The Hip book

Phalangeal Frx Intraosseous Wires

– See: Phalangeal Frx – Indications:     – open transverse phalangeal fractures, replantation;     – certain transverse phalangeal fractures, avulsion & intra-articular fractures; – Advantages:     – allows fixation of small intra-articular frx fragments;     – there is no transfixation of soft tissues, which is seen w/ multiple K wire fixation; … Read more

Phalangeal Injury

   – 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

Phalen’s Test for Lumbar Stenosis

  – this test attempts to reproduce symptoms of leg pain, weakness, or numbness by causing neural ischemia;   – w/ patient upright, bend the patient into extension for a full minute;   – this should accentuate the Spinal Stenosis;   – positive test will produce a crescendo of leg symptoms followed by rapid relief of these … Read more

Phalangeal Fractures

– See: Phalangeal Injury – Types of Frx:     – Distal Phalangeal Frx     – Fracture Dislocations of the PIP Joint     – Middle Phalanx Frx     – Pediatric Phalangeal Frx     – Proximal Phalanx Fracture     – Thumb Fractures – Fixation Methods:     – Intraosseous Wires     – Kirschner … Read more

Perilunate Dislocations

– See:        – Carpal Instability        – Ligaments of the Wrist – Discussion:     – perilunate dislocation pattern provides a whole spectrum of wrist sprains, fractures, dislocations;     – types of perilunate dislocations (in order of frequency):             – transscaphoid-perilunate       … Read more

Percutaneous Discectomy

Percutaneous lumbar discectomy. Review of 100 patients and current practice. Chemonucleolysis in the herniated L3-L4 disk. Prevention of chymopapain anaphylaxis by screening chemonucleolysis candidates with cutaneous chymopapain testing. Percutaneous posterolateral discectomy. Anatomy and mechanism. Prevention of chymopapain anaphylaxis by screening chemonucleolysis candidates with cutaneous chymopapain testing. A preliminary report. Disc space infection and vertebral osteomyelitis as a … Read more

Pedicle Flaps

– Discussion:     – pedicle flaps can incorporate a variety of tissues, ranging from skin and subQ fat to essentially a complete finger;     – used to provide coverage in areas where tendon (denuded of epitenon), bone (denuded of periosteum), or joints are exposed;     – areas that must support tendon grafting or transfers … Read more

Pediatric Phalangeal Frx

– Radiology: – SH Type I Frxs:     – separation of epiphysis occurs thru hypertrophying layer of cartilage cells;     – proliferating cells are intact, the epiphysis continues to grow;     – if nutrient artery is intact healing occurs in 3 weeks;     – frx is most common in distal phalanx, … Read more

Pediatric Radiology

– See:         – Methods to Etimate Growth Potenital:          – Growth Plate Anatomy  – Appearance of Ossification Centers:     – skeleton incompletely ossified at birth, & portions such as carpals, patella, navicular, cuneiforms, will radiographically appear entirely cartilaginous;     – ossification centers will enlarge in all directions, until it becomes bounded on … Read more