– See: – Bone Patella Bone Allografts – Non Bone Patella Bone Reconstruction – Discussion: – Anatomy of ACL; – ACL Biomechanics; – Graft Tunnel Sites / Isometry: – Graft Biomechical Characteristics: – … Read more
– Discussion: – is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex; – lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability; – when Bankart lesion occurs, there is obligitory concomitant … Read more
– Discussion: – a type of cyst which results from egress of fluid through a normal communication of a bursa (semimembranosus or medial gastrocnemius bursa) or may be caused by herniation of the synovial membrane through the joint capsule; – symptoms develope most often in bursa beneath the medial head of gastrocnemius … Read more
– See Human Bite – Bacteria Sensitive to Augmentin / Unasyn – staph aureus – along w/ streptococcus is the most common inciting organism in hand infections; – streptococcal Gr A beta hemolytic – shows cellulitis, lymphangitis, lymphadenopathy, fever, and a … Read more
Discussion: – pathogenesis – vascular interruption: – blood supply to femoral head – specific inciting causes – natural history – diff dx: – synovitis; – Idiopathic Transient Osteoporosis of the Hip – femoral neck stress frx – metastatic disease – trochanteric bursitis: – ref: Avascular necrosis of the femoral head presenting as trochanteric bursitis. – … Read more
– Discussion: – Cx & Gram’s staining are obligatory when infection is suspected. – Definitive diagnostic test is either the demonstration of bacteria by Gram’s stain, usually best seen on a concentrated sediment of centrifuged synovial fluid, or the recovery of bacteria from the synovial-fluid culture; – Gram’s stains are positive … Read more
– Discussion: – the Coventry type of HTO, creates an osteotomy above the tibial tubercle; – in choosing a closing wedge osteotomy, the surgeon should be sure that the major deformity is on the tibial side (vs femoral side); – the disadvantages of this type of osteotomy include possible … Read more
– Discussion: – stenosing tenosynovitis of the flexor pollicis longus in childhood is relatively uncommon condition which causes triggering, IP joint flexion contracture, and a flexor tendon nodule over the metacarpal head level (Notta’s nodule); – although present at birth, dx often not made until 4-6 months of age – … Read more
– See: – CMC Joint Instability – Trapezium – Ligament Reconstruction Tendon Interposition – Anatomy of CMC – Arthritis of CMC Joint: – most commonly involved arthritic joint in the hand; – more common in women (upto 1/3 of women over age 40, will have x-ray changes); … Read more
– See: Arthroscopic Acromioplasty – Lateral portal: – used for visualization of, or for insertion of instruments into, subacromial space, (usually for arthroscopic acromioplasty or for calcific tendinitis); calcific tendinitis); – the key to lateral portal placement is that it must allow triangulation over the entire undersurface of the anterior acromion; – if the portal is … Read more