– See: – Blair Fusion – Charcot Marie Tooth – Equinovalgus – Grice Arthrodesis – Kocher approach – Ollier incision – Subtalar Fusion – Discussion: – results in fusion of subtalar, calcaneocuboid, and talonavicular joints; – most effective … Read more
– origin: lateral head: superior 1/2 of post. lat. surface of humerus; long head: infraglenoid tuberosity of scapula; medial head: – inferior 2/3 on posterior surface of the humerus, beginning at the spiral … Read more
– See: Posterior Approach to the Humerus; – Discussion: – the distal triceps can be split down the middle with the dissection carried straight down to bone over the olecranon; – care is taken to mobilize full thickness fascial and periosteal flaps both medially and laterally; – the dissection … Read more
(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. … Read more
– See: – Ligaments of the Wrist and RU Joint – Discussion: – is ulnar continuation of distal radius & presents concave surface for articulation w/ lunate & triquetrium; – ular side of the wrist is supported by the TFCC, which articulates w/ both the lunate and the triquetrum; – TFCC is prone to injury due … Read more
– Discussion: – often patients will note pain weeks to months after the cast is removed; – w/ excessive dorsal tilt, will often develop a symptomatic ulnar mid-carpal instability (or carpus adaptive DISI); – in the report by Taleisnik and Watson (1984), the average amount … Read more
– See: Surgical Approach – Treatment Options: – No Reduction – elevation, compression, early ROM (ROWE) – Closed Reduction – Bohler: distraction/M-L – compression – Open Reduction – Palmer: lateral approach (1948) – Goals of Open Reduction: … Read more
– See: DDH – Clinical Presentation: – widened perineum, shortened lower extremity, & hyperlordosis of lower spine; – Treatment Considerations: – after 2 years of age, there is increased risk of AVN & closed reduction is more likely to fail; – open reduction: – … Read more
– Discussion: – mechanism of injury: – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries); – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more
– Discussion: – trapezius and serratius anterior stabilize scapular base from which the arm operates; – trapezius, which arises from spinous processes of cervical and thoracic vertebrae & inserts on spine of scapula and acromion, is innervated by spinal accessory nerve and branches from third … Read more