The Hip book

Rheumatoid Boutonniere

– See:       – Boutonniere Injuries – Menu       – Thumb Boutonniere Deformity – Discussion:     – rheumatoid boutonniere deformity begins w/ PIP synovitis & elongation capsule;     – inflammation leads to lengthening of central extensor slip and triangular ligament (becoming dysfunctional) and volar displacement of the lateral bands … Read more

Research

Discussion: Quantitative gait analysis in patients with medial patellar instability following lateral retinacular release. The diagnosis and treatment of medial subluxation of the patella after lateral retinacular release. Medial subluxation of the patella as a complication of lateral retinacular release Hemarthrosis as a major complication after arthroscopic subcutaneous lateral retinacular release: a prospective study. [Prevention … Read more

Open Repair of Supraspinatus / Infraspinatus Tear

– Rotator Cuff Tear – Discussion:  – arthroscopic repair techniques – clinical outcomes of repair      – indications for RTC tear: – shoulder pain (especially night pain); – symptoms which cause loss of function or quality of life; – failure of NSAIDS and formal physical therapy; – failure of series of marcaine / steroid injections; – full passive ROM pre-op is necessary … Read more

Repair of the Torn Meniscus

– Meniscal Anatomy and Physiology:     – medial meniscus             – bucket handle meniscus tear              – posterior horn tears of medial meniscus      – lateral meniscus             – discoid meniscus     – indications for repair:             – … Read more

Repairs of the Lateral Meniscus

– See: Lateral Meniscus /  General Discussion of Meniscal Repair – Indications:      – any peripheral nondegenerative longitudinal tears < 3 cm;      – if tear is w/in 3 mm of the periphery, it is considered vascular;      – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery … Read more

Reiter’s syndrome

– See: Spondyloarthropathies – Discussion:     – involves arthritis of large joints (knees & ankles), uveitis, skin lesions, & urethritis, however only a minority will have classic triad of symptoms;           – conjunctivitis is observed early, usually before or at the onset of arthritis;           – … Read more