The Hip - book

IM Nailing of Humeral Shaft Frx

– See: Humeral Frx – Main Menu: / humeral shaft fractures – Discussion:     – may be indicated for multi-trauma patients w/ humeral shaft frx, and patients w/ pathologic frx;     – note that following humeral shaft frx, IM nailing provides torsional and bending stiffness of only            20-30% of normal;     … Read more

Humeral Shaft Fracture

 – See: Humeral Frx – Main Menu – Condylar Fractures – Non Union of Humeral Fractures – Pediatric Humeral Shaft Fracture – Synthes Humeral Shaft Products – Discussion: – mechanism: – bending force produces transverse frx of the shaft; – torsion force will result in a spiral fracture; – combination of bending and torsion produce … Read more

Humeral Shaft Fractures in Children

– See: – Proximal Humeral Physeal Injuries – Condylar Fractures – Discussion: – while radial nerve paralysis occurs in adults, its rare in children; – most represent neuorpraxias, & are expected to return w/ in 3-4 months; – acceptable reduction: – overriding of 1 to 1.5 cm is accepted, as overgrowth is common in pediatric … Read more

Hip Joint in CP

                            – See: cerebral palsy – Discussion:     – may occur in upto 30% of patients w/ spastic CP, and may occur in upto 50% of patients w/ spastic quadriparetic CP;           – more severe contractures with … Read more

High Ulnar Nerve Lesions

– See:     – Tendon transfers:     – Nerve Repair:     – Combined Injuries of the Median and Ulnar Nerves: – Discussion:     – ulnar innervated intrinsic muscles of hand, FCU, & FDP units to ring & little fingers & part of long finger;     – functional deficit:     … Read more

High Median Nerve Lesions

– See:       – Entrapment of Median nerve  at the Elbow and Forearm:       – Combined Injuries of the Median and Ulnar Nerves:       – Median Nerve       – Nerve Repair – Deficit:     – loss of pronation of forearm, wrist flexors, index & long finger … Read more

Heterotopic Ossification

– See: Ossification of Soft Tissues: and Myositis Ossificans – Discussion:     – occurence and formation of mature bone in non-osseous tissue;      – may present w/ signs of localized inflammation or pain, elevated skin temp, ect.     – tends to occur after thr, spinal injury, head injury (11%), burns, bruises, elbow trauma, total hip replacement;     … Read more