– See: Tibial Plateau Frx Menu, Local Compression Frx – Discussion: – involves central or peripheral depression of frx of lateral plateau w/o associated lateral wedge fracture; – it usually occurs from minimal impact on weak osteoporotic bone; – commonly affects older age groups (55-60 yrs) w/ marked osteoporosis; … Read more
– See: – Tibial Plateau Frx Menu: Bicondylar Fractures and Type V Frx, Type IV Fractures, Total Depression Fracture – Discussion: – frx of medial tibial plateau (see total depression frx): – carries worst prognosis of all tibial plateau fractures; – 2 subsets of injury: … Read more
– See: spine in osteoporosis – Discussion: – caused by long term calcium deficiency; – there is an age related decline in renal production of 1,25 Vit D with subsequent hyperparathyroidism & bone loss; – these pts have already lost most of the bone they ever will lose; … Read more
– PreOp Planning – most important step in reconstruction of any intra articular frx, is to expose the fracture w/o devasclarizing the fragments; – treatment plan: – open reduction; – elevation of the depressed plateau; – bone … Read more
– Discussion: – articular fracture without significant displacement; – malleolar fractures with large plafond fragments; – these fragments are usually posterior; – posteroinferior tibiofibular ligament & deep transverse ligament are attached to the fragment; – first reduce & fix fibula; … Read more
– Discussion: – tunnel radiograph of knee provides an angled PA projection of knee; – patient is prone with the knee flexed at 40 deg; – central beam directed caudally toward the knee joint at a 40 deg angle from the vertical; … Read more
– Nonossifying fibroma – Osteosarcoma – Giant Cell Tumor of Bone – Ewing’s sarcoma: – Osteochondroma – Chondroblastoma – Chondromyxoid fibroma – Eosinophilic granuloma … Read more
– Osteochondroma – Osteosarcoma – Giant Cell Tumor of Bone – Ewing’s sarcoma: (diaphyseal region); – Chondroblastoma – Chondromyxoid fibroma – Fibrous Dysplasia – Eosinophilic granuloma – Aneurysmal bone cyst – Simple bone cyst – Giant cell sarcoma – Fibrous Histiocytoma – Fibrosarcoma of bone; – Adamantinoma – Osteoma: middle 1/3 (rare) – Pearls: – … Read more
– See: – Myobacterium tuberculosis – Vertebral Osteomyelitis – Discussion: – 4000 cases of extrapulmonary involvment each year in the US; – most common extra pulmonary location of TB is the spine; – spine is the extrapulmonary site in over 50% of the cases of … Read more
(see also: Blair Fusion; Charcot Marie Tooth ; Equinovalgus; Grice Arthrodesis; Kocher approach; Ollier incision; Subtalar Fusion) Discussion results in fusion of subtalar, calcaneocuboid, and talonavicular joints; most effective procedure for fixed hindfoot and forefoot deformities; triple arthrodesis tend to have a high (50%) failure rate in children under 10 years of age; triple arthrodesis … Read more