– 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
– Discussion: – varus deformity of the ankle may follow distal tibial fracture or distal tibial epiphyseal frx; – deformities due to distal tibial epiphyeal injuries are often progressive; – deformities due to tibial plafond injuries are usually static (from malreduction at the … Read more
– Discussion: – select appropriately sized 6.5 mm or 7.0 mm canulated screw (threads must cross the frx site); – consider direction of maximal deformity and displacment; – guide wire insertion (for cannulated screw insertion); – K wire is inserted from deep w/ in sinus … Read more
– See: Sub-Talar Fusion Tibial-Talar-Calcaneal Fusion – Discussion and Outcomes: – optimal position for fusion – see gait and role of ankle joint in gait – ref: Ankle arthrodesis. Long-term follow-up with gait analysis. – Exam: – perform an Allen … Read more
– See: Sub-Talar Fusion Tibial-Talar-Calcaneal Fusion – Discussion: – for pts w/ well-aligned fusion, walking gait in appropriate shoe is almost normal; – expect 16% decrease in gait velocity and 3 % increase in oxygen consumption; – running … Read more
– See: CMC arthritis – Discussion: – base of thumb metacarpal articulates w/ saddle shaped trapezium; – saddle shaped articulation provides inherent stability; – radial lateral ligament, which is covered by APL tendon, inserts into the thumb metacarpal; – deep anterior oblique ligament (palmar beak ligament); … Read more
– See: role of knee joint in locomotion and mechanical axis – Discussion: – bones forming the knee joint are femur, tibia, & patella; – both left and right femurs converge toward knee and each tibia is nearly vertical, femur and tibia meet angle of some 5-12 deg; … Read more
– RA criteria: (if 5 out of following are present for > 6 weeks); – morning stiffness; – pain on motion, or tenderness in at least one joint; – swelling (soft tissue thickening or fluid, not bony overgrowth alone) in at least one joint; – swelling of at … Read more
– Discussion: – refers to a condition in which the shoulder capsule becomes contracted and thickened; – patients note a dramatic decrease in shoulder ROM; – in many cases there is spontaneous resolution after 1-3 years and motion is re-gained; – associated disorders: … Read more
– Discussion: – autoimmune reaction ocurring 2-4 weeks after streptococcal infection (URI or tonsillitis); – ages 5-15 yrs are most susectible; (younger pts are rarely affected) – diagnosis: – its rapid response to ASA is almost diagnostic; … Read more