The Hip - book

Osteochondroma / Osteocartilaginous Exostosis

    – Discussion:     – a developmental dysplasia of peripheral growth plate which forms a cartilage capped projection of bone found near metaphyses of long bones;           – peripheral chondroblast grows outward from the metaphysis, acting as an ectopic growth plate, which ceases growth at skeletal maturation;     … Read more

Ossification of Soft Tissue and Periosteum

– See:   – Diff Dx: Hypercalcemia   – Diff Dx: HyperPhosphatemia   – Approaches To Differential Diagnosis In Musculoskeletal Imaging: Soft Tissue Calcifications – Discussion:     – calcium hydroxyapatite can be deposited in periarticular soft tissues or within joints;     – in either event the disease may be monoarticular or polyarticular;   … Read more

Os Odontoideum

– See: Development and Anomalies of the Axis: – Discussion:     – dens may be completely absent, hypoplastic, or incompletely fused to body of C2 (lesion called os odontoideum)     – the os odontoideum is smaller than the normal dens but size may vary;            – the base of the … Read more

Os Trigonum / Posterior Talar Impingement

– See: – Diff Dx: Posterior Ankle Pain – Fractures of Posterior Talar Process – Discussion: – accessory bone found just posterior to talus (accessory ossification center of the posterior process of the talus); – it may be considered a non united portion of the lateral tubercle; – os trigonum is round, oval, or triangular … Read more

Orthopaedic Anesthesia

– See:         – Anesthesia and Timing for Femoral Neck Fractures:         – Anesthesia in the Spinal Cord Injured Patient:         – Cardiac Orders / Meds:         – Malignant Hyperthermia:         – Risk Assessment:          – Anesthetic Agents:                – Lidocaine:               … Read more

Anterior Plating Technique for Distal Radius Frxs

– see distal radius fracture menu (volar Barton’s frx)               – orif of distal radius fractures – Surgical Approach:      – standard volar approach:           – most indicated for simple extra articular fractures and when there is absence of ulnar comminution / displacement:           – incision starts at thenar crease of palm, curves toward middle of forearm, w/ … Read more

Operative Checklist

  Clickable Image Map: – Trauma Systems: Neuro (see Glasgow) Cranio-Maxillo-Facial Cardiac Respiratory Renal Vascular Compartments Hepatic Coag X-rays and Template Planned Incision Consent Bone Graft Open vs Closed Reduction Anesthesia & Cardiology Consults Prophylactic ATB DVT prophylaxis Posting Blood & Cell Saver Implant Selection Positioning Table type and Flouro – Initial Orders: – NPO … Read more