– See: – Erb’s Palsy – Lower Root Injury: (Klumpke) – Shoulder in brachial plexus injuries: – Traumatic Brachial Plexus Palsy in Children – Discussion: – incidence of brachial plexus birth palsy is approx two / 1,000 births; – … Read more
– Avulsion Fracture – Comminuted Fractures – Distal Olecranon Fracture: – Fracture Dislocations – Oblique Fractures – Surgical Approach: – Transverse Fractures – Discussion: – results from indirect forces (hyperextension) – frx begins at midpoint of trochlear notch and extends distally to enter semilunar notch; – amount of frx … Read more
– See: – Epiphyseal Artery – Metaphyseal Artery – Periosteal Artery – Discussion: – nutrient artery enters into the diaphysis of long bones through an oblique canal; – direction of canal is determined by relative amount of growth that has occurred at … Read more
– Discussion: – nonunion of fractures of the distal humerus usually occurs when stable internal fixation has not been achieved Open reduction and internal fixation of delayed union and nonunion of the distal humerus. Reconstruction after malunion and nonunion of intra-articular fractures of the distal humerus. Methods and results in 13 adults. Non-union of fractures of … Read more
– Discussion: – Non Union – General Discussion: – definition of fracture union: defined as bridging callus (ideally both cortices) on 2 orthogonal views with the disappearance of fracture lines – care must be taken not to mistake a pseudoarthrosis for a simple hypertrophic nonunion; – treatment of the pseudoarthrosis requires complete resection of the synovial tissue, and … Read more
– See: Nerve Injury – Discussion: – always consider an occult compartment syndrome before a neurpraxia; – median nerve: – most common neural injury is to anterior-interosseous branch; – in type III frx, upto 50% of pts may show median … Read more
– Discussion: – shoulder is bounded posteriorly by teres minor & infraspinatus & partialy by long head of triceps; – it is bounded laterally by deltoid, & superiorly it is bounded by acromion; – anteriorly & inferiorly, shoulder is bounded by pect major & biceps, however, these do not … Read more
– See: Bone Tumor Menu – Discussion: – an osteochondroma that results from a dysplasia of peripheral growth plate; – as its name implies, multiple hereditary exostosis is an inherited condition which produces multiple exostoses; – occurs in 1 out of 50,000 people; – … Read more
– Discussion: – used to assess impingement syndromes (coronal oblique views) and less often glenoid pathology (transaxial views); – it accurately identifes full-thickness rotator cuff tears; – defects show up with high signal intensity traversing supraspinatus tendon on T2 images; – … Read more
– Mosaicplasty: – refers to the technique of harvesting small circular (4-8 mm) autogenous grafts from the knee from non wt bearing regions of the knee, and transplanting the grafts in a mosaic pattern until the osteochondral defect is filled; – typically the grafts are harvested from the periphery of the supero-lateral trochlea, but often, the … Read more