– Postural clubfoot: – not a true structural deformity; – postural, or mild, club foot is uncommon & is corrected passively w/little difficulty; – Moderate Club Foot; – moderate club foot is fairly supple, a transverse crease is absent, and the heel is easily definable; – most common … Read more
– See: – Total Hip Replacement Menu: – Acetabular Component Revision – Femoral Bone Grafting for THR – Frozen Allograft – Dysplastic Hip – Discussion: – in planning of acetabular reconstruction, major goal is to establish … Read more
– See: – Bone Tumor Menu and Osteosarcoma Demonstration Project – Discussion: – malignant tumor of bone in which neoplastic osteoid is produced by a proliferating spindle cell stroma; – most common primary malignant bone tumor of mesenchymal derivation; – arises in adolescents, and second or third decade; – … Read more
– Discussion: – circumferential soft-tissue release involving posterior, medial, lateral, and plantar aspects of the foot; – its designed particularly to correct the horizontal subtalar rotation of the calcaneus that is associated with congenital club foot; – because of this, the posterior aspect of the calcaneus not only is … Read more
– Discussion: – there are four main considerations in classifying osteomyelitis; – condition of the host – functional impairment caused by the disease – site of involvement – extent … Read more
– See: – Syme’s Amputation – Transmetatarsal Amputation – Discussion: – Francis Chopart first described disarticulation thru midtarsal joint; – Chopart amputation removes the forefoot and midfoot, saving talus and calcaneus; – Chopart amptutations should not performed for ischemia; – this … Read more
– Anterior Compartment Syndrome: – anterior compartment of leg is involved most often; – pain is often burning in nature which worsens with activity and completely subsides after 15 minutes of activity cessation; – diff dx: – tibial and fibular stress frx; – … Read more
– Diff Dx: – stress fractures (identified on 45 deg medial oblique view) – inflammatory arthritides (RA or Reiter’s Syndrome) – plantar fasciitis – distal tibial tarsal syndrome – heel pad atrophy; – after the age of 40, the adipose tissue begins to atrophy, w/ resulting loss of absorbency
– See: Patella and Patellofemoral Function – Discussion: – chondromalacia describes softening & fissuring of articular hyaline cartilage; – chondromalacia may result from an excessive load on patellofemoral joint, but disuse may be a contributing factor; – most common in yound women; – relationship between chondrosis & … Read more
– See: Bone Tumor Menu – Discussion: – age at presentation: – most common primary epiphyseal tumor in children is chondroblastoma; – most commonly arises between ages 10 to 30; – not infrequently, the tumor will also arise … Read more