– References: Fractures of the Cervical spine: Current Concepts Review. The Status of Arthrodesis of the Cervical Spine. Traumatic and Degenerative Lesions of the Cervical Spine–Symposium: Care of the Multiply Injured Patient With Cervical Spine Injury. Origin of the uncus and of Luschka’s joint in the cervical spine. Pyogenic osteomyelitis of the occiput, the atlas, and … Read more
Current Concepts Review. Fractures of the Distal End of the Radius. External fixation or plaster cast for severely displaced Colles’ fractures? Prospective 1-year study of 46 patients. The treatment of Colles’ fracture. Immobilisation with the wrist dorsiflexed. Unstable Colles’ fractures in elderly patients. A randomised trial of external fixation for redisplacement. Regional anesthesia preferable for Colles’ … 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
– Discussion: – treatment of jump locked or perched facets is reduction by halo traction and then placement of a halo jacket; – closed reduction usually succeeds; – Diff Dx: – prior to attempted reduction ensure that the diagnosis is correct; – the differential diagnosis should include pure … Read more
– See: anterior instability – Discussion: – characterized by dislocation occuring after minor trauma, relative ease of relocation, and evidence of multidirectional instability; – this condition is often present in overhead throwing athletes; – it may lead to thoracic outlet syndrome (dead arm syndrome); – causes: … Read more
– See: – Arteriography, Microanastomosis, Pharmocological Agents in Vascular Surgery – Vaccum Assisted Wound Closure Device – Discussion: – w/ severe extremity wounds, early radical debridement combined with early soft tissue coverage (regional or free flap) will decrease wound infection, flap loss, & delayed bone healing; – early coverage … Read more
– Congenital Synostosis: – discussion: – occurs due to a defect in longitudinal segmentation at the 7th week of development; – autosomal dominant inheritance in some cases but often occurs sporatically; – bilateral in 60% (most common in … Read more
– See: Radiology of Pediatric Elbow – Discussion: – precise AP & Lateral projections are required to evaluate normal anatomic relationships; – there should be no rotation to the forearm; – AP View: – medial and lateral epicondyles and humeral-ulnar/radial articulation; – carrying angle; … Read more
– See: Pediatric Elbow Injuries – Ossification Centers of the Elbow: – C apetellum (appears age 1-2) – R adial Head (appears age 2-4) – I nteranal epicondyle (appears age 4-6) – T rochlea (appears age 8-11) – O lecranon (9-11 years) … Read more
– Criteria for Instability: (see stable and unstable frx) – loss > 50% of vertebral body height; – angulation of thoracolumbar junction > 20 deg – neurologic injury – canal comprimise > 30 % – spinal segment … Read more