Ortho Oracle - orthopaedic operative atlas

Posterior Column of Acetabulum

– See:      – Classification and Column Theory      – Posterior Wall Fractures      – AO Foundation Posterior Column Frx – Discussion:     – posterior column extends from obturator foramen thru posterior aspect of the wt bearing dome              of acetabulum & then obliquely through greater sciatic notch;     – frx of … Read more

Posterior Anterior View of the Wrist

– See:        – AP view        – Carpal height & Carpal height ratio         – Clenched Fist AP        – Radial Inclination        – Radial Length & Width        – Ulnar Variance        – X-ray for Distal Radius Frx – Discussion:     – AP View is prefered for … Read more

Posterior Acetabular Wall Fractures

  – See:       – Associated Transverse and Posterior Wall Frx        – Classification and Column Theory  – Discussion:     – most common type of acetabular frx (up to 50% of acetabular fractures will contain a posterior              wall fragment);     – posterior wall frxs involve the posterior articular surfaces, often w/ retroacetabular … Read more

Post Op Care: Zone II Injuries

– Discussion:      – initial postop plaster splint holds wrist in 20 deg flexion, MP joints in at least 60 deg flexion, and digits should be held in                extension in order to avoid contractures;      – early motion is started to decrease tendon adhesions & to improve digit motion;      – patients … Read more

Popliteal Artery

– See: differential diagnosis of posterior fossa masses – Discussion:     – popliteal artery is the continuation of superficial femoral artery at hiatus of the adductor magnus muscle;     – artery is anchored proximally by tendinous insertion of adductor magnus upon the medial femoral epicondyle;     – it runs posterior to the distal … Read more

Polyarticular JRA

(see also: juvenile RA menu) Discussion definition: > 5 involved joints; large and small joint may be affected; accounts for about 50% of patients w/ JRA; may occur at 1-3 yrs or during early adolescence (after age 10); children w/ seronegative arthritis usually present before age 5 years and have iridocyclitis if fewer than five … Read more

Polydactyly of Foot

          – Discussion:     – polydactyly in the foot usually involes a single duplication (hexadactyly)     – associated anomalies:           – duplications occur bilaterally in about 40-50% of patients, but often the duplications are not symmetric;           – polydactyly of hand … Read more