– origin: broad aponeurosis that originates on the spinous processesof the lower 6 thoracic and all lumbar vertebrae; posterior crest of ilium, posterior surface of sacrum, lower 3 or 4 ribs, and an attachment of the tip of the scapula; – insertion: flat tendon that twists upon itself to insert into the intertubercular groove of … Read more
– See: Retinacular Release for TKR: – Discussion: – see lateral anatomy of the knee and blood supply to the knee; – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, & joint capsule; – a successful release should release the lateral … Read more
– See: Kocher Approach to Elbow: – Discussion: – allows exposure of lateral column (for condylar frx), capitellum, and radial head, – it can also be used for Monteggia frx as well as for exposure for PIN decompression; – lateral approach is not optimal for complex … Read more
– Discussion: – locking hook spinal rod is constructed of extra hard, 316 L stainless; – it is 5 x 7 mm in diameter and threaded at both ends for attachment hook, which are adjusted longitudinally using a pair of nuts; – hooks are rotationally locked to the rod by … Read more
– Discussion: – major internal rotators are teres major, latissimus, pect major; – latissimus dorsi & teres major insert along medial lip of bicipital groove & pectoralis major along lateral lip and also serve as internal rotators; – these muscles comprise larger mass than those that externally rotate the humerus … Read more
– Discussion: – condyles will frx apart w/ variable amount of displacement, & comminution; – Approach: – use posterior approach w/ olecranon osteotomy; – articular surface is restored using interfragmentary lag screw fixation; – coronoid and olecranon fossa must not be violated with fixation, nor should width … Read more
– See: throwing injuries and throwing injuries of the shoulder – Discussion: – phases of throwing: – windup – early cocking – late cocking – wrist begins to cock in preparation for the … Read more
Haglund’s Deformity Halo Collar Hallux Valgus Hallux Rigidus Hammer Toes Hand Menu Hand Infections Head Injury Heat Stroke Heel Pain Heel Strike … Read more
– See: IM Nailing of Tibia Fractures – Discussion: – IM naling of these fractures is technically difficult and often results in malalignment; – other options include: external fixation for open fractures; – Intramedullary nailing versus percutaneous locked plating of extra-articular proximal tibial fractures: comparison of 56 … Read more
– Radiographs: – Positioning: – supine, HOB elevated to 30-40 deg; – head is held with a dedicated ring holding device (McConnel); – one rolled towel is placed underneath the operative shoulder and one rolled towel is placed around the contralateral … Read more