– See: – Anterolateral Bowing – Neurofibromatosis – Discussion: – is rare, occurring equally in girls and boys; – disease is almost always unilateral; – acute frxs occur during first 2 yrs of life, usually shortly after birth. – … Read more
– Discription: – broad cloverleaf shaped plate which is designed to butress comminuted supracondylar fractures; – this plate may be especially indicated for comminuted distal fractures w/ a coronal shear frx; – plate is designed to contour to the lateral aspect of the distal femoral … Read more
– Discussion: – superficial phlebitis – proximal tibial anesthesia – patellofemoral pain / pathology: – references: – Patellofemoral problems after intraarticular anterior cruciate ligament reconstruction. – Patellofemoral problems after anterior cruciate ligament reconstruction. – Pain after use of … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Pseudarthrosis:/strong>br/> – a major complication;br/> – consider managing patient nonoperatively w/ orthosis;br/> – w/ operative treatment consider if old incisions can be used;br/> – acquired pes valgus, metatarsalgia, or other complication may occur;br/> – ref: a href=”http://www.ncbi.nlm.nih.gov/pubmed/24043351″>Establishing the relationship between clinical outcome … Read more
– Discussion: – at time of the injury, calcaneus is driven up toward center of body; – lateral wall is driven outward, as are the peroneal tendons; – this results in shortened functional length of gastrocnemius-soleus complex, flat foot, lateral impingement of peroneal structures, & locked … Read more
– Discussion: – osteonecrosis of proximal fragment; – non union if proximal fragment is too thin; – delayed union or nonunion occurs in 1-3% of pts & is treated by bone grafting or by repeat osteotomy when correction is lost; – ref: Results … Read more
– Discussion: – pathophysiology: – compartment syndrome is elevation of interstitial pressure in closed fascial compartment that results in microvascular compromise; – as duration & magnitude of interstitial pressure increase, myoneural function is impaired & necrosis of soft tissues eventually develops; – intracompartmental pressure: … Read more
– Discussion: – see: Winquist Classification – sign of high energy trauma: more blood loss, systemic complications, and fat embolism syndrome; – all cortical contact is lost; – simple cloverleaf nails are contraindicated w/ type III and IV comminuted frxs because of risk of shortening of frx about nail; – small diameter nails fail to … Read more
– See: – Pivot shift – Anterior Cruciate Ligament – Anterolateral Rotatory Instability – Clunk Test – Diagram – Lachman – Losee Test – reverse pivot shift Test – Discussion: … Read more
– Positioning: – sterile tourniquet; – supine position, hip bump; – foot bump to hold the knee in hyperflexion; – Incision: – inverted L shaped incision; – transverse limb: – is made … Read more