– See: – Pediatric Game Keeper’s Thumb – Thumb Deformities in RA – Rheumatoid Gamekeeper’s Thumb – Thumb MP Joint Dislocation – Discussion: – involves injury to ulnar collateral ligament of thumb MCP joint, causing instability at that joint; – the orignal description refered to … Read more
– Discussion: – Fibular Harvest: – Hip Preparation: Various methods have been advocated for the treatment of acascular necrosis of the hip in the young patient. From the literature an operative treatment for the symptomatic hip is the conservative method of management. Reports on core decompression, osteotomies, electrical stimulation, and bone grafting have been difficult … Read more
– Discussion: – occur primarily as opportunistic infections in immunocompromised patients; – most often due to candida; – histology: noncaseating, acid-fast-negative infections; – organism are identified with a positive fungal culture, potassium hydroxide slide preparation, or Gomori methenamine silver stain – in … Read more
– See: – Femoral Neck Frx – Discussion: – these injuries occur from high energy trauma and comprise 1-6% of all femoral shaft frx; – in up to 20% of cases, this injury is missed, which is often due to failure to take good quality femoral neck radiographs … Read more
– See: – Growth of Proximal Tibial Epiphysis – Avulsion of the Tibial Tubercle – Discussion: – injuries of prox tibial epiphysis are rare (3 % of lower extremity epiphyseal frx); – injury is uncommon because knee ligaments bypass proximal tibial epiphysis and instead insert more distally; … Read more
– See: – Adult Lateral Condylar Fractures – Pediatric Elbow – Discussion: – common frx in children (20% of pediatric elbow frx); – occurs most often between 6-10 yrs of age; – mechanism: fall on the outstretched arm w/ forearm in abduction & elbow in extension; … Read more
– Radiographic Evaluation: – associated injuries: – medial malleolus frx (AP view); – sustentacular tali frx; – metatarsal head frx; – its essential to gauge amount of dorsal and medial comminution of talar neck, as well as tendency for varus angulation; – Hawkins Classification – type I talar fractures – type II talar fractures – type … Read more
– See: – Pediatric Frx of the Olecranon – Radial Head Fractures – Discussion: – low energy olecranon fractures: – most commonly occur in elderly patients, and result from indirect trauma; – fracture and results from a sudden pull of both the triceps and brachialis muscles; – frx begins at midpoint of trochlear notch and … Read more
– See: – Anatomy – Biomechanics – Classification of Patellar Fractures – Osteochondral Frx – Pediatric Patellar Avulsion Fractures – Discussion: – classification of patellar fractures – mechanism: – direct trauma … Read more
– Discussion: – occurs in children between ages of 6-10 yrs who sustain injury by falling on an outstretched hand; – shearing forces of hyperextension & supination displace the distal radial epiphysis dorsally; – great majority are Salter I and II: – physeal … Read more