The Hip - book

Perilunate Dislocations

– See:        – Carpal Instability        – Ligaments of the Wrist – Discussion:     – perilunate dislocation pattern provides a whole spectrum of wrist sprains, fractures, dislocations;     – types of perilunate dislocations (in order of frequency):             – transscaphoid-perilunate       … Read more

Percutaneous Discectomy

Percutaneous lumbar discectomy. Review of 100 patients and current practice. Chemonucleolysis in the herniated L3-L4 disk. Prevention of chymopapain anaphylaxis by screening chemonucleolysis candidates with cutaneous chymopapain testing. Percutaneous posterolateral discectomy. Anatomy and mechanism. Prevention of chymopapain anaphylaxis by screening chemonucleolysis candidates with cutaneous chymopapain testing. A preliminary report. Disc space infection and vertebral osteomyelitis as a … Read more

Pedicle Flaps

– Discussion:     – pedicle flaps can incorporate a variety of tissues, ranging from skin and subQ fat to essentially a complete finger;     – used to provide coverage in areas where tendon (denuded of epitenon), bone (denuded of periosteum), or joints are exposed;     – areas that must support tendon grafting or transfers … Read more

Pediatric Phalangeal Frx

– Radiology: – SH Type I Frxs:     – separation of epiphysis occurs thru hypertrophying layer of cartilage cells;     – proliferating cells are intact, the epiphysis continues to grow;     – if nutrient artery is intact healing occurs in 3 weeks;     – frx is most common in distal phalanx, … Read more

Pediatric Radiology

– See:         – Methods to Etimate Growth Potenital:          – Growth Plate Anatomy  – Appearance of Ossification Centers:     – skeleton incompletely ossified at birth, & portions such as carpals, patella, navicular, cuneiforms, will radiographically appear entirely cartilaginous;     – ossification centers will enlarge in all directions, until it becomes bounded on … Read more

Pediatric Distal Radius Fracture

– Discussion:     – children’s frx are rarely intra-articular;      – common types:           – physeal frx            – torus fracture            – green stick frx            – both bone forearm frx              – galeazzi’s frx           – distal radius fracture:  – Anesthesia:      – note … Read more

Pediatric Dens Fracture

– See:       – Adult Dens Frx:       – Anatomy of C2:       – Development of Dens:       – Pediatric C-spine – Discussion:     – accounts for majority of pediatric C-spine frx (upto 75%)     – in children, dens frx occur at an average age … Read more