– Discussion: – condition is a part of the spectrum of the bowing-pseudarthrosis disorder seen in neurofibromatosis; – tibial pseudarthrosis may be present at birth, or it may present later on following a frx from an anterolaterally bowed tibia; – this disorder should not be confused … Read more
– Discussion: – most important portal, initial site for scope insertion; – structures that are difficult to see: – PCL – anterior portion of lateral meniscus – posterior … Read more
– See posterior tibial artery – Anatomy: – anterior tibial artery passes from behind through gap above interosseous membrane to enter anterior compartment of leg and supply its muscles; – as it crosses membrane, it gives off a recurrent branch; – ref: The risk of injury to anterior tibial artery in posterolateral approach to … Read more
– Discussion: – see frx dislocations of the hip – comprise 10-15% of traumatic dislocations of hip; – occur when knee strikes dashboard w/ thigh abducted, falls from ht, or from a blow to the back of pt while in squatted position; – neck of femur or greater trochanter impinges … Read more
– Discussion: – Anterior Talofibular ligament is the primary restraint in anterior drawer test; – testing of ankle in 10 deg of plantar flexion results in greatest amount of translation, although one cadaveric study showed that maximum anterior excursion occurs in dorsiflexion; – injury of the calcaneofibular lig does not increase amount of the anterior drawer; … Read more
Anterior Cruciate Ligament ‐ Anterolateral Ligament: Let’s Stick to the Facts! – Discussion: – anatomy of ACL – biomechanics of ACL – epidemiology_of_ACL_injuries – mechanism: ACL Tear – natural history of the ACL-deficient knee – partial ACL injury – pediatric ACL injuries – Evaluation … Read more
– Extra-articular Reconstruction: – these type of procedures are now no longer used as the primary reconstructive method for ACL tears; – some authors feel that the extra-articular reconstruction may have a role in augmenting the intra-articular reconstruction; – references: – Biomechanics of intra-articular and extra-articular reconstruction of the anterior cruciate ligament. – The effect … Read more
– See: intercondylar eminence frx; – Discussion: – pediatric ACL injuries – Transphyseal ACL reconstruction: – references: – Transepiphysial fixation of anterior cruciate avulsion in a child. Report of a complication and review of the literature. – Transepiphyseal Replacement of the Anterior Cruciate Ligament in Skeletally Immature Patients. A preliminary … Read more
– Discussion: – retrograde IM nailing – Workup for Femoral Shaft Frx – PreOp Planning: – rule out femoral neck fracture: – Is Reconstruction Nailing of All Femoral Shaft Fractures Cost Effective? A Decision Analysis. – Diagnosis of femoral neck fracture associated with femoral shaft fracture: blinded comparison of computed tomography and plain radiography. – IM nailing of … Read more
– See: Anterior Approach to the Humerus Axillary Approach: Posterior Approach Posterior Approach to Humerus Surgical Approach for Proximal Humeral Fractures Positioning and Draping: supine or beach chair; small soft bolster is placed beneath the shoulder blades to protract the shoulder; head is stabilized to prevent hyperextension and subsequent brachial plexus palsy; place patient in … Read more