– See: Unstable Intertrochanteric Fractures – Discussion: – in reverse oblique fractures, the major frx line extends from proximal-medial to distal-lateral through intertroch-subtrochanteric region; – marked tendency toward medial dispacement of shaft 2nd hip adductors; – tendency for medial shaft migration may result in … Read more
– Discussion: – may be indicated for: – combined fractures of the femoral neck and shaft and for distal femoral fractures; – multi-trauma patient (procedure can be performed in supine position on regular flouro table); – obese patients (starting hole is not a problem); – advantages: – avoids damage to the blood supply to the … Read more
– Discussion: – this sign is positive in pts with acute or chronic posterolateral instability of the knee; – knee begins in flexion while an external rotation and valgus stress are applied; – supine – valgus stress … Read more
– See: medial meniscus – Discussion: – indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery is considered avascular; (see vascularity of … Read more
– See: – Kocher Approach: – Elbow Flexion Contracture: – Discussion: – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule; – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture); … Read more
– References: Fractures and Dislocations of the Talus Talectomy for equinovarus deformity in myelodysplasia. Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. Subtalar fusion for isolated subtalar disorders. Preliminary report. Subtalar dislocation of the foot. Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. … Read more
The effect of a thigh tourniquet on the incidence of deep venous thrombosis after operations on the fore part of the foot. The use of a tourniquet when plating tibial fractures Limb exsanguination. II. The leg: effect of angle of elevation. The relationship between tourniquet pressure and underlying soft-tissue pressure in the thigh. Blood loss … Read more
– See: – Baumann’s Angle – Cubitus Varus – Discussion: – in general a varus reduction cannot be accepted whereas a slight valgus reduction can be accepted; – the true amount of varus cannot be determined until arm is fully extended which is not performed … Read more
Dogma Disputed: On the Pathogenesis of Clubfoot. Current Concepts Review. Treatment of Congenital Club Foot. Current Concepts Review. Operative Treatment of Congenital Idiopathic Club Foot. A reappraisal of metatarsus adductus and skewfoot. Results of surgical treatment of talipes equinovarus congenita. Arteriography in club foot. Surgical management of resistant congenital talipes equinovarus deformities. Plantar release in … Read more
– Parvin’s Method of Closed Reduction: – pt lies prone on stretcher, & physician applies gentle downward traction on the wrist for a few minutes; – as olecranon begins to slip distally, MD lifts up gently on arm; – alternatively MD may guide reduction of olecranon w/ opposite hand; … Read more