– Graft Selection: – bone patella bone allograft or achilles tendon allograft; – if achilles tendon is used, the free end is secured w/ a locked whip stitch (Krackow stitch); – in the report by Fanelli et al. 1996, there was no disadvantage … Read more
– Tibial Tunnel: – saftey measures: – surgeons who do not perform this operation frequently should use flouroscopy for this tunnel; – apply Jacobs chuck for a preset distance on the guidewire to make it less likely for the wire to pass … Read more
– Discussion: – dx is made when there is posterior instability on exam and a bone fragment was seen on x-ray; – MRI allows determination of the anatomy of the tear (ie femoral or tibial origin); – tibial avulsions: – tibial avulsions … Read more
– See: differential diagnosis of posterior fossa masses – Discussion: – popliteal artery is the continuation of superficial femoral artery at hiatus of the adductor magnus muscle; – artery is anchored proximally by tendinous insertion of adductor magnus upon the medial femoral epicondyle; – it runs posterior to the distal … Read more
– Knee Joint Tumors – Diff Dx: – synovial cysts (Baker’s) – arterial and venous aneurysms – thrombophlebitis (dvt) – adventitial cysts of artery – popliteal artery aneurysm; – benign and malignant neoplasms – rhabdomyosarcoma: … Read more
– Anatomy: – origin: – lateral condyle & posterior horn of lateral meniscus fibular head; – popliteus muscle has 3 origins, strongest of which is from lateral femoral condyle, just anterior and inferior to the LCL origin; … Read more
Discussion pigmented villonodular synovitis is a slow growing, benign, and locally invasive tumor of the synovium; location: most often involves the knee (also in hip, ankle, elbow, etc.); always consider PVNS in a younger patient with unexplained hip pain; acute episodic attacks of pain and swelling may occur; patients may have mechanical symptoms (locking and … Read more
– Amputation of the Finger and Hand – Arthrodesis of the MP joint and Finger Joints – Boutonnere Injuries – Characteristics of Phalangeal and Metacarpal Fractures – Compression Screws – Condylar Frx – Crossed Finger Flap – Dislocations of PIP – Digit Reimplantation – Dislocations: … Read more
– Anatomy: – lateral compartment – plantar muscles of the foot: – origin: – lateral condyle of tibia, head and proximal 2/3 of lateral surface of fibula, intermuscular septa and adjacent fascia; – course: – peroneus longus … Read more
– See: – Innerv. Musc. Lower Limb – Innervation of the Leg and Foot: – Anatomy: – common peroneal nerve is derived from (L4, L5, S1, S2) as a part of the sciatic nerve; – posterior component, supplies short head of biceps femoris in thigh, crosses posterior to lateral head … Read more