– Discussion: – tap pins through soft tissues until they meet bone, and once the wire emerges from the far cortex, it is driven through the soft tissues w/ a mallet; – periarticular insertion – avoid impaling synovium; – in the knee, insert the wire 1 cm below articular surface … Read more
– Exam: – skin abrasion and contussions from direct blows; – r/o compartment syndrome; – ligamentous instability – peroneal nerve function; – Radiographs: – Indications for treatment: – Open Plateau Frx or Frx w/ compartment syndrome; – Articular Surface … Read more
– See: Trauma Menu – Discussion: – note that with acetabular fracture associated with major trauma that there will be 50% chance of at least one other major injury; – neuro and head injury (see Glasgow) – abdominal and chest injury (pulmonary … Read more
Journal of Bone and Joint Surgery Long-Term Results of Treatment of Fractures of the Medial Humeral Epicondyle in Children Operative Treatment of Interdigital Neuroma. A Long-Term Follow-up Study The Effects of Tibial Rotation on Posterior Translation in Knees in Which the Posterior Cruciate Ligament Has Been Cut Patellar Resurfacing in Total Knee Arthroplasty. A Prospective, … Read more
– See: – Radiographic Studies – Verticle Fractures of Medial Malleolus – Discussion: – transverse frx of fibula occuring below syndesmosis; – usually there is enough remaining butress of fibula to prevent lateral talar tilt or displacement; – avulsion frx of distal fibula c/w supination/adduction frx; – … Read more
– See: – Antiglide Plate – Lateral Malleolus – Radiographic Studies – Stability of Weber B Fractures – Supination Eversion Injury – Surgical Treatment – Discussion: – Type B: fibula frx at level of syndesmosis-transsyndesmosis; – most common type … Read more
– Discussion: – see: stability of weber b fractures: – isolated Weber B fractures (no medial injury) can be treated w/ a cast if there is upto 3 mm of fibular displacement; – it has been observed that x-rays tend to over-estimate displacement (as compared to … Read more
– Discussion: – Weber C ankle fractures occur above the the syndesmosis and are similar to PER injuries in the Lauge Hansen classification: – classification: – C: fibula fracture above syndesmosis – C1 diaphyseal fracture of the fibula, simple … Read more
– See: – Stance – Muscle Activity During Gait – Discussion: – during last portion of single limb stance & entirety of wt release, tibial external rotation continues, ankle plantar flexion is seen, and sub- talar joint continues to invert; – forefoot is now in a … Read more
– Discussion: – results from supination-adduction fracture (Weber A) – adduction forces result in a vertical fracture of the medial malleolus at the junction of the plafond and malleolus; – transverse fibular frx or tear of lat collat occurs concomitantly; – medial … Read more