– origin: – outer surface of ilium between anterior and inferior gluteal lines and margin of greater sciatic notch; – insertion: anterior border of greater trochanter; – action: – abducts femur at the hip and rotates it medially; – lateral pelvic stabilizer; … Read more
– Discussion: – a common benign but locally aggressive lesion of unknown etiology; – occurs chiefly in men between 20-50 yrs (after epiphyseal closure); – tumor is expansile lytic lesion that involves the epiphysis & metaphysis; – tumor may enlarge to occupy most of epiphysis & adjacent metaphysis; … Read more
– See: external rotators of the hip: Origin: the outer surface of the spine of the ischium Insertion: the posterior medial surface of the greater trochanter on the femur; Action: external rotation of the femur at the hip; Nerve Supply: sacral plexus, L5, S1, S2; (see innervation) Synergists: piriformis, obturator externus, obturator internus, quadratus femoris, … Read more
– See: Garden Alignment Index – Garden III: *** – complete fracture with partial displacement; – “if it needs a reduction, then its a type III fracture;” – frequently there is shortening and external rotation of distal frag; – retinaculum of Weitbrecht remains attached to, & maintains … Read more
– See: DDH – Discussion: – indicated for residual dysplasias in adolescents and young adults; – allows both anterior and lateral rotation as well as medialization of the hip; – can expect good improvement in the center edge angle (avg correction of 31 deg); – does not … Read more
– Discussion: – in adults, a two-stage anterior and posterior procedure is performed; – w/ this technique, rate of pseudarthrosis is < 5 %; – CD instrumentation: – another advantage of this instrumentation is improved fixation to sacrum, w/ pedicular screws used instead … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”> b>- Clinic Hours:/b> Duke South Hospital Orthopaedic Surgery Private Diagnostic Clinic First floor, yellow zone Appointments: (919)684-4007 or 684-3328 8:30 a.m. – 5:00 p.m. M-F Dr. Urbaniak is in the clinic on Tuesday Dr. Nunley is in the clinic on Wednesday & Thursday b>- The Telephone/b> The telephone is … Read more
– See: – Femoral Neck Frx – Discussion: – these injuries occur from high energy trauma and comprise 1-6% of all femoral shaft frx; – in up to 20% of cases, this injury is missed, which is often due to failure to take good quality femoral neck radiographs … Read more
– Discussion: – hip dislocations are typically caused by high-energy trauma, usually from motor-vehicle accidents. – they occur most frequently in young patients; – types of dislocations: – anterior dislocation – central acetabular fracture dislocations … Read more