Ortho Oracle - orthopaedic operative atlas

Open Repair of Supraspinatus / Infraspinatus Tear

– Rotator Cuff Tear – Discussion:  – arthroscopic repair techniques – clinical outcomes of repair      – indications for RTC tear: – shoulder pain (especially night pain); – symptoms which cause loss of function or quality of life; – failure of NSAIDS and formal physical therapy; – failure of series of marcaine / steroid injections; – full passive ROM pre-op is necessary … Read more

Repair of the Torn Meniscus

– Meniscal Anatomy and Physiology: – medial meniscus – bucket handle meniscus tear – posterior horn tears of medial meniscus – lateral meniscus – discoid meniscus – indications for repair: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area … Read more

Repairs of the Lateral Meniscus

– See: Lateral Meniscus /  General Discussion of Meniscal Repair – Indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery is considered avascular; (see vascularity of … Read more

Reiter’s syndrome

– See: Spondyloarthropathies – Discussion:     – involves arthritis of large joints (knees & ankles), uveitis, skin lesions, & urethritis, however only a minority will have classic triad of symptoms;           – conjunctivitis is observed early, usually before or at the onset of arthritis;           – … Read more

References for Rheumatoid Arthritis

Advances in The Federal Republic of Germany–Symposium: Recent Advances in the Surgical Treatment of Rheumatoid Arthritis. Newest Knowledge of Rheumatoid Arthritis–Symposium: Advances in Imaging of Rheumatoid Arthritis. Newest Knowledge of Rheumatoid Arthritis–Symposium: Diagnosis of  Rheumatoid Arthritis: Medical and Laboratory Aspects. Rheumatoid Arthritis — Pathophysiology and Implications for Therapy. Long-term results of synovectomy in rheumatoid patients. Synovectomy of the rheumatoid … Read more

Recurrent Atraumatic Anterior Instability

– See: anterior instability – Discussion:     – characterized by dislocation occuring after minor trauma, relative ease of relocation, and evidence of multidirectional instability;     – this condition is often present in overhead throwing athletes;     – it may lead to thoracic outlet syndrome (dead arm syndrome);     – causes:               … Read more

Radiographic Findings in Hemophilia

– Discussion:     – radiographs of knee hemarthrosis, may show the capsule in distension;     – synovitis, cartilage thinning, widening and ersion of intercondylar notch;     – enlargement of ossification centers, esp distal end of femur;     – hemorrhage can displace periosteum to such extent that huge soft tissue mass results … Read more