Hip
Tensor Fascia Lata / Iliotibial Band
– See: Iliotibial Band Syndrome – General Anatomy: – origin: – anterior iliac crest outer lip, anterior border of the ilium, outer surface of anterior superior iliac spine; – insertion: – iliotibial band of fascia lata on lateroanterior aspect of thigh, … Read more
Tennis Elbow – Lateral Epicondylitis
Discussion overuse syndrome or tendinosis involving the region of the lateral humeral epicondyle; most often the origin of the ECRB displays an abnormal vascular proliferation and focal hyaline degeneration; ref: Anatomic Factors Related to the Cause of Tennis Elbow EDC may also be involved in some cases; ref: The role of the extensor digitorum communis … Read more
Tendon Transfers for Low Median Nerve Lesions
– See: – combined injuries of the median and ulnar nerves: – nerve repair – median nerve repair at the wrist – Discussion: – patient’s ability to oppose is weak, and the FPL provides most of the strength in flexion; – loss of the radial … Read more
Tendon Transfers for Low Median Nerve Lesions: Camitiz Procedure
– See: – combined injuries of the median and ulnar nerves: – nerve repair – median nerve repair at the wrist – Discussion: – patient’s ability to oppose is weak, and the FPL provides most of the strength in flexion; – loss of the radial … Read more
Technique for Acetabular Cup Removal
– Discussion: – considerations: – removal of press fit components can often be complicated by heavy bone ingrowth, insertion of under-reamed components, or insertion of oversized peripherally oversized cups; – acetabular exposure: … Read more
Technique of Blade Plate Insertion
– Discussion: – 1st guide wire marks femoral anteversion; – 2nd guide wire marks direction of seating chisel and should be driven into the femoral neck parallel to 1st guide wire; – note that because the greater trochanter lies slightly posterior to the femoral neck, the guide wire needs to be placed slightly anterior to … Read more
Tarsal Coaliltion
– See: – Talocalcaneal Coalition – Calcaneonavicular Coalition – Discussion: – coalition between tarsal bones is frequent cause of painful flatfoot (pes planus) in the older child or adolescent; – tarsal coalition may be osseous, cartilaginous, or fibrous. – calcaneonavicular coalition bar is most common, followed by middle facet of talocalcaneal coalition joint; – single … Read more
Technetium 99m
– Discussion: – over the course of several hours, half or more of the dose accumulates in bone, and the remainder is excreted in urine; – images obtained over 2-4 hours (half life of technetium is 6 hours); – increased uptake in immature bone and metabolically active bone, or … Read more
Technical Failures Causing Loosening
– See: – Radiographic Evaluation of Cemented Femoral Components: – Exam for THR Loosening: – Discussion: – failure to remove soft cancellous bone from medial surface of femoral neck, so column of cement does not rest on dense cancellous or cortical bone & … Read more