– See: Monteggia Fractures in Adults – Discussion: – all four types of Monteggia frx dislocation are pertinent to children, including Monteggia equivalents; – diff dx: Monteggia equivalent (w/ fracture of proximal radius rather than dislocation of the radial head); – Classification: – type I: … Read more
– Discussion: (RTC menu) – mobilization is often required for massive tear; – simply closing extensive tear will not suffice if atrophied muscles are not contracting adequately and if excessive tensions placed on repaired cuff cause reinjury; – repair of good quality rotator cuff tissue is esp important in achieving an optimal result; … Read more
Contralateral total hip arthroplasty or ipsilateral total knee arthroplasty in patients who have a long-standing fusion of the hip. Intrapelvic migration of total hip prostheses. Operative treatment The use of the McKeever metallic hemiarthroplasty for unicompartmental arthritis. Serum CK-MB is useful in diagnosis of acute myocardial infarction after total hip arthroplasty. Cardiac isoenzyme values after total joint … Read more
– Discussion: – this a distal “Step Cut” metatarsal osteotomy that displaces metatarsal head laterally in order to correct hallux valgus deformity and metatasus adductus; – Mitchell procedure is carried out more proximally than Chevron osteotomy, & can correct more severe deformities than Chevron; – this procedure is applicable to … Read more
– Discussion of Treatment of Recent Dislocations and Fracture-Dislocations of the Shoulder – maintains that biceps and subscapularis muscle offers the chief resistance to reduction; – in anatomic position, w/ humerus at side, direction of various muscles around shoulder girdle seems to completely haphazard; – constancy of this effect must be attributed … Read more
– Discussion: – meniscal cells while typical chondrocytes, are called fibrochondrocytes because they synthesize fibrocartilage matrix, rather than hyaline cartilage matrix typical of articular cartilage; – menisci are composed of circumferentially oriented collagen fibers, which are parallel to its peripheral border; – orientation of type I collagen fiber bundles is the major determinant … Read more
– Discussion: – in the normal foot, metatarsal heads bear one half of a person’s body wt, when the foot is plantigrade; – the first metatarsal normally bears half the wt of the forefoot; – long 2nd metatarsal can contribute to pressure under metatarsal head; … Read more
– Discussion: Zone IV: – extends from distal end of transverse retinacular ligament to proximal margin; – combined nerve – tendon procedure may be delayed for 21 days if wound is contaminated, if crushing trauma has occurred; – median nerve management: (nerve repair) – lacerations of flexor tendons within … Read more
– See: Arterial Development of the Limbs: – Embryologic Anatomy: – subclavian artery projects into early upper limb bud in axial position, its proximal portion becoming subclavian-axillary- brachial trunk, & its distal portion becoming interosseous artery that initially supplies a plexus of arteries in the primitive hand; … Read more
– Carpal Tunnel Syndrome – Combined Lesions of the Median and Ulnar Nerves: – High Median Nerve Lesions – Low Median Nerve Lesions – Median Nerve Block – Median Nerve Injuries at the Wrist – Martin Gruber Anastomosis – Anatomy: … Read more