– See: – Posterior Pelvic Injury: – Sacroiliac Fracture Dislocations: – Sacral Stress Fractures: – Anatomy of Sacrum: – Classification: – zone I: – frx across sacral ala can cause L5 nerve root impingement; – about 6% … Read more
– See: neurological exam: – Discussion: – sacral segments must be carefully examined for sensation & motor power; – scaral sparing is evidenced by perianal sensation, rectal motor function, and great toe flexor activity; – in patient w/ an apparent complete neurologic injury, any sensory awareness distally or scant … Read more
– Bone scan: – generally considered sensitive but not specific; – bone scans may help to r/o associated conditions such as a stress frx; – Triphasic Bone Scan: – may add higher degree of specificity; – first stage is … Read more
– See: RU joint – Discussion: – involves resection of ulnar articular head, leaving shaft and styloid relationship intact; – in cases of distal radial malunion, a Bower’s hemiarthroplasty may be indicated to restore passive pronation and supination of the forearm; – this procedure should be considered before performing … Read more
– Discussion: – a wafer of up to 2-4 mm of distal ulnar head is removed, while the styloid process TFCC, and attatched ligaments remain attached; – the procedure is contra-indicated if more than 4 mm of positive variance; – may be indicated for symptomatic … Read more
Carl J. Basamania M.D. – Discussion: – rotatory stress test was developed to reliably test for anterior instability of of the shoulder; – in most cases, the test will identify a Bankart Lesion, but on occassion the test will pick up a Hagl lesion (avulsion of IGHL); – Technique: – test begins on … Read more
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears – etilogy of tear: – impingement syndrome: (75%) – shoulder instability (anterior or multi-directional) (15%) (should be considered in any young … Read more
– Discussion: – usually presents as irreducible dislocation of PIP joint (as opposed to dorsal dislocations which are usually reducible); – rotatory dislocation involves buttonholing of one condyle of head of proximal phalanx through longitudinal rent in extensor hood between central slip and lateral band; – see: … Read more
– See: – Anatomy of CMC joint – Bennett’s Fracture – Thumb Fractures / Dislocations – Discussion: – described in 1910 by Dr. Rolando; – involves 3 part frx at base of metacarpal; – in addition to volar lip frx (as seen w/ … Read more
– See: – Rheumatoid Arthritis – Rheumatoid Hand – RA Disease in the Wrist – Discussion: – tenosynovitis may present w/ difficulty w/ active PIP flexion, carpal tunnel symptoms, trigger finger, & deQuervain’s syndrome; – tenosynovitis will manifest as dorsal wrist swelling and may be isolated … Read more