– a series of pairs of muscles of small muscles extending the full length of the spine just superficial to the rotators and each spanning 2 or 3 intervertebral spaces before inserting; origin: posterior surface of the sacrum, the dorsal end of the iliac crest, the transverse processes of the lumbar and the thoracic vertebrae and the … Read more
ORIF of Calcaneal Frx Using Lateral Approach: – Preoperative Planning: – Surgical Stratedgy: – pt in true lateral position – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap); – extension from tuberosity to calcaneo-cuboid (watch peroneals) – reduction of critical angle of Gissane/ anterior process to … Read more
– Discussion: – MRI findings in normal subjects (from Boden-SD) – note that there is a 29% prevalence of disc herniation in asymtomatic individuals; – patients less than 60 years of age: – 20 per … Read more
– Discussion: – it is not a neuroma but a perineural fibrosis and it was not first accurately described by Morton but by Durlacher, a chiropodist in 1845; both Thomas G. Morton (1876) and Thomas K. Morton (1892) mistook it for a painful affection of the fourth MTP articulation – it is … Read more
– Discussion: – most common pattern of motor branch of median nerve is extraligamentous take off from main branch of median nerve (distal to TCL in 50% pts) – in 30% of pts motor branch exits proximal to TLC; – in 20% of pts motor branch exits distal to TLC; … Read more
– See: MP joint in RA – Planning: – indications: – irretrievable articular cartilage damage; – volar subluxation; – dislocation are indications for surgery; – cautions: – cervical spine … Read more
– See: – Plating Techniques – Monteggia Fractures in Children – Discussion: – Giovanni Monteggia (1814) first described frx of proximal 1/3 of ulna in association w/ anterior dislocation of radial head; – hence dislocation of radial head w/ frx of proximal 1/3 … Read more
– See: Ankle Sprains – Discussion: – indications: – clinical symptoms are chief indications (radiographic findings may or may not correlate w/ the severity of the sprain and ankle dysfunction; – associated injuries: – longitudinal tear of … Read more
– See: Watson Jones Approach Smith Peterson Approach – Discussion: – in direct lateral approach, a curvilear split is made thru the anterior portion of the gluteus medius and vatus muscles, in order to gain access to the anterior face of the hip joint; … Read more
– Discussion: – modified procedure includes release of adductor hallucis, transverse metatarsal ligament, and lateral capsule combined w/ excision of medial eminence and plication of the capsule medially; – this procedure was modified to retain the lateral sesamoid, which helps to prevent hallux varus (which as common w/ original Mcbride bunionectomy); … Read more