Ortho Oracle - orthopaedic operative atlas

Arthrogram following THR

– See:       – Total Hip Replacement Menu:       – Puncture of Hip Joint – Discussion:     – most useful for assessment of loosening of acetabular component;     – for acetabular component, contrast at the cement bone interface in all zones or in zones I and II or II … Read more

Artery Menu

– See:       – Arteriography / angiographic 3D view       – Arterio-venous malformations       – Arterial Trauma       – Development       – Fractures associated with Arterial Injuries       – Intimal Injuries       – Microanastomosis       – Pharmocological Agents in Vascular Surgery       – Prosthetic … Read more

Arterial Supply to Femur

– See: – Blood Supply Femoral Head & Neck – Anatomy of Circulation: – mainly supplied by profunda femoris: – nutrient artery usually enters bone proximally and posteriorly along linea aspera; – usually there is only one nutrient artery (maximum of 2); – usually it comes of the 2nd perforating artery: – after giving off … Read more

Arcuate Complex

– Discussion:     – includes posterior 1/3 of lateral supporting structures;     – it includes LCL, arcuate ligament, & exension of popliteus;            – posterior 1/3 of the lateral ligamentous complex is reinforced by biceps, popliteus, & lateral head of gastrocnemius;     – LCL:         … Read more

Arcuate Ligament

– Discussion:     – it is not a separate ligament but is condensation of fibers of origin of popliteus and helps form the arcuate complex:     – arcuate ligament is a Y shaped condensation of fibers that courses from the fibular head, over the popliteus, to            insert on the posterior capsule;     … Read more

Arterial Development of the Limbs

(See also: Adult Upper Limb Arteries) Discussion: Upper Limb Development subclavian artery projects into the early upper limb bud & forms subclavian-axillary-brachial  trunk; its distal portion becomes interosseous artery that initially supplies plexus of arteries in the primitive hand; branch of trunk artery, median artery, temporarily replaces interosseous artery in supplying the hand; subsequently, ulnar … Read more

APC III

– Discusison:     – w/ application of severe AP force, hemipelvis rotates externally until posterior iliac wing contacts posteior sacrum;     – continued force rips posterior SI ligaments, completely dissconecting hemipelvis from the sacrum;     – APC III have highest rate of assoc injury, including retroperitoneal bleeding;     – by definition then, an … Read more

AP View of Pelvis

See also: X-rays for THR X-rays for Femoral Neck Fractures Discussion this view should demonstrate the iliac bone, sacrum, pubis, ischium, femoral heads and necks, and greater or lesser trochanters; arcuate, iliopubic, ilioischial, and acetabular teardrop lines, sacral foramina, & SI joint should be scrutinized carefully and identified in a systematic manner; patient is supine with the … Read more

AO/ASIF Femoral Distractor

Indications allows unobstructed view of articular surface of acetabulum; Technique proximal bolt is inserted in the iliac wing in its superior portion, just distal to thickened crest; proximal bolt must pass through portion of ilium in continuity w/ sacrum (or frx proximal to this point must be stabilized) prior to application of a distraction force; distal bolt … Read more