The Hip book

Pediatric Distal Radius Fracture

– Discussion:     – children’s frx are rarely intra-articular;      – common types:           – physeal frx            – torus fracture            – green stick frx            – both bone forearm frx              – galeazzi’s frx           – distal radius fracture:  – Anesthesia:      – note … Read more

Pediatric Dens Fracture

– See:       – Adult Dens Frx:       – Anatomy of C2:       – Development of Dens:       – Pediatric C-spine – Discussion:     – accounts for majority of pediatric C-spine frx (upto 75%)     – in children, dens frx occur at an average age … Read more

Pavlik Harness

– Discussion:     – Pavlik harness is a dynamic flexion abduction orthosis used to treat DDH in infants up to 6 months of age;     – harness usually leads to stability of reduced hip w/ in 4 wks, but its use should  be continued until clinical exam & x-rays           of hip are normal; … Read more

Pateurella multocida

– Discussion:     – typically secondary to a cat bite;     – the area involved may become painful and swollen and be accompanied by a secondary lymphadenitis and lymphangitis;            – osteomyelitis is another complication;     – the bacteriologist should be informed about the possibility of this infection, since the … Read more

Patho-Anatomy of Dupuytren’s

– Discussion:     – typically involves palmar aponeurosis and digital prolongation (not superficial transverse ligament) in palm;            – involves lateral digital sheet, Grayson’s lig (not Cleland’s lig), pretendinous bands, natatory ligament, & spiral                   bands in digits;            – typically digits develop central (pretendinous) & spiral cords; … Read more

Patella in TKR

– See: TKR Menu – Discussion:      – anatomy / q angle     – blood supply to the knee     – indications for patellar resurfacing      – design and function of the patellar component in TKR:            – effects of component rotation – Patellar Resurfacing: (technique)       – indications for patellar resurfacing … Read more