The Hip book

Vertebral Osteomyelitis

– See:        – Diskitis        – Gun Shot Wounds to the Spine        – Tuberculous Spondylitis – Discussion:     – in adults, lumbar infections may often originate from urinary tract infections which drain thru Batson’s venous plexus;           – respiratory system is also … Read more

Vibrio vulnificus

– Discussion:     – gram-negative facultative coccobacillus     – vibrios are among the most common organisms found in waters in US and around the world;             – in the US these infections occur mainly on the gulf coast and southern atlantic seaboard;     – these organisms tend … Read more

Valgus Hindfoot Deformity in CP

– See:         – Cerebral Palsy: – Discussion:     – 64% w/ spastic diplegia & quadriplegia had pes valgus;     – spastic pes valgus foot is a flexible deformity until adolescence;     – spastic peroneal muscles pull the forefoot laterally and with it supporting plantar ligaments for the talar … Read more

Upper Extremity Prosthetics

– Terminal Devices:     – Functional Hooks vs. Cosmetic Hands;     – Hooks: Voluntary opening vs closing:        – voluntary opening:           – more popular & are recognized by their numbers of rubber bands (# is proportional to pinch strength, w/ 3 bands equal to about   … Read more

Unstable Burst Fractures

– Criteria for Unstable Frx:     – Neurologic deficit;     – Posterior Element Injuries;     – Loss of more than 50% of anterior vertebral body height;     – Greater than 25 to 35 deg of kyphosis;     – Thoracolumbar burst frx:            – angulation of thoracolumbar … Read more

Unilateral Bar

– Discussion:      – unilateral bar is a common disorder and is likely to progress;      – it is caused by failure of segmentation of posterior elements of two or more vertebrae on one side;      – this anomaly carries a predictable poor prognosis & therefore a patient w/ this anomaly should … Read more