– See: – Tibial Plateau Frx Menu: Bicondylar Fractures and Type V Frx, Type IV Fractures, Total Depression Fracture – Discussion: – frx of medial tibial plateau (see total depression frx): – carries worst prognosis of all tibial plateau fractures; – 2 subsets of injury: … Read more
– Discussion: – if the frx needs a reduction, then the frx is not a type I but a type II; – posterior cortex remains intact, making it a greenstick frx; – technically a type II frx implies posterior displacement, but frequently there will also be medial impaction w/ … Read more
(see also: Blair Fusion; Charcot Marie Tooth ; Equinovalgus; Grice Arthrodesis; Kocher approach; Ollier incision; Subtalar Fusion) Discussion results in fusion of subtalar, calcaneocuboid, and talonavicular joints; most effective procedure for fixed hindfoot and forefoot deformities; triple arthrodesis tend to have a high (50%) failure rate in children under 10 years of age; triple arthrodesis … Read more
– See: Posterior Approach to the Humerus; – Positioning: – patient is in lateral position w/ arm brought across the chest; – plan on adusting flexion of elbow inorder to increase or decrease tension; – sterile tourniquet is required; – Technique: – straight longitudinal incision beginning 7-10 … Read more
– See: Posterior Approach to the Humerus; – Discussion: – the distal triceps can be split down the middle with the dissection carried straight down to bone over the olecranon; – care is taken to mobilize full thickness fascial and periosteal flaps both medially and laterally; – the dissection … Read more
– See: – Phalangeal Injury – Congenital Trigger Thumb – Rheumatoid Trigger Finger – Discussion: – results from localized tenosynovitis of superficial and deep flexor tendons adjacent to A1 pulley at a metacarpal head; – inflammation causes nodular enlargement of tedon distal to pulley; – occurs most often in middle or ring fingers (occassionally in … Read more
– origin: lateral head: superior 1/2 of post. lat. surface of humerus; long head: infraglenoid tuberosity of scapula; medial head: – inferior 2/3 on posterior surface of the humerus, beginning at the spiral … Read more
– Open Resection: – short transverse incision directly over the mass; – dorsal ganglions are often located between the EPL and EDC tendons; – retinaculum is incised between the 2nd and 4th extensor compartments (EPL tendon sheath need not be incised); – main cyst and its pedicle … Read more
– See: Surgical Approach – Treatment Options: – No Reduction – elevation, compression, early ROM (ROWE) – Closed Reduction – Bohler: distraction/M-L – compression – Open Reduction – Palmer: lateral approach (1948) – Goals of Open Reduction: … Read more
– Discussion: – mechanism of injury: – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries); – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more