– Discussion: – medial capsule: – related to repetitive loading of the hallux that leads to attenuation of the medial capsular structures; – medial migration of first metatarsal: – first metatarsal head has no musculotendinous attachments; – head of 1st metatarsal, w/ increased valgus, progressively moves medially off sesamoids, which remain … Read more
– Bipartite Patella – Bursitis – Chondromalacia – Malalignment syndromes – Multipartite Patellae: – Osteochondritis Dissecans – Patella Overload Syndrome – Patella Alta – Synovial Plica – Subluxation Pathomechanics of the femoropatellar joint following total knee arthroplasty. A systematic approach to reconstruction of neglected tears of the patellar tendon. A case report. Modified technique for tibial … Read more
– See: – Pathologic Hip Frx – Metastatic Tumors to Bone – Discussion: – fractures which occur from low energy injuries which occur thru an area of bone weakness with a pre-existing abnormality; – injured area demonstrates distored archetecture and distored bone density; – Diff Dx: … Read more
– Discussion: – osteoarthritis represents a gradual processes of destruction & regeneration; – early in dz, articular cartilage loses its glistening appearance; – later on surface layers flake off while deeper layers develop longitudinal fissures, process termed fibrillation; – cartilage becomes thin and sometimes denuded; – … Read more
– See: Congential Clubfoot Menu: – Clinical Anatomy: – affected limb may be shortened, calf muscle is atrophic, and foot is short compared to opposite side; – medial rotation of tibia; – joints: – ankle and subtalar joints are in fixed equinus; … Read more
– History: 1963 – Maurizio described the association of patellar tendonitis with jumping 1973 – Blazina, et al. coined the term “jumper’s knee” 1978 – Mariani, et al. and Roels, et al. widened the term “jumper’s knee” to include pathology of the patellar tendon at the tibial tuberosity 1986 … Read more
– See: Subluxation of the Patella – Fulkerson Classification: – type I, subluxation alone; – type II, subluxation and tilt; – type III, tilt alone; – type IV, no malalignment; – Clinical Presentation: – anterior knee pain with a tight, … Read more
– Discussion: – avulsion of the patella tendon is a serious complication that is very difficult to treat; – when the knee is flexed intraoperatively, the tendon insertion may be stressed to the point of partial or complete avulsion; – this is particularly true in patients who have had a HTO … Read more
– Debride Bone Edges: – Drill and Pass Sutures: – note that many surgeons will prefer to make bone plug drill holes before the plug is harvest w/ a saw; – use a 2 mm drill to make three drill holes into the graft for the tibial tunnel … Read more
– Skin Incision: – 5-7 cm incision is made from inferior patellar pole to a point just medial to the tibial tubercle; – incision is taken down thru skin and subcutaneous tissues using scalpel; *** *** – Incising the Patellar Tendon: … Read more