The Hip - book

Chance Fracture of the Spine

– See:     Fracture Dislocations of the Spine:     Flexion Distraction Injuries: – Discussion:     – Chance frx & posterior ligament rupture (variant of flexion distraction injury pattern) maypresent w/ minor anterior vertebral compression;           – in Chance frx, the anterior column fails in tension (along w/ the middle … Read more

Cervical Spine

                                                             – Management of the Spine Injured Patient:       – Physical Exam of the Cervical Spine:       – Radiology of the Cervical Spine: (Clearance of the CSpine in Trauma Patients)       – Spine Menu:       – Anesthesia in the Spinal Cord Injured Patient:      – AP … Read more

Cervical Spine in Ankylosing Spondylitis

(see also: Spine in AS) Disussion patients with ankylosing spondylitis are prone to C-spine fracture following minor trauma; acute neck pain in a patient with ankylosing spondylitis is usually caused by a fracture through the ankylosed spine; site of involvement is most commonly near cervicothoracic junction (or C6-7); the fracture may extend thru the disc … Read more

Central stenosis

– Discussion:     – central stenosis produces compression of the thecal sac in contrast to lateral stenosis which involves compression of individual            nerve roots;     – may be congenital (idiopathic or developmental in achondroplastic dwarfs) or acquired;     – acquired stenosis:            – due to degenerative hypertrophic facets … Read more

Associated Injuries w/ Posterior Hip Dislocations

– See: Frx Dislocations of the Hip – Discussion:     – because of associated high energy trauma: look for other injuries     – vast majority of patients sustained a hip dislocation will have associated injuries;     – assoc ligamentous injuries to ipsilateral knee;     – associated posterior wall fractures, femoral head, … Read more

Articular Cartilage: Injury and Potential for Repair

– See:        – Chondral and Osteochondral Injuries of the Knee        –  Enchondral Ossification         – osteochondral allografting for OCD injuries of the knee Healing of Articular Cartilage in Intra-Articular Fractures in Rabbits.  Viability and apoptosis of human chondrocytes in osteochondral fragments following joint trauma The viability of articular cartilage … Read more

Arthroscopic Anterior Shoulder Reconstruction

– Discussion: – shoulder arthroscopy / acute dislocations / recurrent anterior instability / multidirectional instability / posterior instability – drive through sign: – refers to the ability to pass the arthroscope easily between the humeral head and the glenoid at level of anterior band of inferior glenohumeral ligament; – considered diagnostic of shoulder laxity or instability; – ref: Clinical significance of the arthroscopic … Read more

Joint Arthroscopy:

ankle arthroscopy elbow arthroscopy hip arthroscopy arthroscopy of the knee joint shoulder arthroscopy – arthroscopic rotator cuff repair wrist arthroscopy                   Additional Informaton The Effect of Irrigation Solution at Different Temperatures on Articular Cartilage Metabolism Supraphysiologic Temperature Enhances Cytotoxic Effects of Bupivacaine on Bovine Articular Chondrocytes in … Read more

Artery Menu

– See:       – Arteriography / angiographic 3D view       – Arterio-venous malformations       – Arterial Trauma       – Development       – Fractures associated with Arterial Injuries       – Intimal Injuries       – Microanastomosis       – Pharmocological Agents in Vascular Surgery       – Prosthetic … Read more