– Bony Impingement: – pts who have persistent pain in anterior aspect of ankle & who have anterior tibiotalar spur evident on a lateral roentgenogram need additional diagnostic evaluation and management; – extreme dorsiflexion required by the demiplie position in ballet can lead to impingement of anterior lip of … Read more
– Discussion: – see frx dislocations of the hip – comprise 10-15% of traumatic dislocations of hip; – occur when knee strikes dashboard w/ thigh abducted, falls from ht, or from a blow to the back of pt while in squatted position; – neck of femur or greater trochanter impinges … Read more
– See: Autograft Discussion – Anterior Crest: Corticocancellous Graft: – position in the supine position with bump under the hip; – make an incision along the undersurface of the anterior crest, beginning about 2 cm posterior to the ASIS which continues a distance of about 7 cm; … Read more
– See: Autograft Discussion – Technique: – the middle crest is quite thin and can be easily shattered; – subperiosteaally, dissect the abdominal musculature and iliacus from the inner wall; – after the tendinous decussation of the gluteal and abdominal muscles has been incised along the supero-lateral aspect of the … Read more
Anterior Cruciate Ligament ‐ Anterolateral Ligament: Let’s Stick to the Facts! – Discussion: – anatomy of ACL – biomechanics of ACL – epidemiology_of_ACL_injuries – mechanism: ACL Tear – natural history of the ACL-deficient knee – partial ACL injury – pediatric ACL injuries – Evaluation … Read more
– Extra-articular Reconstruction: – these type of procedures are now no longer used as the primary reconstructive method for ACL tears; – some authors feel that the extra-articular reconstruction may have a role in augmenting the intra-articular reconstruction; – references: – Biomechanics of intra-articular and extra-articular reconstruction of the anterior cruciate ligament. – The effect … Read more
– See: Anterior Approach to Cervical Spine: – Discussion: – Smith Robinson disectomy & block fusion is preferred over Cloward dowel for involvement of one or two interspaces; – for multi-level spondylosis & myelopathy, w/ more extensive anterior decompression involving excision of osteophytes & multiple vertebrectomies, a strut graft fusion … Read more
(See: Ligamentous Instability:) Discussion antatomic structures in the anterior column that resist compression forces are the vertebral body centrum and intervertebral disc; structures that counter act tensile forces in anterior motion segment are anterior longitudinal ligament and the annulus fibrosis; stable injuries to anterior column include compression frx of < 25% loss of vertebral body ht. … Read more
– See: – Lateral Compartment – Deep Posterior Compartment – Superficial Posterior Compartment – Compartment Syndrome: – Discussion: – anterior compartment of the leg contains tibialis anterior, EDL, EHL, and Peroneus Tertius muscles; – compartment is primarily … Read more
– See: Anterior Approach to the Humerus Axillary Approach: Posterior Approach Posterior Approach to Humerus Surgical Approach for Proximal Humeral Fractures Positioning and Draping: supine or beach chair; small soft bolster is placed beneath the shoulder blades to protract the shoulder; head is stabilized to prevent hyperextension and subsequent brachial plexus palsy; place patient in … Read more