– Discussion: – soleus is a bipiniform (double feather) shaped muscle; – its width encompasses the posterior two thirds of the calf; – it originates from the upper one third of the dorsum & medial surface of the fibula and mid-posterior tibia; – it inserts into the achilles tendon over a 5 cm area just … Read more
– Discussion: – slip of the captial femoral epiphysis occurs with in a narrow window of physiologic maturity of the growing child; – arises from mechanical and constitutional factors; – pts may have underlying endocrine dz (such as hypothyroidism) delayed puberty & bone age; – position of growth plate of proximal femur normally changes from … Read more
The entire site can be found directly or indirectly by using the alphabetical listing of topics below. You can also use the clickable image skeleton to the right, the topical Tabs along the top and the Search Site by Word box. Click the letter below to display all entries starting with that letter. A B C … Read more
– Sizing of the Tibial Component: – generally, the tibial component is either larger or at least the same size as the femoral component; – femoral overhang is a significant source of postoperative TKR pain; – ref: Overhang of the Femoral Component in Total Knee Arthroplasty: Risk Factors and Clinical Consequences – … Read more
– See: Posterior Frx Dislocations of the Hip – Discussion: – simple posterior dislocation without a fracture occurs from a posteriorly directed force against a flexed and adducted femur; – Associated Injuries – Pre-Reduction Radiographs: (radiographic evaluation of hip dislocation) – AP of the Hip; … Read more
– Discussion: – cause of discomfort in anterior aspect of the knee; – caused by persistent traction at the cartilaginous junction of patella & patellar ligament, usually at inferior patellar pole; – usually seen in an active preteen boy who complains of activity-related pain; – differential diagnosis: … Read more
(see also: Osteomyelitis in Sickle Cell Patient) Discussion affects 1% of blacks – is more severe but less common than sickle cell trait (8% prevalence); two main genotypes include Hb S and Hb C forms of disease; crises usually begin at age 2-3 years and may lead to bone infarctions; Sequelae of Sickle Cell growth … Read more
– See: Total Shoulder Replacement – Technique: – deliver the proximal humerus: – anteriorly dislocate the humeral head by extending, abducting, and externally rotating the arm; – a blunt Homan retractor is then placed behind the humeral head to maintain its dislocated position; … Read more
– Discussion: – a complex syndrome characterized by exercise induced pain in mid leg; – contributing factors include varus hindfoot, excessive forefoot pronation, genu valgum, excessive femoral anteversion, & external tibial torsion; – may encompasses a wide spectrum of disorders including periostitis near origin of soleus & FDL muscle … Read more
– See: – Bursae of the Knee – Septic Arthritis – Diff Dx: – referred pain from the hip – osteochondritis dissecans – traumatic internal derangement – distal femoral or proximal tibial osteomyelitis – septic bursitis: – … Read more