Ortho Oracle - orthopaedic operative atlas

Radiographic Assessment of Club Foot

– Discussion:     – helps to determine preoperative pathology;     – in infancy, ossification centers of the talus, calcaneus, and cuboid are present, whereas the navicular does not appear until 3-4 yr; – Method of Beatson and Pearson     – AP of Foot:           – taken in 30 deg … Read more

Quadratus Femoris

– See: external rotators of the hip: Origin: superior aspect of external border of the tuberosity at ischium; Insertion: superior aspect of the linea quadrata, the line which extends downward from the intertrochanteric crest of femur; Synergists: piriformis, obturator externus, obturator internus, gemellus superior, gemellus inferior; Action: external rotation of the femur at the hip; … Read more

Psoas Muscle

– Anatomy:       – origin: anterior surface of transverse process, lateral border of vertebral bodies and corresponding                intervertebral discs of T12-L5;        – at the 3 o’clock position, the iliopsoas is composed of 45% tendon and 55% muscle;       – tendon is located directly anterior to the anterior superior capsulolabral complex at the 2-3 … Read more

Proximal Inter-Locking for Synthes Nail

Intramedullary Nailing of Femoral Shaft Fractures. Part I. Decision-making Errors with Interlocking Fixation. Intramedullary nailing of femoral shaft fractures. Part II: Fracture-healing with static interlocking fixation. Intramedullary nailing of femoral shaft fractures. Part III: Long-term effects of static interlocking fixation. Interlocking intramedullary nailing in femoral shaft fractures. A report of forty-eight cases. Cephalomedullary screws as the … Read more

Proximal Femoral Shaft Fractures

– See:  – Subtrochanteric Fractures – Discussion: – failure of nail to fill IM canal of either the proximal or distal fragment, may lead to postoperative instability; – tend to migrate into a varus deformity – requires abduction and traction for reduction; – tends to have an accentuated anterior bow; – internal rotation tends to … Read more