– Discussion: – innervated by branches of obturator, femoral, & sciatic nerves; – Anterior and Posterior Innervation Groups: – posterior group: – posterior articular nerve of tibial nerve which crosses posterior capsule at level of oblique popliteal ligament; … Read more
– Technical Considerations: – consider debriding the wound with a separate set of surgical instruments / drapes – exposure: extend the traumatic incision longitudinally in order to fully expose zone of injury; – pressure irrigation – debridement of open tibia fractures – Arguments for Leaving Wound Open w/ Delayed Closure: … Read more
– Anterior Talar Impingement Syndrome – Avascular Necrosis and Salvage of Talus Fractures – Blood Supply to Talus – Congenital Vertical Talus – Talar Head Frx – Fractures of the Talar Neck: – Hawkins Classification: – Type I Talar Fractures – Type II Talar Fractures – Type III Talar Fractures – Hawkins Sign – Lateral … Read more
– See: throwing injuries and throwing injuries of the shoulder – Discussion: – phases of throwing: – windup – early cocking – late cocking – wrist begins to cock in preparation for the … Read more
– Discussion: – see: femoral non unions / osteomyelitis – three types of infection: – infection of the soft tissues; – infection of the fracture site – infection of the entire marrow cavity:(rare but serious and may require AKA); – infection usually develops with in 3 weeks of IM nailing; – look for continuous deep thrombing pain, which … Read more
– See: tibial fracture menu and infection menu – Discussion: – by definition involves a tibia fracture infection that has gone on to non union; – by definition, infected non union is a Cierney IV osteomyelitis, meaning that the fracture is unstable before and after the debridement; – infected non union … Read more
– Discussion: – ORIF is recomened when: – > 25% of posterior articular surface is involved; – fragment must have a tibial articular surface that is large enough to provide a stable wt bearing surface; – fracture is displaced more than 2 mm; – there is posterior subluxation of talus; … Read more
– Age: – physiologic age < 60 yrs in an athlete, laborer, or anyone who needs to knee down such as for gardening (remember that a TKR will generally not allow the patient to kneel); – Angular Deformity: – less than 15 deg of fixed varus deformity (often patients will … Read more
– Indications: – ipsilateral femoral and tibial shaft fracture; – fractures with intra articular extension into the ankle or knee – segmental fractures – closed treatment of segmental tib frx has nonunion rate = 50% – IM Nailing yeilds best treatment … Read more
Index P: Pagets Disease Panner’s Disease Parsonage-Turner Syndrome Parosteal Osteosarcoma Patella Infera Pathologic Fracture: Diff dx Pauciarticular JRA Pediatric Spine Peripheral Neuropathies Perthes Disease Periosteal Osteosarcoma Peripheral Neuropathies PeriLunate Instability Periosteal Chondroma Pes anserinus Pes Cavus Pigmented Villonodular synovitis Planovalgus Plates Poliomyelitis Polyarticular JRA Polydactyly of Hand Polydactyly of Foot Polyethylene Polymyalgia Rhematica Polymyositis and Dermatomyositis … Read more