– Radiographic Evaluation: – associated injuries: – medial malleolus frx (AP view); – sustentacular tali frx; – metatarsal head frx; – its essential to gauge amount of dorsal and medial comminution of talar neck, as well as tendency for varus angulation; – Hawkins Classification – type I talar fractures – type II talar fractures – type … Read more
– Discussion: – two processes, lateral & posterior, project from body of talus; – either process may be fractured, either as isolated injury or assoc w/ other ankle or talar injuries; – it is frequently confused w/ an ankle sprain; – non union is a frequent complication … Read more
– See: – Pediatric Frx of the Olecranon – Radial Head Fractures – Discussion: – low energy olecranon fractures: – most commonly occur in elderly patients, and result from indirect trauma; – fracture and results from a sudden pull of both the triceps and brachialis muscles; – frx begins at midpoint of trochlear notch and … Read more
– Work Up: anesthesia, medical considerations, and timing of surgery – X-rays for Femoral Neck Frx – Operative Techniques: Cannulated Screws: IM Nailing and Sliding Hip Screws for Femoral Neck Frx Hemiarthroplasty Open Reduction of Femoral Neck Fracture Anesthesia and Timing for Femoral Neck Fractures Antibiotic Prophylaxis … Read more
– See: – Lateral Collateral Ligament – Maisonneuve Fracture – Discussion: – occur most often in association w/ proximal tibial fractures, esp w/ split compression, bicondylar, and subcondlylar fractures; – look for injury to peroneal nerve, anterior tibial artery, biceps tendon, & lateral collateral ligament; … Read more
– Discussion: – two processes, lateral & posterior, project from body of talus – either process may be fractured, either as isolated injury or assoc w/ other ankle or talar injuries; – diff dx of posterior ankle pain: (os trigonum) – embryology: … Read more
– Discussion: – hip dislocations are typically caused by high-energy trauma, usually from motor-vehicle accidents. – they occur most frequently in young patients; – types of dislocations: – anterior dislocation – central acetabular fracture dislocations … Read more
– Discussion: – refers to the blisters which from swollen skin overlying fractures; – most commonly arise over tibia, ankle, and elbow; – when fracture blisters are present at the time of surgery, wound complications will develop in the majority of patients; – when fracture blisters develop … Read more
– Discussion: – dorsalis pedis flap: – heel pad reconstruction: – complications of free flap reconstruction include weight bearing induced ulceration under the heel; – this may result from poor tailoring of the flap, lack of heel sensation, … Read more
– See: Flexor muscles of the Forearm: – Superficial muscles arise from a common tendon attached to the lateral epicondyle of the humerus, and divide into lateral and medial groups; – Lateral three of these muscles: Brachioradialis Extensor … Read more