– See: – Pediatric Distal Tibial Fracture – Pronation-External Rotation Frx – Supination – External Rotation Frx – Supination Inversion Frx – Supination Plantar Flexion – Tillaux Fracture – Triplane Fracture – Discussion: – most … Read more
– Post Fixation: – w/ BPB grafts, the sutures are passed thru the bone plug and then are passed around a screw over a washer; – w/ soft tissue grafts (such as tendinous edge of Achilles tendon graft), requires a Krackow stitch (whiped locking stitch) is required; – Spiked Washer Fixation: … Read more
– Discussion: – occurs when pressure in a muscle compartment is > pressure in the capillaries, which leads to progressive muscle ischemia and edema and left untreated can result in infarction of the compartment contents; – ischemia and necrosis of the muscles occur even though the arterial pressure is still high enough to produce … Read more
– Discussion: – medial capsule: – related to repetitive loading of the hallux that leads to attenuation of the medial capsular structures; – medial migration of first metatarsal: – first metatarsal head has no musculotendinous attachments; – head of 1st metatarsal, w/ increased valgus, progressively moves medially off sesamoids, which remain … Read more
– Bipartite Patella – Bursitis – Chondromalacia – Malalignment syndromes – Multipartite Patellae: – Osteochondritis Dissecans – Patella Overload Syndrome – Patella Alta – Synovial Plica – Subluxation Pathomechanics of the femoropatellar joint following total knee arthroplasty. A systematic approach to reconstruction of neglected tears of the patellar tendon. A case report. Modified technique for tibial … Read more
– See: – Pathologic Hip Frx – Metastatic Tumors to Bone – Discussion: – fractures which occur from low energy injuries which occur thru an area of bone weakness with a pre-existing abnormality; – injured area demonstrates distored archetecture and distored bone density; – Diff Dx: … Read more
– Discussion: – osteoarthritis represents a gradual processes of destruction & regeneration; – early in dz, articular cartilage loses its glistening appearance; – later on surface layers flake off while deeper layers develop longitudinal fissures, process termed fibrillation; – cartilage becomes thin and sometimes denuded; – … Read more
– See: Congential Clubfoot Menu: – Clinical Anatomy: – affected limb may be shortened, calf muscle is atrophic, and foot is short compared to opposite side; – medial rotation of tibia; – joints: – ankle and subtalar joints are in fixed equinus; … Read more
– History: 1963 – Maurizio described the association of patellar tendonitis with jumping 1973 – Blazina, et al. coined the term “jumper’s knee” 1978 – Mariani, et al. and Roels, et al. widened the term “jumper’s knee” to include pathology of the patellar tendon at the tibial tuberosity 1986 … Read more
– See: Subluxation of the Patella – Fulkerson Classification: – type I, subluxation alone; – type II, subluxation and tilt; – type III, tilt alone; – type IV, no malalignment; – Clinical Presentation: – anterior knee pain with a tight, … Read more