Hip Arthroscopy (see also hip joint and hip capsule) Indications evaluation of hip pain – candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. gadolinium enhanced MRI demonstrated a … Read more
– See: – management of burns – ossification of soft tissues – hetertopic ossification – management of elbow flexion contracture – Excision of Hetertopic Bone About the Elbow: – hetertopic bone is most often located along the posteromedial aspect; – medial approach to … Read more
– See: Ossification of Soft Tissues: and Myositis Ossificans – Discussion: – occurence and formation of mature bone in non-osseous tissue; – may present w/ signs of localized inflammation or pain, elevated skin temp, ect. – tends to occur after thr, spinal injury, head injury (11%), burns, bruises, elbow trauma, total hip replacement; … Read more
– False Pos: – Anticoagulation – Myoglobinuria – Bleeding diathesis – Hemoglobinuria – Entero-vesical fistula – Porphyria – HbS – GU neoplasm – Vigorous Exercise – Polycystic kidney – Renal Infarction – Trauma – Renal Vein Thrombosis – Infection – Transfusion RXN – Stones – Burns; – Prostatic hypertophy – Intersitial Nephritis – Glomerulonephritis … Read more
– See: – Calcinosis: – Hemangioma of bone – Discussion: – a benign, vascular tumor that occurs in children, usually in limbs or trunk; – hemangioma may be congenital, appearing as solitary tumor that infiltrates local tissue & adjacent neurovascular structures; – most common form … Read more
– Discussion: – displaced frx of talar neck (no matter how slight) w/ subluxation or dislocation of posterior facet of sub-talar joint; – subtalar joint subluxation is usually dorsal; – ankle remains aligned; – persistent slight displacement will result in malunion (usually in varus) which will produce … Read more
– See: Avascular Necrosis and Salvage of Talus Fractures – Discussion: – displaced frx of talar neck with dislocation of body of talus from both subtalar joint and ankle joint; – when body dislocates, it is usually found on posterior medial aspect adjacent to the Achilles tendon; – body … Read more
– Discussion: – children have relatively fewer intracranial-mass lesions but relatively more intracranial hypertension than adults; – tendency to have diffuse brain swelling puts children at increased risk of secondary brain injury; – all children with Glasgow coma scores less/= 12 require special monitoring of their neurologic status; … Read more
– See: – Axis: – Hyperextension Injury – Discussion: – frx of pars interarticularis of C2 & disruption of C2-C3 junction – type of traumatic spondylolisthesis – “Hangman’s frx” – term “hangman’s fracture” is not accurate for the majority of cases, because mechanism … Read more