The Hip book

Orthopaedic Manifestations of Child Abuse

– Discussion:     – child abuse occurs most often under the age of 3 years;     – when child abuse goes unrecognized, the mortality rate may be as high as 5%;     – common patterns for abuse:            – unwitnessed spiral fractures            – fractures occuring prior to walking age;     – common fractures:            … Read more

Orthopaedic Manifestations of Myelomeningocele

– Discussion of Myelodysplasia – Spinal Deformities: – vertebral column development: – scoliotic & kyphosis in myelomeningocele may be either congenital or paralytic, or combination of both; – scoliosis in myelomenigocele: – kyphosis in myelomenigocele: – need to distinguish between 2 distinct types of kyphosis both of which are centered over mid lumbar segment; – … Read more

Orthopaedic Anesthesia

– See:         – Anesthesia and Timing for Femoral Neck Fractures:         – Anesthesia in the Spinal Cord Injured Patient:         – Cardiac Orders / Meds:         – Malignant Hyperthermia:         – Risk Assessment:          – Anesthetic Agents:                – Lidocaine:               … Read more

ORIF of Calcaneal Frx Using Lateral Approach

– Preoperative Planning:                   – Surgical Stratedgy:      – pt in true lateral position      – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap);      – extension from tuberosity to calcaneo-cuboid (watch peroneals)      – … Read more