– See: – Femoral and Tibial Traction Pins – Supracondylar Femoral Fractures – Discussion: – failure of the nail to fill the canal of either the proximal or distal fragment, may lead to postoperative instability; – distal fractures within 10 cm of the joint line often can be treated successfully with standard IM nailing; – Traction Pins: … Read more
– See: Pediatric Elbow Injuries – Discussion: – most frx involving total distal humeral physis occur before age 6 or 7; – in an infant less than one year of age, whose elbow is swollen 2nd to trauma or suspected trauma, frx involving the entire distal humeral physis should always be … Read more
– Discussion: – degenerative valgus deformity of knee is less common than varus deformity; – genu valgum is more common in pts w/ history of trauma, RA, renal osteodystrophy, rickets, or infantile poliomyelitis; – Treatment Options: – goal of is to correct the angle between anatomic … Read more
– Discussion: – distal biceps may rupture off the radial tuberosity; – presents w/ painful swollen elbow usually in a 50-60 yo active male, most often in the dominant side (uncommon in women); – incidence of distal biceps rupture is 1.2 per 100,000 persons per year; – single traumatic event involving flexion against resistance, w/ … Read more
– Two Incision Approach (Boyd and Anderson) – advantages: – two-incision technique to limits the anterior dissection and therefore may limit pain; – may reduce injury to the radial nerve, which can occur w/ a one incision technique that incorporates drill holes thru the … Read more
– One Incision – Modified Henry Approach: – see: Henry Approach to the Forearm; – some surgeons feel that this is the prefered technique noting that modern suture anchors anchors have permitted safe repair of biceps tendon through one anterior incision; – advantages: direct approach, avoids PIN injury, … Read more
– Discussion: – see: elbow dislocations in children: – elbow dislocation is the second most common major joint dislocation; – dislocation is usually closed and posterior; – mechanism: – dislocations of elbow usually result from fall onto extended elbow. … Read more
CarpoMetaCarpal Elbow Hand and Fingers: CMC Instability in the Metacarpals: MP joint dislocation: PIP dislocation:: Thumb CMC Joint: Thumb MP Joint: Hip Knee Patellar Dislocation:; Perilunate Dislocation; Radial … Read more
– See: – Amputation of the Finger and Hand: – Pharmocological Agents in Vascular Surgery: – Second Toe Transfer: – Thumb Defects: – Indications for Replantation: – Thumb amputation – Multiple digit amputations – Metacarpal amputation … Read more
– Systemic conditions: (may mimic ulnar entrapment syndrome at elbow) – Syringomyelia – Amyotrophic Lateral Sclerosis – Entrapment of the ulnar nerve distally at the wrist (Guyon’s canal) – Snapping Elbow Syndrome: – syndrome which has yet to be fully described, in which … Read more