– 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
– Exposure: – similar to the ilioinguinal approach: – it is necessary to expose the iliac crest & SI joint including the ala of sacrum; – ensure that the patient is on a flouro table and that patient’s pelvis is distal to the main table support … Read more
– See: Watson Jones Approach – Discussion: – Smith Petersen improved & revived the anterior iliofemoral approach; – entire ilium and hip joint can be reached thru iliac part of incision; – w/ this approach there is a need for extensive detachment of tendinous insertions & retraction of muscle, w/ potential damage to femoral artery and … Read more
– See: Classification and Column Theory – Discussion: – anterior column extends from symphysis pubis & obturator foramen thru acetabulum to ASIS and up through iliac crest; – anterior column is less frequently fractured than posterior column due to frequency of posteriorly directed forces; – frxs of the anterior … Read more
– Discussion: – non-neoplastic expansile lesion consisting of blood filled spaces separated by connective tissue septa containing bone or osteoid and osteoclast giant cells – etiology unknown – may be primary or secondary; – an uncommon expansile osteolytic lesion of bone consisting of a proliferation of … Read more
– Discussion: – upper end of sacrum, base of triangle, is directed forward & upward; – in middle is upper surface of body of the first sacral vertebra; – its anterior border forms the sacral promontory. – it is concave & fairly smooth on its pelvic surface, … Read more
– See: Arterial supply to Femur – Embryology of Proximal Femur: – upper end consists of head, neck, & greater & lesser trochanters at junction of the neck with the body; – develops from 4 separate ossification centers; – head forms roughly two-thirds of sphere whose surface is articular except for fovea capitis femoris where … Read more
– See: – Total Hip Replacement Menu: – total hip in DDH – acetabular component menu: – crowe classification – Anatomic Position – Discussion: – w/ low dislocation, attempts should be made for antatomic placement, but should also be considered w/ high dysplastic dislocation; – long term success … Read more
for severe systemic fungal infections; dose: 0.25mg/kg IV over 6hrs initially (infusion .1mg/ml); gradually increase dose as tolerated up to 1-1.5mg/kg/24hrIV over 6hr; note hypersensitivity, caution with nephrotoxic/antineoplastic agents; monitor blood, liver, and renal function, discontinue therapy if BUN >40mg/dl, Creatinine >3.0mg/dl, or if liver function test abnormalities are noted; should be delivered via Central … Read more
Gravity Method of Stimson Bigelow’s Maneuver: for Posterior Hip Dislocation Closed Reduction Discussion patient is placed in the supine position; knee is flexed to relax the hamstrings; assistant stabilizes the pelvis and applies a lateral traction force to the inside of the thigh; longitudinal traction is applied in line w/ axis of femur, and the hip is … Read more