– Discussion: – performed as soon a possible ( < 8-12 hrs) – either in OR under GEA (optimal) or in ER w/ sedation if delays are expected; – reduction may be performed w/ flouro, but orthopaedist may find that flouro interferes w/ hip flexion, which frequently is essential to … Read more
– See: Extra-articular Manifestations – Discussion: – manifests itself in one of three typical forms: – acute hemarthrosis; – subacute hemarthropathy; – chronic hemarthropathy; – severity of hemophilia A depends upon level of factor VIII clotting activity; – severe deficiency: – factor VIII activity level of < 1%; – pt characteristically bleeds into joints or … Read more
– Discussion: – autosomal dominant proportionate dwarfism that affects bones formed intramembranously (eg. facial bones, cranium, & clavicles); – dislocations of hips, knees, and the radial heads may occur; – clavicle: – most commlonly, absence of the central portion of the clavicle with rudimentary … Read more
– Discussion: – classified according to both the mechanism of injury and morphology. – two major mechanisms of injury: – direct and indirect trauma; – Direction Trauma: – patella may be fractured by direct blow during fall onto knee or when it hits dashboard in an … Read more
– Spastic Syndrome: – are the most common (70% of cases) and most ammenable to surgery; – due to upper motor neuron involvment – mild to severe motor impairment – characterized by increased muscle tone and hyperreflexia, with slow, restricted movements (because of co contraction of agonist … Read more
– See: – Knee Joint Menu: – Arthroscopy of the Degenerative Knee – Osteochondritis Dessicans – Osteoarthritis – Discussion: – described types articular cartilage … Read more
– See: – Bone Tumor Menu and Osteosarcoma Demonstration Project – Discussion: – malignant tumor of bone in which neoplastic osteoid is produced by a proliferating spindle cell stroma; – most common primary malignant bone tumor of mesenchymal derivation; – arises in adolescents, and second or third decade; – … Read more
– Discussion: – most common presentation is chronic slip (60 % of cases); – may cause pain refered to hip, distal medial thigh, or knee; – on exam, look for loss internal rotation, which may be manifested by observing the extended hip move into external rotation as hip is … Read more
– See: Bone Tumor Menu – Discussion: – malignant cartilaginous tumor of bone (3rd most common malignant bone tumor / comprises 20% of malignant bone lesions); – it is less common and less aggressive than osteosarcoma; – staging: – histologic grading is best predictor of stage; – most often presents as … Read more
– See: – Syme’s Amputation – Transmetatarsal Amputation – Discussion: – Francis Chopart first described disarticulation thru midtarsal joint; – Chopart amputation removes the forefoot and midfoot, saving talus and calcaneus; – Chopart amptutations should not performed for ischemia; – this … Read more