– See: – meniscal injury – anterior cruciate ligament: – evaluation of ACL injuries: – bone patellar bone reconstruction: – hamstring reconstruction: – allograft reconstruction: – Discussion: … Read more
Discussion deer tick (Ixodes) borne spirochetal infection leading to widespread symptoms; in U.S. Lyme disease is most prevalent in areas with heavy deer population (North East); life cycle includes larval, nymph, and adult (with the nymphal stage transmitting bacteria); infection is due to Borrelia burgdorferi spirochetes; contains several outer surface proteins that allow organism to … Read more
– Discussion: – plain radiographs: – in low risk patients, radiographs are indicated if LBP does not improve after 6 weeks; – low risk implies that the patient is between 18-50 years, acute onset, absence of night pain, no … Read more
– See: Midfoot/Forefoot Fractures – Discussion: – anatomy of the midfoot – mechanism: – because 2nd metatarsal is the longest metatarsal proximally, it will often be frxed at its base, with the other metatarsals dislocated; – dorsal capsule of Lisfranc’s joint, lacking sufficienct reenforcement, will to support the load and will collapse, resulting in dorsal … Read more
– See: Methods to Etimate Growth Potenital – Arrest of the Growth Plate / Epiphysiodesis: – disruption of contra-lateral (normal) distal femora or proximal tibial growth plates is indicated when future discrepancies are < 5.1 cm at maturity; – references: – Closed shortening of the femur … Read more
– See: Arthrodesis following TKR: – PreOp Planning for Arthrodesis: – Discussion: – arthrodesis provides potential of a painless, stable base of support but it does so at the expense of knee motion; – optimal position of arthrodesis: – slight valgus, 10 deg of external rotation, … Read more
Case Example by Dr. James R. Urbaniak MD – Discussion: – indicated for patients with basal joint arthritis or CMC instability; – LRTI involves partial or complete resection of the trapezium and recreation of the palmar oblique ligament using the distally based radial half of FCR to reconstruct ligamentous support for the metacarpal; – … Read more
– Discussion: – most common malignancy of childhood; – usually affects young children; – most appear systemically ill; – dz can mimic JRA by skeletal and extraskelal manifestations; – joint disease is usually painful monoarticular (frequently hip) although it can be painful polyarticular … Read more
– See: Retinacular Release for TKR: – Discussion: – see lateral anatomy of the knee and blood supply to the knee; – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, & joint capsule; – a successful release should release the lateral … 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