The Hip - book

Nerve Injuries in THR

– See: Total Hip Replacement Menu:             – arterial injuries: in THR              – nerve injury              – nerve palsy from TKR – Discussion:     – incidence of sciatic (tibial and/or peroneal) &/or femoral palsies after THR ranges from 1-3%;     – incidence of nerve palsy is 1-2% of primary … Read more

Natural History of DDH

    – See: DDH – Main Discussion – Discussion:       – 95-98% of DDH cases are possibly reversible;     – 2% of DDH cases may have teratologic dislocation which is generally not reversible;     – less than 2% of infants will have a positive Barlow’s test (dislocatable hip);     … Read more

Myelodysplasia

– Discussion:     – disorder of spinal cord development/closure or secondary rupture of developing cord secondary to hydrocephalus;     – term myelodysplasia includes:           – spina bifida occulta           – meningocele: sac without neural elements protruding through defect;           – myelomeningocele; … Read more

Myelomeningocele Scoliosis

– See:        – Orthopaedic Manifestations of Myelomeningocele: – Discussion:     – scoliosis in myelomenigocele may have a multifactorial etiology:            – idiopathic causes;            – myelomeningocele structural defect;            – congenital defects            – paralytic … Read more

Musculoskeletal Considerations in Pregancy and Post Pregnancy

– Use of Medications in Pregnancy: – calcium supplementation – intra-articular steroids – note that intra-articular steroids may interfere w/ lactation in nursing mothers; – ref: The use of antirheumatic medication during pregnancy and in the puerperium. – Surgical Considerations: – positioning: – avoid supine positioning because of hypotensive effects from aortocaval compression by the … Read more

Muscles and Tendons Menu

Section Editor Dean Taylor, MD – See: Muscle Anatomy, Histology, & Physiology; A Abductor Digiti Minimi Brevis Abductor Digiti Minimi (hand) Abductor Hallucis Abductor Pollicis Brevis Abductor Pollicis Longus Anconeus Adductor Brevis Adductor Hallucis Adductor Longus Adductor Magnus Adductor Pollicis B Biceps Brachii Biceps Femoris Brachialis Brachioradialis C Coracobrachialis D Deltoid Dorsal Interossei of Feet … Read more

Multiple Cartilaginous Exostoses (Hereditary Exostosis)

– See: Bone Tumor Menu – Discussion:     – an osteochondroma that results from a dysplasia of peripheral growth plate;            – as its name implies, multiple hereditary exostosis is an inherited condition which produces multiple exostoses;     – occurs in 1 out of 50,000 people;     – … Read more

Mucopolysaccharidoses

– Discussion:     – are characterized by a defect in metabolism of one or more mucopolysaccharides, w/ resulting excessive accumulation of these             substances in the extracellular spaces of the connective tissues;     – this group of disorders is characterized by a deficiency of specific lysosomal enzymes required for degradation of glycosaminoglycans;         … Read more