The Hip book

Deep Venous Thrombosis (DVT) – Ultrasound

Discussion allows assessment of DVT from the external iliac vein down to the popliteal veins visualization distal to the popliteal veins is usually not possible may be able to detect patency of major vessels, but it is not effective for smaller vessels will not diagnose pelvic thrombi note that clots seen on ultrasound comprise a … Read more

Press Fit Femoral Stem: Proximal Fixation

– Discussion:     – press fit femoral stem main discussion     – coating press fit femoral stem;     – to maintain bone stock, proximal stress transfer must be a prominent feature of any cementless implant system;     – proximal part of femur is often exposed to high longitudinal strain, & bone … Read more

Ulnocarpal Impaction / Impingement Syndrome

– See: RU joint – Discussion:     – refers to impingement of the ulnar head against the carpi which can lead to TFCC tears and lunotriquetral ligament attrition;     – lunotriquetral ligament attrition may occur from compression and translation shear as the lunate becomes impinged against the ulnar head;     – causes:   … Read more

Ulnar Nerve in Elbow Trauma

– See:       – Ulnar Nerve:       – Cubital Tunnel Syndrome: – Discussion:     – ulnar nerve neuritis is a reported of operative treatment  for elbow frxs;     – one of complications of ORIF of elbow frxs is adherence of the ulnar nerve directly to medial epicondylar region w/ … Read more

Ulnar Sided Wrist Pain

– Discussion:     – osseous related pain:           – hamate fracture            – pisiform fracture           – ulnar styloid frx           – base of the fifth metacarpal     – TFCC     – radioulnar joint           – … Read more

Ulnar Styloid Process Frx

– Anatomy:      – Tunnel V:           – overlies distal ends of radioulnar articulation on dorsum of wrist, contains EDM;     – Tunnel VI:           – in groove between the apex of ulnar styloid process & ulnar head, contains ECU tendon which is palpable from … Read more

Ulnar Translocation

– Discussion:     – most frequent radiocarpal instability;     – the lunate is translocated ulnarly, and therefore is not supported by the radius;     – ulnar translationn is also commonly seen in disease such as RA or in Madelung’s deformity;             – in RA, may occur along … Read more

Ulnar Variance

– Discussion:     – mean ulnar variance is 0.9 mm (range: 4.2 to 2.3 mm);     – functional anatomy:            – w/ neutral variance, 80% of load is born by radius and 20% by ulna;            – 2.5 mm increase in ulnar varience will increase … Read more

Ulnar Bursae

– Anatomy:     – ulnar bursae includes little finger tendon sheath which begins at terminal phalanx & extends proximally half way up the palm;           – occassionally the distal unexpanded part of little finger tendon sheath does not communicate w/ ulnar bursae;     – in the palm, the ulnar … Read more