– See: scoliosis menu: – Non Operative Treatment: – many patients can achieve functional sitting with body jackets or molded wheelchair inserts; – custom molded seat insertes allow better positioning but do not prevent curve progression; – Surgical Treatment: – w/ spastic quadriplegia scoliosis can be especially severe, and … Read more
– Discussion: – disease of infancy and childhood, however, severity of disease is variable in its severity and progression; – transmitted as an autosomal recessive trait; – there is degeneration of the anterior horn cells of spinal cord w/ associated muscle weakness and atrophy; – its most … Read more
– Discussion: – Myelomeningocele Scoliosis may result from: – idiopathic causes; – myelomeningocele structural defect; – congenital defects – paralytic etiology; – Complications: – Rapid Curve Progression: … Read more
– See: DDH – Discussion: – provides excellent congruity at site of osteotomy, rapid healing, & intrinsic stability with only minimum internal fixation; – performed through anterior approach; – specially curved gouges are used to divide acetabulum from surrounding pelvis through osteotomy site 15 mm from articular surface; … Read more
– See: – Sliding Screw Insertion Technique – Sliding Hip Screw w/ Unstable Intertroch Frx – Subtrochanteric Fractures – Discussion: – sliding screw plate devices have proved to be more successful for subtroch frx than earlier implants for proimal femur; – sliding permits sl medial displacement of shaft in relationship … Read more
– Discussion: – slip of the captial femoral epiphysis occurs with in a narrow window of physiologic maturity of the growing child; – arises from mechanical and constitutional factors; – pts may have underlying endocrine dz (such as hypothyroidism) delayed puberty & bone age; – position of growth plate of proximal femur normally changes from … Read more
The entire site can be found directly or indirectly by using the alphabetical listing of topics below. You can also use the clickable image skeleton to the right, the topical Tabs along the top and the Search Site by Word box. Click the letter below to display all entries starting with that letter. A B C … Read more
– See: Posterior Frx Dislocations of the Hip – Discussion: – simple posterior dislocation without a fracture occurs from a posteriorly directed force against a flexed and adducted femur; – Associated Injuries – Pre-Reduction Radiographs: (radiographic evaluation of hip dislocation) – AP of the Hip; … Read more
– Discussion: – indicated for SI joint disruptions and for some sacral fractures; – Operative Technique: – radiographs: – surgical stratedgy: – if anterior pelvic injury: – note that the biggest … Read more
– See: – Obstetrical Paralysis – Erb’s Palsy – Discussion: – following Erb’s palsy, shoulder may end up with medial rotation-adduction contracture w/ or w/o shoulder subluxation; – due to overpull of the subscapularis, pectoralis major and minor, latissimus, and teres major … Read more