– See: – septic arthritis – general orders and treatment – Discussion: – septic arthritis of the hip is a surgical emergency; – it is essential that dx be made ASAP to prevent joint damage; – if any pus is obtained from arthrotomy, … Read more
– Diff Dx: – reactive transient synovitis (toxic synovitis) – in the report by Kocher MS et al., the authors sought to distinguish transient synovitis vs sepsis on the basis of lab data and patient history; – independent clinical predictors between … Read more
– Anatomy: – origin: ischial tuberosity w/ tendon of biceps femoris; – insertion: pes arserinus – action: – flexes and medially rotates the calf at the knee; extends, adducts and medially rotates the thigh at the hip; – reversed … Read more
– Discussion: – semitubular Plates are designed in the shape of half tube; – they are only 1 mm thick and have low rigidity; – plate is used only in areas where they are subject to tensile forces; – oval plate holes allow some axial compression if … Read more
– Anatomy: – origin: upper and lower aspect of ischial tuberosity: – insertion: posterior surface of medial condyle of the tibia; – action: flexes and medially rotates the calf at the knee. extends, adducts and medially rotates the thigh at the hip; … Read more
– See: Cerebral Palsy: – Non Operative Treatment: – many patients can achieve functional sitting with body jackets or molded wheelchair inserts; – Surgical Treatment: – spine is instrumented from upper thoracic area to the sacrum; – rods may be secured to the pelvis using the Galveston technique; … Read more
– See: Acetabular Component Menu Discussion it is controversial as to whether screws are necessary in THR, and there are relative advantages and disadvantages; cups should be designed with only 2-3 holes so as to maximize the porous coating surface and to minimize conduit for osteolysis; acetabular cup insertion: advantages of screw insertion: theoretically, screw … Read more
– Anatomy: – arises from lumbrosacral plexus: L4, L5, S1, S2, S3; – nerve emerges from pelvis below piriformis & enters thigh between ischial tuberosity & greater trochanter; – in 10% of patients, the sciatic nerve is separated in greater sciatic foramen by all or part of the piriformis; – sciatic nerve is … Read more
– Discussion: – see anatomy of the scapula – most common scapular frx are frx of the body, followed by the neck, glenoid, and acromion; – associated injuries: seen in upto 80-90% of patients; – pulmonary injuries and pneumothorax (23%) and pulmonary contussion; … Read more