– Discussion: – anatomical and pathological changes that occur with rickets or osteomalacia differ principallyaccording to the age of pt & severity of the disorder. – children: – physeal cupping / widening – bowing of long bones; … Read more
– See: Trianglular Space – Anatomy: – formed by: – humerus – teres major – teres minor – long head of triceps – contents: – … Read more
– Puncture of Shoulder Joint: – posterior approach gives easy access to glenohumeral joint & avoids risk of damaging brachial plexus or cephalic vein; – pt should be seated & entire shoulder, both anterior & posterior, should be prepped and draped; – palpate most lateral edge of the acromion … Read more
– See: – Humeral Shaft Fractures in Children – Throwing Shoulder – Discussion: – most of these injuries are either Salter I or II fractures; – frx separations of proximal humeral epiphysis occur most often between ages of 11 and 15 years; – 80% of longitudinal growth of humerus occurs in proximal physis; – large … Read more
– See: – Biceps Tendonitis – SLAP Lesions – Discussion: – this tendon may have some role as a depressor of humeral head, preventing superior migration of humeral head; – approx 50% of all ruptures occur thru the tendon of the long head; – rupture is … Read more
– See: Proximal Humeral Physeal Injuries – Discussion: – classification of proximal humeral fractures: – anatomic neck fracture: – one part fracture – two part fractures – two part surgical neck fracture – two part tuberosity fractures: – lesser tuberosity frx; – greater tuberosity frx; – three part fractures – four part fracture: – fracture … Read more
Discussion: – see anaerobic joint infections – slow growing, typically aerotolerant anaerobic gram positive bacterium; – found in skin pores and the gut. – may colonize the axilla (esp in males) – positive cultures may be seen patients having revision shoulder arthroplasty performed for pain, stiffness, and component loosening – … Read more
– Anatomy: (see forearm flexors) – origin: – humeral head: medial epicondyle of humerus & common flexion tendon; – ulnar head: medial side of coronoid process of ulna; – insertion: middle 1/3 of lateral surface of … Read more
– Discussion: – see: compression of the median nerve at the elbow and forearm; – compression of median nerve where it passes between the two heads of the pronator teres; – Differential Dx: – lacertus fibrosus: – draws tightly across the median nerve when the … Read more
– Discussion: – benign condition usually occuring in adults, but sometimes in children; – may present as a rapidly growing mass, in the shoulder, thigh, and chest; – Histology: – should not show mitotic figures; – Diff Dx: – rhabdomyosarcoma – myositis ossificans – Treatment: … Read more