– Surgical Anatomy of Clubfoot: – contractures of ankle, subtalar, talonavicular, & calcaneocuboid joints; – forepart of foot is adducted & hind part of the foot is in varus angulation; – talus: – lies in a position of equinus, & its head is palpable … Read more
– Discussion: – when viewed in cross section, shape of distal femur resembles trapezoid w/ medial side inclinded about 25 deg & lateral side about 10 deg; – both the seating chisel and the subsequent blade plate should be 1 cm to 2 cm short of medial cortex … Read more
– Discussion: – has become standard technique for stabilizing types II & type III frx; – either two lateral pins, or one lateral and one medial pin may be used and both should penetrate the cortex; – medial and lateral pin insertion provides better stabilization; … Read more
– Supination: – supination of foot is a combination of inward rotation at the ankle, adduction of the hindfoot, inversion of the forefoot, and medial arch elevation; – subtalar joint supination is 3 planes of motion simultaneously: – adduction – inversion … Read more
– Discussion: – supination external rotation fractures are the equivalent of Weber B frx; – it is the most common type of frx of fibula is caused by supination and external rotation, resulting in oblique frx at level of sydesmosis – supination of foot is combination … Read more
– See: Adult SER Frx – Stage I: – SH II frx of distal tibial physes w/ long spiral frx of distal tibia, which starts laterally at the growth plate, and progresses medially, proximally, and posteriorly; – metaphyseal fragment is localized posterio-medially; – on lateral radiographs, … Read more
– See: – Distal Femoral Shaft Fractures – Distal Femoral Phyeal Frx – Supracondylar Fractures following TKR – Discussion: – work up for femur fracture – mechanism: axial load to a flexed knee; – Bimodal distribution: – low energy fractures involving older … Read more
– Pertinent Surgical Anatomy – Operative Treatment: Choice of Hardware: – 95 deg. condylar blade plate: – dynamic screw and side plate: – condylar buttress plate: – IM nails for supracondylar fractures: – zickel nail: – may be used for extra-articular … Read more
– See: Innervation of Lower Limb Muscles – Anatomy: – from the lumbo-sacral plexus, arises from posterior branches L4, L5, S1; – exits the pelvis and enters the gluteal regioin through the upper margin of the greater sciatic notch, just superior to the piriformis muscle. – it … Read more