Discussion – descision to excise the head of the radius depends associated elbow injuries as well as severity of radial head frx; – it has been determined that the stabilizing effect of radial head comes into play only when the MCL ligament has been disrupted, which explains why excision of radial head (w/ … Read more
– Technique: – patient is placed on a bean bag in a true lateral position; – slightly flexing the knee and placing it on a padded Mayo stand may facilitate positioning; – calcaneus is approached thru an extensile right angled incision, which curves sharply between … Read more
– Clinical Findings: – history: patient may complain of a subjective knee hyperextension sensation, and twisting or pivoting are also difficult; – lack of contained effusion is suggestive of posterolateral capsular injury; – look for diffuse tenderness over the posterolateral joint region, fibular head, and joint line; … Read more
– Discussion: – serial diagnostic exam should take into consideration static deformities of the lower extremities, gait, ROM, tenderness, and knee stability; – in the child w/ a painful knee, it is essential to closely examine the hip as hip pathology can refer pain to the hip; – Examination: – Gait: … Read more
– Inspection: – look at shoes for signs of abnormal wear; – inspect standing foot and ankle alignment from behind; – note arch height; – Assessment of Gait: – always examine the soles of the patient’s shoes for signs of asymmetrical wear; – look for … Read more
Ewing’s sarcoma. Prognostic factors, disease control, and the reemerging role of surgical treatment. Limb reconstruction with vascularized fibular grafts after bone tumor resection. Fractures of long bones previously treated for Ewing’s sarcoma. The cellular biology of bone tumors. Pelvic Ewing’s sarcoma. Advances in treatment. Second cancers in long-term survivors of Ewing’s sarcoma. The role of surgical … Read more
– See: – Brachial Plexus – Neuro Exam – Management of Spinal Cord Injury: – Assess for Spinal Shock & Sacral Sparing – bulbocavernosus – anal sphincter S-3 – bladder sphincter S-2 – FHL S-1 – level of a spinal cord … Read more
– Chronic Injury: – flexion deformity of PIP & an extension deformity at DIP joint; – MCP hyperextension deformity; – after the central slip has been disrupted for some time, there will be volar migration of lateral bands, and contracture of oblique retaincular lig. – after the lateral bands … Read more
– See: – PE of C-Spine: – Neuro Exam – Inspection: (scoliosis, thoracic kyphosis, lumbar lordosis, zoster ect.) – ROM: – extension: Phalen’s test (lumbar stenosis) – flexion: – frequently assessed by patient’s ability to touch the floor; … Read more
– See: Bone Tumor Menu – Discussion: – prevalence: – it represents approx 7% of all primary bone malignancies; – second most common primary malignant bone tumor (behind osteosarcoma) (2.1 per 1 million children) – Ewing’s sarcoma is more common in males and is rare in blacks; – … Read more