The Hip - book

Type I Transepiphyseal Separation

– Discussion:     – least common pediatric femoral neck frx (about 7%);     – capital femoral epiphysis may stay w/in acetabulum but in 50% of cases the capital fragment is dislocated;     – tends to occur in infants and young children;     – this injury may be the result of a … Read more

Type II FDP Avulsion

– Discussion:     – most common form;     – distal end is located in the decussation of the FDS     – small chip of bone is taken off w/ flexor tendon;     – tendon retracts to level of PIP joint or distal to PIP, & long vincululm may remain intact;     – a small … Read more

Type I: Pilon Frx

– Discussion:     – articular fracture without significant displacement;     – malleolar fractures with large plafond fragments;     – these fragments are usually posterior;     – posteroinferior tibiofibular ligament & deep transverse ligament are attached to the fragment;     – first reduce & fix fibula;           … Read more

Tumors of the Pelvis

                                               Local Tenderness  – Osteosarcoma (common)—————————– Yes  – Ewing’s sarcoma: (common) ———————— Yes  – chondrosarcoma ———————————– Yes  – Osteochondroma       (Osteocartilaginous Exostosis)  – Fibrous Dysplasia ——————————– Yes  – Eosinophilic granuloma ————————— Yes  – Aneurysmal bone cyst  – Prostatic Ca:       – most of prostatic ca mets are blastic & do not require … Read more

Tumors of the Proximal Femur

– Diff Dx:     – Osteosarcoma     – Osteochondroma     – Fibrous Dysplasia     – Ewing’s sarcoma:     – Osteoid Osteoma     – Eosinophilic granuloma     – Aneurysmal bone cyst     – Simple bone cyst     – Chondrosarcoma:     – Fibrous Histiocytoma     – … Read more

Tumors of Soft Tissue

       – Bone Tumors      – Biopsy      – European Cancer Institute – Soft Tissue Sarcomas      – Metastatic Tumors      – MRI      – Stage Classification Tissue type: – Osseous      – Myositis ossificans      – Extraosseous osteosarcoma – Carilaginous:      – Chondroma      – Extraosseous chondrosarcoma      – Synovial Chondromatosis – Fibrous:      – Fibroma      – Fibrosarcoma      – Desmoplastic Fibroma      – … Read more

Tumoral Calcinosis

– See: Ossification of Soft Tissue and Periosteum: – Discussion:     – heritable dz characterized by periarticular metastatic calcification;     – typically the shoulders and hips are affected most often;     – vascular and visceral calcification does not occur;     – hyperphosphatemia may play a role in this disorder; – Clincal … Read more