Discussion although a traumatic etiology is believed to play a major role in production of these lesions, idiopathic osteonecrosis may be another factor; anterolateral lesions: may result from impaction of talus on fibula as the dorsiflexed ankle is forced into inversion (see ankle sprain); the vast majority are caused by trauma; these lesions tend to … Read more
– See: Osteochondral Lesions of the Adult Knee – Discussion: – term OCD is a defect in the subchondral region with partial or compete separation of the bone fragment; – most often seen on the postero-lateral aspect of the medial femoral condyle (about 80% of cases), and less often seen in … Read more
– See: – Osteoarthritis Menu: – predisposing conditions – pathology and histology – clinical features – Discussion: – biomechanical considerations: (see kinematics and anatomy of knee – thick cartilaginous surfaces of … Read more
– Discussion: – refers to partial avulsion of the tibial tuberosity (anterior surface of apophysis) which has no involvement of tibial physis; – usually occurs in late childhood or early adolescence; – more common in boys; – may represent an over use disease; – repetitive stress on tuberosity may cause partial avulsion; – a painful non … Read more
– Discussion: – principle of orthotic management in infantile tibia vara is alteration of abnormal compressive forces so that normal growth will resume & genu varum will be corrected; – patient age: – historically, bracing has been the treatment of choice for a child 14 … Read more
– See: Metatarsalgia: and Running Injuries – Discussion: – functional anatomy: – normal foot during gait will become supple by eversion to allow for wt bearing during heel strike, and will become a rigid lever during push off by heel inversion; – in … Read more
– See: – Diff Dx: Posterior Ankle Pain – Fractures of Posterior Talar Process – Discussion: – accessory bone found just posterior to talus (accessory ossification center of the posterior process of the talus); – it may be considered a non united portion of the lateral tubercle; – os trigonum is round, oval, or triangular … Read more
– Discussion: – child abuse occurs most often under the age of 3 years; – when child abuse goes unrecognized, the mortality rate may be as high as 5%; – common patterns for abuse: – unwitnessed spiral fractures – fractures occuring prior to walking age; – common fractures: … Read more
– Discussion of Myelodysplasia – Spinal Deformities: – vertebral column development: – scoliotic & kyphosis in myelomeningocele may be either congenital or paralytic, or combination of both; – scoliosis in myelomenigocele: – kyphosis in myelomenigocele: – need to distinguish between 2 distinct types of kyphosis both of which are centered over mid lumbar segment; – … Read more
– See: – Anesthesia and Timing for Femoral Neck Fractures: – Anesthesia in the Spinal Cord Injured Patient: – Cardiac Orders / Meds: – Malignant Hyperthermia: – Risk Assessment: – Anesthetic Agents: – Lidocaine: … Read more