– Discussion: – its essential to consider the differential dx and to examine the patient from the neck down to the finger tips; – in taking the history, be sure to inquire as to whether the patient’s main complaint is hand/wrist pain versus paresthesias; – it is also important … Read more
– Neurological Exam: – be sure to examine the AIN, PIN, and median nerve at the wrist; – carpal tunnel syndrome; – evaluate the strength of the APB; – injury from contact with bone spicules; – … Read more
– Discussion: – pt w/ anterior dislocation keep affected arm at side of body in external rotation; – shoulder will loose its usual roundness and will be full anteriorly to palpation; – axillary nerve f(x) should be documented; – rotator cuff is frequently damaged & should be … Read more
Discussion: – peroneal nerve – peroneal palsy following TKR – nerve injury – discussion: – peroneal nerve palsy may lead to severe disability w/ foot drop and paresthesias; – note that in contrast to other types of nerve palsies, peroneal palsy may … Read more
– See: – Adult Condylar Fractures – Pediatric Elbow Injuries – Discussion: – in children, supracondylar frxs typically remains extra-articular & involves thin bone between coronoid fossa & olecranon fossa of distal humerus; – frx line angles from anterior distal point to posterior prox site; – in adults, supracondylar frx of humerus may be intra-articular; … Read more
– see Pediatric Radial Neck Frx – Discussion: – may be difficult to diagnose since radial head does not ossify until age 4 yrs; – radial head frx may occur along w/ ulnar shaft frx (Monteggia equivalent); – consider MRI or ultrasound to assist w/ diagnosis; – … Read more
– See: – Methods to Etimate Growth Potenital: – Growth Plate Anatomy – Appearance of Ossification Centers: – skeleton incompletely ossified at birth, & portions such as carpals, patella, navicular, cuneiforms, will radiographically appear entirely cartilaginous; – ossification centers will enlarge in all directions, until it becomes bounded on … Read more
– See: Adult Olecranon Frx: – Discussion: – secondary ossification centers of olecranon (bipartite olecranon or patella cubiti) should not be misdiagnosed as fractures; – Radiology: – ossification center of olecranon appears at 10 yrs of age & is usually fused to proxomal ulna by age 16 yr; – rarely … Read more
– Discussion: – children’s frx are rarely intra-articular; – common types: – physeal frx – torus fracture – green stick frx – both bone forearm frx – galeazzi’s frx – distal radius fracture: – Anesthesia: – note … Read more
– See: Radiology of the Pediatric Elbow Posterior Approach to the Elbow – Pediatric Elbow Injuries: – Distal Humeral Physeal Separation – Elbow Dislocation – Lateral Condyle Frx – Medial Condyle Frx – Medial Epicondyle Frx – Monteggia Frx – Nursemaid’s Elbow – Olecranon Fracture – Osteochondritis – Osteochondrosis of Medial Epicondyle – Radial Neck … Read more