– See: – Q angle – Malalignment of Patella – Discussion: – distal realignment procedures are chiefly indicated in pts w/ patellar subluxation, absence of hyper-laxity, and increased Q angle; – as pointed out by Fulkerson, et al (1990), less than 2% of patients w/ patellofemoral pain … Read more
– See: – Adult Condylar Fractures – Distal Humeral Nonunion – Humeral Fractures – Non Operative Treatment: (cast bracing); – some orthopaedists do not feel that Holestein Lewis Frx are amenable to cast bracing; – some of these fractures are amenable to cast bracing … Read more
– See: – Distal Radius Frx Menu – External Fixators for Distal Radius Frx – Intra-Articular Fractures of the Distal Radius – Unstable Distal Radius Frx – Radiographs: – scapholunate dissociation – Technique: – first perform closed reduction under … Read more
– See: – Distal Radius Frx Menu – External Fixators for Distal Radius Frx – Intra-Articular Fractures of the Distal Radius – Unstable Distal Radius Frx – Discussion: – clinical outcome studies – Radiographs: – r/o concomitant scapholunate dissociation; – Anatomic Considerations: – die punch fragment: … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Technique:/strong>br/> – while obtaining a perfect circle under flouroscopy it is important not to rotate the foot because this will cause a malalignment of the foot progression angle;br/> – instead, rotate either the entire leg as a unit or … Read more
– Discussion: – generally distal interlocks should be inserted prior to the proximal interlocks; – this allows the leg to be rotated in the most advantageous position for interlock insertion and allows more effecient compression across the frx site (by gently tapping the proximal nail assembly proximally); – … Read more
– See: – Growth Deformities of Limbs – Growth Plate Arrest – Discussion: – anatomy of distal femoral physis: – account for approx 5% of all physeal frx; – displacement in sagittal plane is assoc w/ N/V injury in popliteal fossa and instability on closed reduction; – … Read more
– Discussion: – distal biceps may rupture off the radial tuberosity; – presents w/ painful swollen elbow usually in a 50-60 yo active male, most often in the dominant side (uncommon in women); – incidence of distal biceps rupture is 1.2 per 100,000 persons per year; – single traumatic … Read more
– Two Incision Approach (Boyd and Anderson) – advantages: – two-incision technique to limits the anterior dissection and therefore may limit pain; – may reduce injury to the radial nerve, which can occur w/ a one incision technique that incorporates drill holes thru the … Read more
– One Incision – Modified Henry Approach: – see: Henry Approach to the Forearm; – some surgeons feel that this is the prefered technique noting that modern suture anchors anchors have permitted safe repair of biceps tendon through one anterior incision; – advantages: direct approach, avoids PIN injury, … Read more