterior … Read more

Peroneal Nerve

– See: – Innerv. Musc. Lower Limb – Innervation of the Leg and Foot: – Anatomy: – common peroneal nerve is derived from (L4, L5, S1, S2) as a part of the sciatic nerve; – posterior component, supplies short head of biceps femoris in thigh, crosses posterior to lateral head of gastrocnemius, and becomes subQ behind … Read more

Peroneal Nerve Palsy in TKR

– See:  TKR Menu:                  – Peroneal Nerve and Peroneal Nerve Palsy                – Nerve Injury from THR  – Discussion:     – peroneal nerve palsy following TKR usually presents acutely but in some cases there will be a delayed presentation;     – risk factors:          – use of epidural anesthesia;         … Read more

Periosteal Osteosarcoma

 – See: Classic osteosarcoma – Discussion:     – uncommon variant of classic osteosarcoma;     – primarily affects young adults;     – presents as an enlarging, painless mass growing on surface of the bone;     – most frequently seen in anterior proximal tibia & the posterior surface of the distal femur; – … Read more

Pediatric Supracondylar Fractures of the Humerus

– See: – Adult Condylar Fractures – Pediatric Elbow Injuries – Discussion: – in children, supracondylar frxs typically remains extra-articular & involves thin bone between coronoid fossa & olecranon fossa of distal humerus; – frx line angles from anterior distal point to posterior prox site; – in adults, supracondylar frx of humerus may be intra-articular; … Read more

Pediatric Tibial Fracture

– See:       – Casting of Tibial Fractures       – Distal Tibial Fracture        – Intercondylar Eminence Fracture        – Proximal Tibial Physeal Fractures        – Proximal Tibial Metaphyseal Fractures        – Tibial Tuberosity Fractures       – Pediatric Ankle and Distal Tibia Fractures:             – … Read more

Pediatric Pronation-External Rotation Frx

– See: Adult Pronation External Rotation Frx – Distal Tibia:     – SH type II frx of distal tibial physis is most common pattern:     – metaphyseal fragment is characteristically localized on lateral side or posterolaterally;     – lateral or posterior displacement is also present;     – SH type I frx … Read more