The Hip book

Complex Elbow Dislocations

 – Discussion:     – dislocations of the elbow associated with fracture are termed complex;     – comprimise 49% of elbow dislocations;     – most of these fractures are inherently unstable and require surgery;     – prolonged elbow immobilization produces poor results.     – surgery must achieve sufficient stability to allow … Read more

Colles’ Frx:

 – See:  Distal Radius Frx Menu / Intra-Articular Fractures of the Distal Radius – General Discussion:     – frx was described by Abraham Colles in 1814, originally described as low energy extra articular frx of distal radius occuring in elderly individuals;           – frx is typically dorsally displaced and angulated;     – mechanism: … Read more

Collagen

– See:       – Disorders       – Ligament Healing Characteristics: – Discussion:     – collagen is the primary structural protein of the body & occurs in bone, tendon, and scar tissue as well as in cartilage;     – at least nineteen distinct gene products have been identified in humans, … Read more

Collagen Biosynthesis

Discussion biosynthesis of collagen is initiated w/ osteoblasts; these intracellular events involve protein synthesis on endoplasmic reticulum to form 3 polypeptide chains, which make up protocollagen; protocollagen is hydroxylated to form procollagen, which is glyco-sylated at the endoplasmic reticulum; degree of hydroxylation of the lysine residue is important in that it will determine the number … Read more

Collagen Disorders

– Discussion:     – the biosynthesis of collagen involves many complex processes that are subject to biologic control;     – these processes can be disrupted at any point by metabolic disorders such as:           – scurvy;           – lathyrism;     – genetic collagen diseases: … Read more

Clubfoot: Posteromedial Release – Greenville Method

                                                           assistance provided by:  B.L. Allen M.D.                                                                          R. Feurgeson M.D.                                                                           J.R. Davids M.D.            – See:         – Medial Release       – Posterior Release – Discussion:     – one-stage soft-tissue posteromedial release;     – as a prerequisite, the forefoot adductus deformity should be passively correctable to neutral, in order to avoid wound healing problems  … Read more

Clavicle Fractures

– See:        – Clavicular Frx in Children /  Congential Pseudoarthrosis of Clavicle        – AC joint / Sternoclavicular Joint Injury / Scapula Fracture        – Discussion and Classification  – Exam Findings:     – brachial plexus      – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology:        – Serendipity View  … Read more

Classification of Osteogenesis Imperfecta

– Type I:       – most common type       – autosomal dominant;       – blue sclerae;       – frx during childhood;       – hearing loss; – Type II:       – very rare       – autosomal recessive;       – blue … Read more

Classic Osteosarcoma

– See:      – Bone Tumor Menu  and Osteosarcoma Demonstration Project – Discussion:     – malignant tumor of bone in which neoplastic osteoid is produced by a proliferating spindle cell stroma;     – most common primary malignant bone tumor of mesenchymal derivation;     – arises in adolescents, and second or third decade;     – … Read more