– Discussion: – generally the functional range of motion for the elbow is between 30 to 130 deg; – flexion contractures greater than 45 deg will significantly limit ADLs; – hetertopic ossfication: – may occur after isolated spinal cord injury (3-5%), but will tend … Read more
– See: Surgical Treatment of Dupuytren’s: – Discussion: – originally described by Baron Guillaume Dupuytren in 1831; – ref: Guillaume Dupuytren: His Life and Surgical Contributions – usually appears between age 40 to 60 years; – disease occurs more often and is more severe in males or … Read more
– Discussion: – dorsal rim frxs usually result from a fall on the outstretched hand; – proximal carpal row impacts against the dorsal lip of the articular surface of the radius, which fracture in compression and displaces proximally and dorsally; – volar radiocarpal ligaments fail in tension, and dorsal … Read more
– natural history: – young patient: – when the patient’s proximal humeral growth plate is open, there is upto 100% rate of redislocation; – in young adults, the rate of … Read more
– Dicussion: – a thickened and wafer shaped lateral meniscus varient; – discoid meniscus may range from complete disc to a ring shaped meniscus; – occurs in upto 5% of population (but only a % of these are symptomatic) (prevalence may be higher in orientals (15%)); – … Read more
– See: Puncture of the Knee Joint – Discussion: – non-bloody effusion suggests an irrative synovitis that may be caused by degenerative meniscusor a chronic process with no super imposed acute injury; – absence of hemarthrosis is not indication of less severe ligament injury, since severe disruptions often cause only minimal joint … Read more
Acromegaly: Ankylosing Spondylitis: Avascular Necrosis: Gaucher’s Disease: Hemochromatosis: Hemophilia Hypermobility Syndrome: this is an arthropathy associated with joint laxity; it is autosomal dominant associated with joint laxity; some of these are associated w/ DDH, but others present no particular surgical problems other than the fact that the surgical scar tends to spread and become broad; associated … Read more
– See: Synovial F. Exam – ewing’s sarcoma – neuroblastoma – rheumatoid flare – monarticular JRA – knee is less painful, and ROM is > than expected w/ large effusion; – … Read more
– See: – Anatomic Snuff Box – First Compartment – Discussion: – a stenosing tenosynovitis of APL & EPB tendons (first compartment) at the styloid process of the radius; – inflammation causes thickening & stenosis of synovial sheath of first compartment & pain w/ … Read more
– Discussion: – in absence of a medial malleolar fracture deltoid ligament may be stretched or torn in all oblique frx of fibula; – this ligament prevents posterior tibial tendon from slipping into ankle joint; – ligament ultimately heals in a lengthen position; – these … Read more