– See: rupture of tibialis posterior – Dicussion: – tendinitis is present but tendon remains at its normal length; – in a young patient consider accessory navicular; – Non Operative Treatment: – arch supports, rubber-soled shoe w/ quarter-inch medial heel, sole wedge, UCBL; – immobilization in a … Read more
– Discussion: – disruption of the pars interarticularis occurs less frequently at L4; – symptomatic spondylolysis at this level is reportedly more common in young adults than in children or adolescents; – in 25% of affected patients, it is associated with either partial or complete sacralization of L5; … Read more
– See: – Arteriography – Foot Reconstuctive Surgery – Microanastomosis – Pharmocological Agents in Vascular Surgery – Initial Wound Care of Open Tibia Fractures – Soft Tissue Coverage Following Tibial Frx: (Tibia Frx) – STSG; – split thickness skin grafts require a … Read more
– See: Co-authored by Edward J. Harvey MD FRCS(C) – Finger Tip Injuries – Phalangeal Injury … Read more
– See: Posterior Frx Dislocations of the Hip – Discussion: – simple posterior dislocation without a fracture occurs from a posteriorly directed force against a flexed and adducted femur; – Associated Injuries – Pre-Reduction Radiographs: (radiographic evaluation of hip dislocation) – AP of the Hip; … Read more
– Discussion: – see discussion shoulder arthroplasty and technical considerations with fracture – operative considerations: hemiarthroplasty vs total shoulder arthroplasty – considered in young pt w/ OA, posttraumatic dz (w/ no have glenoid involvement nor erosion), AVN, or massive RTC tear; – approximate survival rate at 10 years is about 80%; … Read more
– Discussion: – may be indicated for shoulder instability; – in the report by Greis PE, et al, the authors evaluated 4 cases in which axillary nerve injury which was observed after radiofrequency capsular shrinkage of the shoulder; – authors conclude that injury to the … Read more
– Discussion: – inflammation and swelling around the sesamoid (tibial > fibular) and FHB can be secondary to trauma, infection, AVN, stress fractures, or a systemic disorder; – sesamoiditis may also be precipitated by a cavus foot w/ excessive wt bearing under the first metatarsal; … Read more
– See: – Bursae of the Knee – Septic Arthritis – Diff Dx: – referred pain from the hip – osteochondritis dissecans – traumatic internal derangement – distal femoral or proximal tibial osteomyelitis – septic bursitis: – … Read more
– Discussion: – serratus anterior arises from upper eight ribs, inserts on vertebral border of scapula, is innervated by long thoracic nerve, and functions to draw scapula forward in sports such as a jab in boxing; – paralysis produces characteristic prominence (“medial winging”) of vertebral border of the scapula; … Read more