Index: J – K – L
Index: J Joints Jugular Vein – central venous catheter approach Jumper’s Knee Juvenile Rheumatoid Arthritis Juxtacortical Chondroma Index: K Keller Procedure Keratan Sulfate … Read more
Shoulder
IM Pin Fixation of Clavicle Frx
– Radiographs: – Positioning: – supine, HOB elevated to 30-40 deg; – head is held with a dedicated ring holding device (McConnel); – one rolled towel is placed underneath the operative shoulder and one rolled towel is placed around the contralateral … Read more
IM Nailing of Humeral Shaft Frx
– See: Humeral Frx – Main Menu: / humeral shaft fractures – Discussion: – may be indicated for multi-trauma patients w/ humeral shaft frx, and patients w/ pathologic frx; – note that following humeral shaft frx, IM nailing provides torsional and bending stiffness of only 20-30% of normal; … Read more
Idiopathic Scoliosis
– Discussion: – prevalence of scoliosis: – 10 deg curve is considered to be the threshold for scoliosis; – curves > 10 deg occur in 2.5/100; – curves > 20 deg occur in about 1/2500 … Read more
Identification and protection of the Axillary nerve
– Discussion: – it is essential to locate axillary nerve when performing any anterior shoulder reconstruction; – to facilitate nerve identification, place arm in adduction & in neutral rotation; – pass a finger along lower aspect of subscapularis, inorder to palpate nerve as it passes medially along subscapularis to … Read more
Humeral Shaft Fracture
– See: Humeral Frx – Main Menu – Condylar Fractures – Non Union of Humeral Fractures – Pediatric Humeral Shaft Fracture – Synthes Humeral Shaft Products – Discussion: – mechanism: – bending force produces transverse frx of the shaft; – torsion force will result in a spiral fracture; – combination of bending and torsion produce … Read more
Historic Operations
– Putti Platt: – tightening, & realigning of subscapularis which partially limits external rotation; – anterior capsule is also realinged and reenforced; – subscapularis is divided 2.5 cm from its insertion; – anterior shoulder capsule is opened in same plane as tendon is divided allowing joint to … Read more
Hill Sachs Lesion
– See Reverse Hill Sach Lesion: – Discussion: – posterolateral humeral head indentation fracture is created occuring from anterior shoulder dislocation, as soft base of humeral head impacts against relatively hard anterior glenoid; – occurs in 35-40% of anterior dislocations & upto 80 % of recurrent … Read more
Heterotopic Ossification of the Elbow
– See: – management of burns – ossification of soft tissues – hetertopic ossification – management of elbow flexion contracture – Excision of Hetertopic Bone About the Elbow: – hetertopic bone is most often located along the posteromedial aspect; – medial approach to … Read more