– Radiographic Findings: – if possible intertrochanteric fractures should be closed reduced on the fracture table, prior to sterile draping; – allows adjustment of patient position (should it be necessary) and ensures that all equipement is working properly (on occassion frx table will malfunction); – radiographs are taken with special attention to cortical … Read more
– See: – Clavicular Frx in Children / Congential Pseudoarthrosis of Clavicle – AC joint / Sternoclavicular Joint Injury / Scapula Fracture – Discussion and Classification – Exam Findings: – brachial plexus – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology: – Serendipity View – best visualized sitting up … Read more
– Discussion: – diastases: (45%) (may be associated w/ SI ligaments or Malgaigne frx); – three types of diastases: – open-book type; – vertical-displacement type; … 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: – frx of pubic rami & ipsilateral or contralateral to post injury; – APC: APC-I / APC II / APC III – open book pelvic injuries; – Bucholz Classification – Letournel Classification – Young Burgess System – Lateral Compression: LC-I / LC-II / LC-III – … Read more
– See: – Total Hip Replacement Menu: – Acetabular Component Revision – Femoral Bone Grafting for THR – Frozen Allograft – Dysplastic Hip – Discussion: – in planning of acetabular reconstruction, major goal is to establish … 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
– Discussion: – locally painfull benign cartilaginous lesion of bone; – it occurrs in adolescents; – located in metaphyses of major long bones; – this lesion most often presents as an active stage 2 lesion which is locally destructive & has a high recurrance rate (up to … Read more
– See: Bone Tumor Menu – Discussion: – age at presentation: – most common primary epiphyseal tumor in children is chondroblastoma; – most commonly arises between ages 10 to 30; – not infrequently, the tumor will also arise … Read more
(See also: Acetabular Osteotomies) Discussion a acetabular osteotomy salvage procedure which is indicated in patients without a concentrically reducible hip; modified shelf osteotomy above acetabulum w/ medial displacement of acetabulum; distal fragment is displaced medially and upward as osteotomy hinges on the symphysis pubis; hip capsule is interposed between newly formed acetabular roof & femoral head; relies … Read more