Fractures of the Femoral Neck
– Work Up: anesthesia, medical considerations, and timing of surgery – X-rays for Femoral Neck Frx – Operative Techniques: Cannulated Screws: IM Nailing and Sliding Hip Screws for Femoral Neck Frx … Read more
Tibia and Fibula
Fractures and Dislocations of the Proximal Fibula
– See: – Lateral Collateral Ligament – Maisonneuve Fracture – Discussion: – occur most often in association w/ proximal tibial fractures, esp w/ split compression, bicondylar, and subcondlylar fractures; – look for injury to peroneal nerve, anterior tibial artery, biceps tendon, & lateral collateral ligament; … Read more
Fractures of Posterior Process of Talus
– Discussion: – two processes, lateral & posterior, project from body of talus – either process may be fractured, either as isolated injury or assoc w/ other ankle or talar injuries; – diff dx of posterior ankle pain: (os trigonum) – embryology: … Read more
Dislocations and Fracture Dislocations of the Hip
– Discussion: – hip dislocations are typically caused by high-energy trauma, usually from motor-vehicle accidents. – they occur most frequently in young patients; – types of dislocations: – anterior dislocation – central acetabular fracture dislocations … Read more
Fracture Blisters
– Discussion: – refers to the blisters which from swollen skin overlying fractures; – most commonly arise over tibia, ankle, and elbow; – when fracture blisters are present at the time of surgery, wound complications will develop in the majority of patients; – when fracture blisters develop … Read more
Foot Reconstuctive Surgery
– Discussion: – dorsalis pedis flap: – heel pad reconstruction: – complications of free flap reconstruction include weight bearing induced ulceration under the heel; – this may result from poor tailoring of the flap, lack of heel sensation, … Read more
Forearm Extensors
– See: Flexor muscles of the Forearm: – Superficial muscles arise from a common tendon attached to the lateral epicondyle of the humerus, and divide into lateral and medial groups; – Lateral three of these muscles: Brachioradialis Extensor … Read more
Forefoot and Toe Deformities
– See: Claw Toes – Discussion: – in pts who have a rigid cock-up deformity of toe that is present at skeletal maturity, we perform arthrodeses of the proximal and DIP joints, removing wedges of articular cartilage and adjacent bone based dorsally to correct the deformity, shorten the toe, and allow for apposition of osseous surfaces … Read more
Foot and Ankle in CP
– Discussion: – pattern of cerebral palsy influences type of foot & ankle deformities; – ankle equinus: – equinovarus: – pes valgus: – equinovalgus deformity: – is more common in children w/ diplegia and spastic quadriplegia; – … Read more
Foot Inclusion for External Fixators
– Indications: – temporary fixation of foot to eliminate ankle & soft tissue motion at frx site may be needed w/ open frx treated w/ external fixators; – patient w/ concurrent head injury or severe soft tissue wounds involving muscles that control ankle or foot motion; – foot inclusion … Read more