Ortho Oracle - orthopaedic operative atlas

Eosinophilic Granuloma

– See:       – Bone Tumor Menu:       – Eosinophilic Granuloma of Spine: – Discussion:     – includes a group of disorders characterized by a variety of tumor like lesions, which arise from from clonal proliferation of Langerhans-           type histiocytes;     – most common in children less than 12 … Read more

Enchondroma

– See:  Bone Tumor Menu / Multiple Enchodromatosis (Ollier’s Disease) – Discussion:     – benign and asymptomatic cartilaginous tumor of bone which most often occurs in adolescents or young adults;     – it is an intramedullary cartilage lesion located in central metaphysis;     – intramedullary tumor develops in adjacent metaphysis and may … Read more

Elbow in RA Patient

– Discussion:     – RA manifests itself in many  ways in elbow joint, including nodules and bursae, synovitis, progressive joint destruction, antecubital cysts, & ulnar or, rarely posterior interosseous palsy;     – note that involvement of the RA elbow is infrequently an isolated and therefore it is important to consider possible involvement in the wrist … Read more

Dorsal Scapular Nerve

(See also: brachial plexus) Anatomy dorsal scapular nerve to both rhomboids is typically derived from C5 neve close to intervertebral foramen and runs downward and backward thru or across surface of middle scalene, parallel to & below accessory nerve; it then passes medial to or thru levator scapulae (to which it may give a branch) and descends on the … Read more

Division of Subscapularis & Capsule

– Discussion:     – w/ arm in external rotation, upper & lower borders of subscapularis can be visualized and palpated;     – rotator cuff interval (soft spot) between supraspinatus & subscapularis is identified;     – subscapularis tendon is tagged just shy of insertion;     – subscapularis tendon and subajacent capsule are … Read more

Adult Distal Radius Frx: Non Operative Treatment

– Discussion: (distal radius fracture menu)       – technique of closed reduction       – position of immobilization:              – generally need to avoid positions of marked palmar flexion & ulnar deviation (Cotton-Loder position);              – a truly stable fracture will probably be stable in any position once it is reduced;         … Read more