– Segmental tibial fractures treated with interlocking nails. A retrospective study of 33 cases. – Segmental tibial fractures: an assessment of procedures in 27 cases. – Segmental Tibia Fractures: a Prospective Evaluation. – [Segmental tibia fractures: a critical retrospective analysis of 49 cases] – Tibial Unreamed Intramedullary Nailing Using Schanz Screws in Displaced Diaphyseal … Read more
– Anatomy: – origin: upper and lower aspect of ischial tuberosity: – insertion: posterior surface of medial condyle of the tibia; – action: flexes and medially rotates the calf at the knee. extends, adducts and medially rotates the thigh at the hip; … Read more
– Anatomy: – arises from lumbrosacral plexus: L4, L5, S1, S2, S3; – nerve emerges from pelvis below piriformis & enters thigh between ischial tuberosity & greater trochanter; – in 10% of patients, the sciatic nerve is separated in greater sciatic foramen by all or part of the piriformis; – sciatic nerve is … Read more
– Discussion: (Innervation of the Leg and Foot) – arises from femoral nerve in femoral triangle and descends through it on lateral side of the femoral vessels to enter the adductor canal. – it crosses the vessels obliquely to lie on their medial side in front of lower end of adductor magnus muscle; – nerve continues its … Read more
– Discussed: – displaced SH III & IV frx of distal tibia require open reduction; – this frx is assoc w/ premature physeal closure unless anatomically reduced; – Diff Dx: – Two Part Triplane Frx – Tillaux Frx Salter-Harris Type-IV injuries of the distal tibial epiphyseal growth plate, with … Read more
– See: – Bone Bridge – Distal Femoral Physeal Fractures – Epiphyseal Artery – Epiphyseal Plate – Humeral Physeal Injuries – Suprachondylar Fractures of the Humerus – … Read more
– Discussion: – displaced SH III & IV frxs of distal tibia require open reduction. – left unreduced, this injury leads to premature physeal closure unless anatomically reduced. – Diff Dx: – Three Part Triplane Frx: – appears as SH type III frx on … Read more
– General Considerations: – safe zones for pin insertion imply that pins will avoid major neurovascular structures; – besides avoiding neurovascular strucutures, it is important that pins be inserted in subcutaneous locations; – subcutaneous insertion avoids muscular impalment which decreases pain and increases function; … Read more
– Discussion: – main function of the tibialis posterior is to invert the subtalar joint, which helps to stabilize the transverse tarsal joint during rheumatoid hindfoot; – pathophysiology: – degenerative tears usually occur distal to the medial malleolus, in a region which coincides with relative hypovascularity and sharp turn of the tendon from a verticle to … Read more