– Radiographic Findings: – ankle frx: – fibula overlaps posterior aspect of tibia, but posterior tubercle of tibia can still be seen; – posterior subluxation of talus in mortise may be assoc w/ posterior lip frx or posterior talofibular ligament tear; … Read more
– See: Patella Alta: – Discussion: – patellar height in relation to the joint line: (2 methods) – Insall and Salvati Method – Blackburne and Peel Method – fat density zone seen posterior to the quadriceps (water … Read more
– See: L and T plate Characteristics – Discussion: – used to support cortex of a metaphysis from crumbling or displacing; – for the lateral condyle, use precontoured T butress plate & L butress plate which comes in a right and left version; – butress plates must be accurately contoured; – if a butress plate … Read more
– Discussion: Tibial Plateau Frx Menu – lateral plateau frxs include: – type I fractures – type II fractures – type III fractures – local compression frx which are similar to type iii frx – Surgical Stratedgy: – extensile surgical approach that exposes whole … Read more
– Discussion: – demonstrates the posterior subtalar facet; – foot is passively everted, dorsiflexed and externally rotated 60 deg; – central beam centered 1 inch below tip of medial malleolus with 10 deg cephalic tilt
– Discussion: – demonstrates the anterior process of the calcaneus and the anterior facet of the Sub-Talar Joint; – patient is supine w/ inner border of foot placed on cassette and the sole inclined 45 deg; – central beam directed vertically centered 1 in. below and 1 in. anterior to the tip of the lateral … Read more
– See: – Discoid Meniscus:: – Types of Meniscal Tears; – Discussion: – in shape medial meniscus resembles a C, whereas lateral meniscus is more sharply curved and resembles an O that is unclosed medially; – lateral meniscus is much more of closed circle in uniform width from anterior to posterior; – it has … Read more
– See: Hallux Valgus Arthroplasty Menu: – Technique: – begins thru a short dorsal incision in 1st web space, which is made in midline in order to avoid superficial branches of deep peroneal nerve which passes on each side; – if incision is made to proximally, it … Read more
– See: – Anterior Compartment – Superficial Poserior Compartment – Deep Posterior Compartment – Anatomy: – lateral compartment contains only 2 muscles, peroneus brevis, & longus, which serve primarily as plantarflexors and evertors of foot; – superficial peroneal nerve runs in … Read more
– See: Distal Femoral Osteotomy – Discussion: – usually involves a medial closing wedge osteotomy of the distal femur (supracondylar region) fixed with a blade plate; – femoral osteotomy is sometimes reserved for valgus deformities of > 12 deg and > 10 deviation of the knee joint from horizontal; … Read more