– See: Ligaments of the Wrist – Discussion: – lunotriquetral interosseous ligament tear – relatively frequent occurance; – scapholunate dissociation – less frequent occurance; – ulnocarpal impaction syndrome (which can also mimic TFCC tear); – … Read more
– Discussion: – tethered cord syndrome is more frequent in children who have a myelomeningocele at level of L4 & L5 as opposed to those who have a lesion at thoracic level; – diff dx: – hydromyelia: – while … Read more
– See: Iliotibial Band Syndrome – General Anatomy: – origin: – anterior iliac crest outer lip, anterior border of the ilium, outer surface of anterior superior iliac spine; – insertion: – iliotibial band of fascia lata on lateroanterior aspect of thigh, … Read more
Discussion overuse syndrome or tendinosis involving the region of the lateral humeral epicondyle; most often the origin of the ECRB displays an abnormal vascular proliferation and focal hyaline degeneration; ref: Anatomic Factors Related to the Cause of Tennis Elbow EDC may also be involved in some cases; ref: The role of the extensor digitorum communis … Read more
– Discussion: – all seven cervical vertebra and the C7-T1 junction are visualized; – Technique: – patient is supine. head is straight in the neutral position; – central beam is directed horizontally to a point 2.5 – 3.0 cm caudal to … Read more
– See: – OCS Application and Correction – Notes for Wrightlock Spinal Fixation System: Technique Overview: The typical hook placement for a Type III scoliotic curve of about 65 degrees (Figure 1) is derived from that recommended by Harrington. Normally, a six hook construct is used. Couplers are placed between the upper and middle sets … Read more
– Discussion: – over the course of several hours, half or more of the dose accumulates in bone, and the remainder is excreted in urine; – images obtained over 2-4 hours (half life of technetium is 6 hours); – increased uptake in immature bone and metabolically active bone, or … Read more
– See: – Talocalcaneal Coalition – Calcaneonavicular Coalition – Discussion: – coalition between tarsal bones is frequent cause of painful flatfoot (pes planus) in the older child or adolescent; – tarsal coalition may be osseous, cartilaginous, or fibrous. – calcaneonavicular coalition bar is most common, followed by middle facet of talocalcaneal coalition joint; – single … Read more
– See: Tarsal Coalition – Discussion: – talocalcaneal coalitions are characteristically on medial side of sub-talar joint; – coalition tends to ossify between 12 and 15 years; – although coalition between calcaneus & talus may occur in any of three facets, middle facet is most commonly involved; … Read more
– See: Juvenile Rheumatoid Arthritis – Discussion: – characterized by high fever, rash, lymphadenopathy, and polyarthritis; – usually appears at 5-10 years of age; – least common type of JRA: < 20 % of patients. – Clinical Presentation: – acute onset, often accompanied by a sore throat … Read more