Ortho Oracle - orthopaedic operative atlas

Unstable Burst Fractures

– Criteria for Unstable Frx:     – Neurologic deficit;     – Posterior Element Injuries;     – Loss of more than 50% of anterior vertebral body height;     – Greater than 25 to 35 deg of kyphosis;     – Thoracolumbar burst frx:            – angulation of thoracolumbar … Read more

Uncovertebral joints

– Discussion:     – uncovertebral joint arthrosis involves what is known as the joints of Luschka, extending from C3 to C7;     – lateral aspect of vertebral body has superior projection (uncinate process);     – as the disks become degenerative, these projections approximate w/ body of the next highest vertebra;     … Read more

Unilateral Bar

– Discussion:      – unilateral bar is a common disorder and is likely to progress;      – it is caused by failure of segmentation of posterior elements of two or more vertebrae on one side;      – this anomaly carries a predictable poor prognosis & therefore a patient w/ this anomaly should … Read more

Unilateral Facet Dislocation

– See:        – Facet Joint Injuries        – Hyperflexion Injuries        – Oblique projections;        – Pillar View – Discussion:     – simple unilateral facet dislocation is often a stable injury, eventhough there is disruption of the posterior ligament complex (involved             joint capsule, posterior longitudinal ligament, … Read more

Ulnar Wrist Pain

– Discussion: – distal radioulnar subluxation/dislocation  (see TFC Injury) – tear of the lunotriquetral – ulnocarpal impingement syndromes – pisotriquetral osteoarthritis – pisotriquetral loose bodies – subluxation/dislocation of the pisiform – fractures (ulnar styloid Process) – chondromalacia – calcific tendinitis – medial carpal instability – radioulnar arthritis – subluxation of the ECU The ulnar impaction … Read more

Ultimate Tensile Strength

– See: biomechanics menu: – Discussion:     – maximum load that metal can withstand in a single application without breaking;     – w/ application of a load, maximum stress will be achieved;          – this is ultimate tensile strength, & is maximum stress material can sustain before fracturing;     … Read more

Ulnar Styloid Process Frx

– Anatomy:      – Tunnel V:           – overlies distal ends of radioulnar articulation on dorsum of wrist, contains EDM;     – Tunnel VI:           – in groove between the apex of ulnar styloid process & ulnar head, contains ECU tendon which is palpable from … Read more

Ulnar Translocation

– Discussion:     – most frequent radiocarpal instability;     – the lunate is translocated ulnarly, and therefore is not supported by the radius;     – ulnar translationn is also commonly seen in disease such as RA or in Madelung’s deformity;             – in RA, may occur along … Read more

Types of Spondylolisthesis

 Type                       Age                          Pathology / Other   Congenital              Child            Congenital dysplasia of S1 superior facet   Isthmic           … Read more

Ulna / Ulnar Shaft Fracture

(see also: Both Bone Forearm Fracture: / Ulnar Styloid Process) Anatomy radius & ulna lie parallel to each other when forearm is supinated; during pronation radius crosses ulna, rotating on axis that passes from capitulum through the distal end of ulna; ular side of wrist is supported by TFCC, which articulates w/ both lunate and triquetrium; … Read more