– Discussion: – easiest method to measure leg lengths is the measure the distance from the ASIS and a marked point on the knee; – measurement is made using the cautery cord; – the thigh must be in the exact same position each time the length is measured; – steinman pin method: – separate posterior … Read more
– See: Neurologic Injuries in THR: – Discussion: – sciatic nerve is palpated by rolling it under surgeon’s finger as it crosses ischial projection from posteroinferior aspect of the acetabulum; – palpate sciatic nerve as it passes superficial to obturator internus & gemelli; – sciatic … Read more
– Discussion:: – iliotibial band (and thin fascia covering maximus) are incised in line w/ the incision; – in most cases, the hip is kept in midflexion for both the skin incision and the IT band incision; – if the hip is repositioned in extension … Read more
– Femoral Anteversion: – femoral version is defined as the angular difference between axis of femoral neck and transcondylar axis of the knee; – normal values: – on average, femoral anteversion ranges from 30-40 deg at birth and decreases progressively throughout growth to about 15 deg at skeletal maturation; – … Read more
– See: Role of the Ankle in Gait – Discussion: – is a hinge joint w/ malleoli projecting downward from tibia & fibula forming medial and lateral walls of the mortise, encompassing talus; – in addition, malleoli serve as pulleys for tendons reaching plantar surface of foot from posterior and lateral compartments of … Read more
– See: Iliotibial Band Syndrome – General Anatomy: – origin: – anterior iliac crest outer lip, anterior border of the ilium, outer surface of anterior superior iliac spine; – insertion: – iliotibial band of fascia lata on lateroanterior aspect of thigh, … Read more
– Discussion: – overuse syndrome or tendinosis involving the region of the lateral humeral epicondyle; – most often the origin of the ECRB displays an abnormal vascular proliferation and focal hyaline degeneration; – ref: Anatomic Factors Related to the Cause of Tennis Elbow – EDC may … Read more
– Discussion: – tendon transfers are never indicated in the initial treatment of club foot, but they may be of benefit in special circumstances; – even though the major deformities have been corrected satisfactorily, flexible fore part of the foot may tend to supinate during the swing phase of gait; – … Read more
– Discussion: – w/ ankle fractures that occur above the syndesmosis, the lateral and/or medial malleolus, should be fixed first; – subsequently, look for objective evidence of syndesmotic widening; – stabilization of syndesmosis may be achieved by placing one or two screws between … Read more
– See: – Foot Inclusion: – Safe Zone of Pin Insertion: – Debridment: – aggressive & repeated debridments of all devitalized tissue, including large fragments of bone; – consider debridment of bone ends with a hall burr inorder to promote bony opposition and compression; – … Read more