The Hip - book

Cervical Spondylosis

– See: – Cervical Stenosis: – Central Cord Syndrome – Soft Disc Protrusion: – SCIWORA Syndrome – Uncovertebral joints – Discussion: – refers to a combination of degenerative disc disease and osteophyte formation; – cervical spondylosis typcially begins to be seen at age 40-50, is seen in men > women, & most common occurs at … Read more

Associated Injuries w/ Posterior Hip Dislocations

– See: Frx Dislocations of the Hip – Discussion:     – because of associated high energy trauma: look for other injuries     – vast majority of patients sustained a hip dislocation will have associated injuries;     – assoc ligamentous injuries to ipsilateral knee;     – associated posterior wall fractures, femoral head, … Read more

Aspiration of Elbow Joint

Discussion elbow can be entered either ulnarly or radially, but radial approach is preferred inorder to avoid ulnar nerve injury; radial nerve is lies anterior to the elbow joint, and may be moved even more anteriorly by supinating the forearm; landmarks for aspiration of the elbow joint are the radial head, lateral epicondyle, and tip of the … Read more

Articular Cartilage

– See:        – Chondral and Osteochondral Injuries of the Knee / Articular Cartilage: Injury and Potential for Repair: / Osteoarthritis         – Enchondral Ossification  – Discussion:     – hyaline cartilage caps ends of bones that form synovial joints;      – in other hyaline cartilage structures, surrounding perichondrium contains both capillaries for nutrition and the cells that become … Read more

Joint Arthroscopy:

ankle arthroscopy elbow arthroscopy hip arthroscopy arthroscopy of the knee joint shoulder arthroscopy – arthroscopic rotator cuff repair wrist arthroscopy                   Additional Informaton The Effect of Irrigation Solution at Different Temperatures on Articular Cartilage Metabolism Supraphysiologic Temperature Enhances Cytotoxic Effects of Bupivacaine on Bovine Articular Chondrocytes in … Read more

Arthroscopy of the Osteoarthritic Knee

– See:       – Knee Joint Menu:                – Chondral and Osteochondral Injuries of the Knee and Meniscal Tears  – Discussion:     – arthroscopic lavage alone may be of some benefit;     – debridement has little value for long-standing or severe osteoarthritis of knee              – where as, in the recent … Read more

Arthrofibrosis from ACL Injuries

– Discussion:     – need to determien whether the fibrous has primarily affected flexion or extension;     – need to determine either from radiographs or from MRI, whether incorrecttunnel placement, is the cause of the decrease motion and             fibrosis;     – also evaluate for patella baja;            – … Read more

Artery Menu

– See:       – Arteriography / angiographic 3D view       – Arterio-venous malformations       – Arterial Trauma       – Development       – Fractures associated with Arterial Injuries       – Intimal Injuries       – Microanastomosis       – Pharmocological Agents in Vascular Surgery       – Prosthetic … Read more

Open Tibia Fractures: Type C – (Arterial Injuries)

– Discussion:      – these fractures by definition are associated w/ vascular trauma, and have a high prevalence of infection:       – its important to assess viability of the limb, both w/ common sense, as well as w/ objective criteria such as the MESS;       – main controversy is whether tp procede on with vascular repair, frx … Read more