Desmoplastic Fibroma
– See: – Bone Tumor Menu – Fibroma: – Fibromatosis: – Discussion: – also known as desmoid tumor; – is a rare tumor that that can involve bone or soft tissue; – is locally aggressive but does … Read more
Tibia and Fibula
Deltoid Ligament
(See also: Deltoid Ligament Injuries due to Ankle Fractures) Anatomy and Function medial side of ankle is stabilized by deltoid ligament, which always has: tibionavicular, tibiospring, and deep posterior tibiotalar ligaments superficial deltoid: originates from anterior & inferior aspects of medial malleolus fanning out & sending 3 bands to navicular and along plantar calcaneonavicular (spring) … Read more
Deltoid Ligament Injuries arising from Ankle Frx
– Discussion: – in absence of a medial malleolar fracture deltoid ligament may be stretched or torn in all oblique frx of fibula; – this ligament prevents posterior tibial tendon from slipping into ankle joint; – ligament ultimately heals in a lengthen position; – these … Read more
Deep Posterior Compartment
See also: Laeral Compartment Anterior Compartment Superfical Posterior Compartment Discussion contains tibialis posterior, FDL, & FHL; originates primarily from posterior tibia, fibula, & interosseous membrane in proximal 2/3 of leg, these structures are involved in plantar flexion of foot & toes & inversion of foot thru tibialis posterior msucle function; major neurologic structure is posterior tibial … Read more
Delayed Union of Tibial Plateau Frx
– Discussion: – most tibial plateau frx exhibits bony healing withing 3 months of frx; – any frx that fails to heal clinically & radiologically in 3 mo is considered to have a delayed union; – most common cause of delayed union is gradual loss of frx reduction over period … Read more
Debridement of Chondral Defects of the Knee
– Discussion: (see osteochondral injury) – these injuries are distinct from degenerative arthritic lesions and management of these lesions should remain distinct as well; – theory is that penetration of subchondral bone causes bleeding from underlying vessels which allows clot formation in the cartilaginous defect and subsequent formation of fibrocartilage; – some argue that subchondral drilling … Read more
Debridement of Open Tibial Fractures and Infected Tibial Fractures
(see also tibial fracture menu / general principles of debridement) Debridement of Acute Fractures goal is to avoid tibial infection; timing: (is emergent debridement necessary?) references: The Effect of Surgical Delay on Acute Infection Following 554 Open Fractures in Children. Outcomes in open tibia fractures: relationship between delay in treatment and infection. Treatment of isolated … Read more
Current Orthopaedic Trends
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>br/> b>These are the introduction slides. We may want to have Lee redo this segment, so that the audiencebr/> understands the motivation and reasoning behind the Ponsetti method./b>br/> br/> a href=”/voice/jeh_motivation_2_01.wav”>img src=”/images/jeh100a.jpg”/> img src=”/images/jeh1a.jpg”/> img src=”/images/jeh21a.jpg”/>/a>br/> br/> hr size=”3″/>br/> b>These are some prenatal … Read more
Cavovarus Foot
– See: Pes Cavus: – Discussion: – seldom present at birth, the deformity gradually becomes apparent as childs foot grows and matures; – components: – heightened longitudinal arch – cavus – – plantar flexion of 1st ray and pronation of the forefoot – responsible for cavus appearance of foot; – on wt bearing it forces … Read more
Casting for Club Foot
Discussion pathoanatomy whole foot is in extreme supination, however, the fore part of the foot is pronated with respect to the hindfoot, as a result of the cavus deformity (the first metatarsal is more plantar flexed than the fifth metatarsal); navicular and the cuboid are rotated medially in relation to the talus, and are held in … Read more