The Hip book

Allograft Bone Patellar Bone Reconstruction

– Discussion:     – general discussion of allograft tissue:     – as pointed out by Harner et al. (1996), subjective knee scores were slightly better for knees having ACL – bone patellar bone allograft (as compared to BPB autograft patients)            – objective ratings included normal (or nearly normal) … Read more

Allografts

– see bone graft menu – Discussion of Allografts:     – see autograft menu and bone healing:      – allografts are most indicated when bone grafting is required along with need for mechanical structural support;     – morselized bone graft:     – structural bone grafts:      – fresh allografts            – generally … Read more

Adult Humeral Inter-condylar Fractures

 – Fractures Subtypes:     – capitellar and coronal shear frx     – distal humeral frx      – lateral condyle frx      – medial condyle frx      – Muller’s Classfication:            – type A: extra-articular fracture;             – type B: uni-condylar fracture;            – type C: bi-condylar fracture;  … Read more

Adult Humeral Inter-condylar Fractures: Restoration of Frx Anatomy

– Technique:      – it is helpful to have the patient paralyzed during the reduction (requires general anesthesia);      – anatomic reduction of the condyles is performed first;      – remember that the  common factor in fixation failure in these fractures is comminution and/or osteoporosis;      – best-fit method:             … Read more

Adolescent Bunion

– Discussion:     – adolescent bunion is present if IM angle > 10 deg & HV angle > 20 deg;             – moderate deformity: HV of 25 – 40 deg,             – severe deformity: HV of more than 40 deg;     – in … Read more

Adson’s maneuver

– Technique     – decreases interscalene space by tensing anterior and middle scalenes;     – arm of the affected side placed on the sitting patients thigh with forearm supinated;     – turn head to the affected side;     – extend neck and hold breath;     – positive test is obliteration … Read more

Adductor Longus

Origin: anterior of pubis in angle between crest and symphysis; Insertion: middle 1/3 of medial lip of linea aspera; Action: addducts thigh at the hip, lateral rotation as it adducts the thigh. Some assistance in hip flexion; Nerve Supply: Obturator, L3, L2, L4;  (See Innervation) Synergists: Gracilis, Adductor Magnus, Pectineus,  Adductor Brevis Surgical Management of Sportsman’s Hernia in Professional … Read more