Ortho Preferred Malpractice Insurance

Tibia and Fibula

Osteoma

– See: Bone Tumor Menu – Discussion:     – osteoma is a rare benign tumor of bone;     – occurs most often in adolescents;     – skull, mandible, & middle third of tibia are most common involved sites;     – osteoma may produce no pain but will produce a visible and … Read more

Osteochondrosis / Stress Frx of Medial Epicondyle

– See: Pediatric Elbow Injuries  – Discussion:  – a traction apophysisitis of the medial epicondyle which needs to be distinguished from avulsion frx of the medial epicondyle  – the medial epicondyle is an apophysis which is connected to the MCL as well as being connected to the flexor-pronator mass;  – both of these structures will … Read more

Osteochondral Lesions of the Talus

– Discussion: – although a traumatic etiology is believed to play a major role in production of these lesions, idiopathic osteonecrosis may be another factor; – anterolateral lesions: – may result from impaction of talus on fibula as the dorsiflexed ankle is forced into inversion (see ankle sprain); – the vast majority are caused by trauma; … Read more

Osteochondroma / Osteocartilaginous Exostosis

    – Discussion:     – a developmental dysplasia of peripheral growth plate which forms a cartilage capped projection of bone found near metaphyses of long bones;           – peripheral chondroblast grows outward from the metaphysis, acting as an ectopic growth plate, which ceases growth at skeletal maturation;     … Read more

Osgood Schlatter Lesion

– Discussion: – refers to partial avulsion of the tibial tuberosity (anterior surface of apophysis) which has no involvement of tibial physis; – usually occurs in late childhood or early adolescence; – more common in boys; – may represent an over use disease; – repetitive stress on tuberosity may cause partial avulsion; – a painful non … Read more

Orthotic Management of Blounts Disease

– Discussion:     – principle of orthotic management in infantile tibia vara is alteration of abnormal compressive forces so that normal growth will resume &            genu varum will be corrected;     – patient age:           – historically, bracing has been the treatment of choice for a child 14 … Read more

Orthotics for the Foot

– See: Metatarsalgia: and Running Injuries – Discussion:     – functional anatomy:              – normal foot during gait will become supple by eversion to allow for wt bearing during heel strike, and will become a rigid lever during push off by heel inversion;              – in … Read more