– Theoretical Considerations: – Discussion of Limb Lengthening: – Distraction Histiogenesis: (osteoclasis): – Ilizarov Menu – Technique: – ring characteristics: – w/ the original Ilizarov technique, only two rings (each with drop wires) were used; … Read more
– Discussion: – see: limb development and physeal anatomy; – leg length discrepancy leads to awkward gait, & pelvic obliquity. – treatment of limb length inequality, requires an ability to predict leg length discrepancy at skeletal maturity; – differential diagnosis of limb length inequality – … Read more
– See: – Flexion and Extension Views – SCIWORA Syndrome: – Anterior Ligamentous Disruption: – detected by presence of small anteroinferior avulsions and segmental disc widening; – ligaments include: anterior longitudinal ligament & Annulus fibrosus; – w/ complete cervical dislocation from anterior ligament failure, more stable internal … Read more
– See: Limb Lengthening Fixators Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) distraction histiogenesis – Discussion: – lengthening thru the proximal tibia, tends to drift into valgus and procurvatum, and therefore consider presetting distraction in 5 deg of varus; … Read more
Co-authored by: Jan Van Der Bauwhede MD – Discussion: – disorder of unknown etiology characterised by local proliferation of abnormal fibrous tissue in the plantar fascia – this tissue is locally aggressive and progressively replaces the normal plantar aponeurosis – this leads to often painful thickened fascia with nodules … Read more
– See: – Flexion and Extension Views: – Technique: – Upper Cervical Spine: – prevertebral soft tissues – occipital-atlanto-axial injury: – atlanto-occipital disassociation – C1-C2 interspinous space should not be greater … Read more
– Anatomy: – LFCN, as its name suggests, is purely sensory; – it arises from L2 and L3, travels downward lateral to the psoas muscle, crosses the iliacus muscle (deep to fascia), passes either thru or underneath the lateral aspect of the inguinal ligament, and finally travels onto innervate the lateral … Read more
– See: – Lateral Compartment of the Knee: – Frx of Proximal Fibula: – Varus Stress Testing: – Discussion: – lateral collateral ligament is primary restraint to varus angulation; – LCL also acts to resist Internal Rotation forces; – cutting of LCL in … Read more
– See: Kocher Approach to Elbow: – Discussion: – allows exposure of lateral column (for condylar frx), capitellum, and radial head, – it can also be used for Monteggia frx as well as for exposure for PIN decompression; – lateral approach is not optimal for complex … Read more
– See: Metabolic Acidosis – Discussion: – develops during shock when there is inadequate cellular perfusion & cellular hypoxia; – caused by accumulation of lactate and hydrogen ions (protons), but extent of acidosis, as defined by pH, and the concentration of lactate required for diagnosis of lactic acidosis is controversial; … Read more