– Discussion: – decreased neck shaft angle from defect in ossification of femoral neck; – it is bilateral in 1/3 to 1/2 of cases; – it can be congenital (noted at birth & differenitated from CDH by MRI), developmental (AD-progressive), or acquired (trauma, LCP, SCFE) – Differential Dx: … Read more
– Discussion: – the Coventry type of HTO, creates an osteotomy above the tibial tubercle; – in choosing a closing wedge osteotomy, the surgeon should be sure that the major deformity is on the tibial side (vs femoral side); – the disadvantages of this type of osteotomy include possible … Read more
– Discussion: – flexible flatfoot: may be divided into congenital and acquired forms: – congenital flat foot: – idiopathic – valgus hindfoot deformity in CP … Read more
– Discussion: – osteonecrosis of proximal fragment; – non union if proximal fragment is too thin; – delayed union or nonunion occurs in 1-3% of pts & is treated by bone grafting or by repeat osteotomy when correction is lost; – ref: Results … Read more
– Acute Complications of ORIF of Distal Radius Fractures: – median, radial or ulnar sensory neuropathy; – acute and late carpal tunnel syndrome; – loss of reduction – deformity – decreased motion – arthritis … Read more
– Discussion: – historically has yeilded good results in relieving pain; – disadvantages: – thumb shortening and subsidence, weakness of pinch, and decreased ability to adduct the thumb; – Operative Technique: – dorsal longitudinal incision centered over CMC joint; – incision is curved volarly at the base of thenar eminence; – superficial branches of the … Read more
– See: – CMC Joint Instability – Trapezium – Ligament Reconstruction Tendon Interposition – Anatomy of CMC – Arthritis of CMC Joint: – most commonly involved arthritic joint in the hand; – more common in women (upto 1/3 of women over age 40, will have x-ray changes); – may exist in a localized form or … Read more
– See: Predisposing Conditions – OA of Hip: – pain on wt-bearing felt in the groin, buttock, or medial thigh; – trendelenburg gait will decrease mechanical stress on joint and thereby lessen pain (forces acting on hip joint); – pain during sleep results from loss of protective function of … Read more
– See: – Hallux Claw Toe – Hammer Toes – Muscles of Foot – Polio: Claw Toes – Anatomy and Discussion: – claw toe consists of hyperextension at the metatarsophalangeal joint, and flexion at the proximal (and distal interphalangeal joints); – all of the toes are usually affected, although contracture of the great toe can … Read more
– Discussion: – autosomal dominant proportionate dwarfism that affects bones formed intramembranously (eg. facial bones, cranium, & clavicles); – dislocations of hips, knees, and the radial heads may occur; – clavicle: – most commlonly, absence of the central portion of the clavicle with rudimentary … Read more