Ortho Oracle - orthopaedic operative atlas

Congenital Dislocation of Radial Head

– Discussion:     – capitellum is hypoplastic and the radial head is ovoid or dome-shaped;     – ulna may be short in relation to the radius;     – in about 1/3 of patients there will be an additional anomaly of the upper extremity, and in about 1/3, there will be an anomaly in … Read more

Compartment Syndromes of Hand and Forearm

– Antebrachial Compartment Syndrome: (see compartment syndrome menu)     – causes:           – may follow supracondylar fr(x) of humerus, or both bone forearm fractures;           – compartment syndromes in the forearm after wrist fractures usually involve the volar compartment;      – compartment syndrome monitoring     – technique of forearm fasciotomy: (see … Read more

Complex Elbow Dislocations

 – Discussion:     – dislocations of the elbow associated with fracture are termed complex;     – comprimise 49% of elbow dislocations;     – most of these fractures are inherently unstable and require surgery;     – prolonged elbow immobilization produces poor results.     – surgery must achieve sufficient stability to allow … Read more

Clinical Manifestations: Hemophilic Arthropathy

– See: Extra-articular Manifestations – Discussion: – manifests itself in one of three typical forms: – acute hemarthrosis; – subacute hemarthropathy; – chronic hemarthropathy; – severity of hemophilia A depends upon level of factor VIII clotting activity; – severe deficiency: – factor VIII activity level of < 1%; – pt characteristically bleeds into joints or … Read more

Cleidocranial Dysplasia (Dysostosis)

– 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

Clavicle Fractures

– See:  – Clavicular Frx in Children /  Congential Pseudoarthrosis of Clavicle – AC joint / Sternoclavicular Joint Injury / Scapula Fracture – Discussion and Classification – Exam Findings:     – brachial plexus – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology:  – Serendipity View – best visualized sitting up … Read more

Aspiration of Elbow Joint

Discussion elbow can be entered either ulnarly or radially, but radial approach is preferred inorder to avoid ulnar nerve injury; radial nerve is lies anterior to the elbow joint, and may be moved even more anteriorly by supinating the forearm; landmarks for aspiration of the elbow joint are the radial head, lateral epicondyle, and tip of the … Read more