– See: Hallux Valgus: – for mod hallux valgus in younger pts (HVA < 30 & IMA < 13-15 deg); – usually no pin or screw fixation is required; – no shortening of metatarsal will occur; – if a Silver Procedure is being performed, concomitantly, the excised medial eminence can be fashioned into a trapezoidal … Read more
– Technique: – there are two approaches that allow decompression of PIN: anterior and posterior (see Henry and Thompson); – Henry’s mobile wad (brachioradialis, ECRL , and ECRB) serves as the focal area for orientation; – anterior approach is more advantages since is allows decompression of all points of … Read more
– See: – Closed Reduction – X-rays for Femoral Neck Fractures – Indications: – w/ failure to obtain a closed reduction persists, esp in younger pt or older child, then open reduction is considered; – Posterior Approach: – in young pt requiring ORIF of a displaced femoral neck frx, consider … Read more
See: Arthroscopic Acromioplasty Rotator Cuff Tear Repair – Discussion: – indications: – impingement syndrome – patients w/ a stable impingement syndrome w/ good shoulder function should participate in a formal rehabilitation program for 6 months; – patients w/ … Read more
– See: Classification of Proximal Humeral Fractures: – Discussion: – by definition has less than 1 cm of displacement and less than 45 deg of fracture angulation; – ideally patients should be immobilized in a sling for no more than one week, and then should be started on supervised assisted passive shoulder ROM exercises … Read more
– See: – Erb’s Palsy – Lower Root Injury: (Klumpke) – Shoulder in brachial plexus injuries: – Traumatic Brachial Plexus Palsy in Children – Discussion: – incidence of brachial plexus birth palsy is approx two / 1,000 births; – … Read more
– See: – Proximal Pole Frx: – Bone Grafting of Scaphoid Non Unions: – Scaphoid Nonunions: – Radiographs: – need to determine whether there is AVN of scaphoid: – classic signs of AVN include: … Read more
– Discussion: – most useful in patients with an acute flare-up and in patients with minimal and intermittent symptoms; – avoiance of use of wrist, placement of wrist splint in a neutral position for day and night use, and NSAIDS; – only 20% of these pts … Read more
– See: Phalangeal Injury Menu: – Discussion: – undisplaced frxs and impacted transverse frx of phalanges are treated w/ buddy taping assumming that: – frx is stable (impacted and undisplaced); – no angulation in any plane: (ie, there is no volar angulation); … Read more
– See: – Scahoid Frx Menu – Non Diagnositic X-ray – Discusion: – tension in palmar radioscaphocapitate ligament leads to displacement of distal pole of scaphoid; – consider immobilization to relaxe palmar … Read more