Ortho Oracle - orthopaedic operative atlas

Ulna / Ulnar Shaft Fracture

(see also: Both Bone Forearm Fracture: / Ulnar Styloid Process) Anatomy radius & ulna lie parallel to each other when forearm is supinated; during pronation radius crosses ulna, rotating on axis that passes from capitulum through the distal end of ulna; ular side of wrist is supported by TFCC, which articulates w/ both lunate and triquetrium; … Read more

Types of Anterior Dislocation

– See: Multidirectional Instability:  – Radiographic Subtypes:     – Subcoracoid          – most common type of anterior dislocation          – head of humerus is displaced anteriorly w/ respect to glenoid, & is inferior to coracoid process;          – greater tuberosity is fixed on anterior glenoid rim;          – neck … Read more

Types of Orthopaedic Infections

– Orthopaedic Infection Menu     – bacterial menu     – infectious tenosynovitis     – diabetic foot infections     – hand infections     – THR infections     – TKR Infections     – septic arthritis     – necrotizing soft tissue infections:     – osteomyelitis (Cierney Classification)     – spinal infection / osteomyelitis … Read more

Type IV (Medial) Tibial Plateau Fractures

– See:         – Tibial Plateau Frx Menu:    Bicondylar Fractures and Type V Frx, Type IV Fractures, Total Depression Fracture – Discussion:     – frx of medial tibial plateau (see total depression frx):     – carries worst prognosis of all tibial plateau fractures;     – 2 subsets of injury:   … Read more

Type II Supracondylar Frx

– Discussion:     – if the frx needs a reduction, then the frx is not a type I but a type II;     – posterior cortex remains intact, making it a greenstick frx;     – technically a type II frx implies posterior displacement, but frequently there will also be medial impaction w/ … Read more

Type I Radial Head Fracture

– Discussion:     – fissure or margin sector fracture w/ displacement less than 2 mm;     – type I fractures may be difficult to identify;     – fat pads are intracapsular but extrasynovial;     – anterior fat pad is normally visible anterioir to coronoid fossa;     – posterior fat pad … Read more

Tumoral Calcinosis

– See: Ossification of Soft Tissue and Periosteum: – Discussion:     – heritable dz characterized by periarticular metastatic calcification;     – typically the shoulders and hips are affected most often;     – vascular and visceral calcification does not occur;     – hyperphosphatemia may play a role in this disorder; – Clincal … Read more

Tumors of Foot and Ankle

– Bone Lesions:     – enchondroma: (relatively common)     – osteoid osteoma:  (talus, navicular, or calcaneus)     – fibrous dysplasia     – adamantinoma (foot)     – metastatic lung cancer (? GI or GU)     – osteochondroma            – subungual exostosis, may develop on a distal … Read more