– Discussion: – see shoulder replacement discussion (total shoulder vs hemiarthroplasty vs reverse arthroplasty) – the indications for total shoulder arthroplasty (versus hemiarthroplasty) are controversial; – there is some controversy regarding pain relief and component survivorship; – Gartsman GM, et al (2000), the authors compared hemiarthroplasty (24 … Read more
Discussion although the disease is generally more likely to be chronic, acute mycobacterial arthritis has been reported; periarticular bone lesions may accompany the synovial involvement; pulmonary tuberculosis is evident in only half the patients with skeletal involvement; pulmonary TB signs vary with stage of dz, few early on; later high fever, wt loss, prolonged, productive … Read more
(see also: Blair Fusion; Charcot Marie Tooth ; Equinovalgus; Grice Arthrodesis; Kocher approach; Ollier incision; Subtalar Fusion) Discussion results in fusion of subtalar, calcaneocuboid, and talonavicular joints; most effective procedure for fixed hindfoot and forefoot deformities; triple arthrodesis tend to have a high (50%) failure rate in children under 10 years of age; triple arthrodesis … Read more
– Discussion: – trochanteric non union is thought to occur in 2-15% of cases (following trochanteric osteotomy); – most trachanters that heal by osseous union do so within 3 months; – between 3 and 6 months, they are considered delayed union; – beyond … Read more
– Discussion: – name derives from the fact that the fracture exists in the frontal, lateral, and transverse planes; – frx tends to occur in older children and young adolescents during an 18 month window, prior to physeal closure; – lateral portion of epiphysis is the last to close leaving it vulnerable to injury; – … Read more
– Discussion: – acute slip: – acute on chronic slip: – chronic slip: – treatment of is designed to fuse epiphysis on femoral neck which prevents further slipping; – this usually involves insertion of one or more screws into anterior aspect of greater trochanter or … Read more
– Discussion: – treatment is directed at stabilizing hip that has positive Ortolani or Barlow test or to reducing dislocated hip w/ mild to moderate adduction contracture; – implications of positive Ortolani & Barlow’s Test are different; – Barlow’s Test identifies unstable hip that requires dynamic … Read more
– Bone Patellar Bone Repair: – Femoral Tunnel: – Tibial Tunnel: – Tendon Graft: – according to Noyes et. al., strength of 14 mm-wide graft of patellar tendon is approximately 175% the strength of normal Anterior Cruciate Ligament; – semitendinosus graft is approx 75%, gracilis tendon is approx 25%, … Read more
– See: DDH – Clinical Presentation: – widened perineum, shortened lower extremity, & hyperlordosis of lower spine; – Treatment Considerations: – after 2 years of age, there is increased risk of AVN & closed reduction is more likely to fail; – open reduction: – … Read more
– See: – DDH – Impediments to Reduction in DDH – Medial Approach to Hip – Open Reduction – Pelvic Osteotomy – Treatment Goals: – goal is to achieve and manitain a concentric reduction of hip joint; – concave acetabulum cannot develop without concentric force … Read more