Co-authored by Edward Harvey M.D. – Discussion: – symptomatic hip almost uniformly progresses to further collapse without treatment; – collapse rates approach greater than 85% in the symptomatic hips, even if first seen in the earliest stages; – treatment plan for the asymptomatic AVN is controversial; – approx … Read more
– See: – Heterotopic Ossification – Ossification of Soft Tissue: – Discussion: – extra-skeletal ossification that occurs in muscles & other soft tissues – can be traumatic (75%), non traumatic, or progressive; – severe blunt trauma causing an intra-muscular hematoma may result in … Read more
– See: Bone Tumor Menu – Discussion: – an osteochondroma that results from a dysplasia of peripheral growth plate; – as its name implies, multiple hereditary exostosis is an inherited condition which produces multiple exostoses; – occurs in 1 out of 50,000 people; – … Read more
Volume 3, Number 3 – Fall 2013 Volume 3, Number 2 – Summer 2013 Volume 3, Number 1 – Spring 2013 Volume 2, Number 4 – Winter 2012 Volume 2, Number 3 – Fall 2012 Volume 2, Number 1 – Spring 2012 Volume 1, Number 4 – Winter 2012 Volume 1, Number 3 – Fall 2011 Volume 1, … Read more
– See: – MRI Spine: Discussion; – Role of CT in C-spine Injuries: – Discussion: – for visualizing soft tissue and neural elements, & unsuspected disc herniations in presence of cercial spine fractures; – disc herniation may indicate disruption of anterior or posterior longitudinal ligament; – MRI … Read more
– See: – MRI of Hip: – Johns Hopkins – MRI Evaluation of AVN – Discussion: – magnetic resonance imaging is probably the most accurate imaging modality for dx of AVN of femoral head; – MRI imaging is also used to outline the area of involvement; … Read more
– Mosaicplasty: – refers to the technique of harvesting small circular (4-8 mm) autogenous grafts from the knee from non wt bearing regions of the knee, and transplanting the grafts in a mosaic pattern until the osteochondral defect is filled; – typically the grafts are harvested from the periphery of the supero-lateral trochlea, but often, the … Read more
– Discussion: – index finger is most commonly involved, often found in older pts w/degenerative arthritis; – Etiology: – muscular contracture or trauma; – collateral ligament or volar plate tethering on prominent MP head or osteophyte (on either side or volar aspect of metacarpal head); – torn palmar … Read more
– See: Monteggia Fractures in Adults – Discussion: – all four types of Monteggia frx dislocation are pertinent to children, including Monteggia equivalents; – diff dx: Monteggia equivalent (w/ fracture of proximal radius rather than dislocation of the radial head); – Classification: – type I: – anterior dislocation of the radial head w/ apex anterior … Read more
– Discussion: (RTC menu) – mobilization is often required for massive tear; – simply closing extensive tear will not suffice if atrophied muscles are not contracting adequately and if excessive tensions placed on repaired cuff cause reinjury; – repair of good quality rotator cuff tissue is esp important in achieving an optimal result; … Read more