– Discussion: – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, & joint capsule; – a tourniquet should not be used during this procedure since it has been shown to increase the occurance of postoperative hemarthrosis; – prior to performing … Read more
– Discussion: – most important portal, initial site for scope insertion; – structures that are difficult to see: – PCL – anterior portion of lateral meniscus – posterior … Read more
– See: – Arthroscopic Reconstruction – Historic Operations – Revision Bankart Procedure – Bankart Repair: – reattachment of the capsule and glenoid labrum to the glenoid lip; – subscapularis is carefully divided to expose the capsule, and is reapproximated without any overlap … Read more
– Discussion: – ON THE ARTICULATIONS. by Hippocrates. – pathoanatomy: – bankart lesion – hill sachs lesion – stabilizers of the shoulder: – … Read more
– Bony Impingement: – pts who have persistent pain in anterior aspect of ankle & who have anterior tibiotalar spur evident on a lateral roentgenogram need additional diagnostic evaluation and management; – extreme dorsiflexion required by the demiplie position in ballet can lead to impingement of anterior lip of … Read more
– See: intercondylar eminence frx; – Discussion: – pediatric ACL injuries – Transphyseal ACL reconstruction: – references: – Transepiphysial fixation of anterior cruciate avulsion in a child. Report of a complication and review of the literature. – Transepiphyseal Replacement of the Anterior Cruciate Ligament in Skeletally Immature Patients. A preliminary … Read more
– Discussion: – pathoanatomy: – fibular collateral ligament is made up of three separate structures; – these are not as strong as medial ligaments, since lateral support of ankle is also provide by the fibula; … 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
– 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: – see Arthrex, Mitek, Linvatec, Smith-Nephew – in choosing a fixation technqiue consider the need for the following: – circumferential (360 deg) healing of graft against tunnel wall (interference screws do not permit this); – bioabsorbable material … Read more