– See: – Laeral Compartment – Anterior Compartment – Superfical Posterior Compartment – Discussion: – contains tibialis posterior, FDL, & FHL; – originates primarily from posterior tibia, fibula, & interosseous membrane in proximal 2/3 of leg, these structures are involved in plantar flexion … Read more
– Discussion: – most tibial plateau frx exhibits bony healing withing 3 months of frx; – any frx that fails to heal clinically & radiologically in 3 mo is considered to have a delayed union; – most common cause of delayed union is gradual loss of frx reduction over period … Read more
– Discussion: (see osteochondral injury) – these injuries are distinct from degenerative arthritic lesions and management of these lesions should remain distinct as well; – theory is that penetration of subchondral bone causes bleeding from underlying vessels which allows clot formation in the cartilaginous defect and subsequent formation of fibrocartilage; … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>p/>hr size=”3″/> p>- See: a href=”/bones/tibia-fibula/open-fractures-of-the-tibia/”>tibial fracture menu/a> / general a href=”/ortho/12696″>principles of debridement/a>br/> br/> strong>- Debridement of Acute Fractures:/strong> br/> – goal is to avoid a href=”/bones/tibia-fibula/tibia-fracture-infections/”>tibial infection/a>; br/> – strong>timing:/strong> (is emergent debridement necessary?) br/> – references: br/> … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>br/> b>These are the introduction slides. We may want to have Lee redo this segment, so that the audiencebr/> understands the motivation and reasoning behind the Ponsetti method./b>br/> br/> a href=”/voice/jeh_motivation_2_01.wav”>img src=”/images/jeh100a.jpg”/> img src=”/images/jeh1a.jpg”/> img src=”/images/jeh21a.jpg”/>/a>br/> br/> hr size=”3″/>br/> b>These are some prenatal … Read more
– See: Pes Cavus: – Discussion: – seldom present at birth, the deformity gradually becomes apparent as childs foot grows and matures; – components: – heightened longitudinal arch – cavus – – plantar flexion of 1st ray and pronation of the … Read more
– Discussion: – pathoanatomy: – whole foot is in extreme supination, however, the fore part of the foot is pronated with respect to the hindfoot, as a result of the cavus deformity (the first metatarsal is more plantar flexed than the fifth metatarsal); … Read more
– Indication for Closed Treatment: – indications — These are based on “personality” of the fracture as described by Nicoll EA (1964) – he listed factors favoring union: – displacement: if the fracture fragments on are or can be opposed to 25% in a transverse fracture, casting or bracing is permissible – more than 50% initial frx … Read more
– See: Anatomy of Carpal Tunnel – Anesthesia: – Bier Block: – proponents note that regional anesthesia allows a less rushed operation along w/ a synovectomy, if needed; – median nerve block at elbow; – w/ elbow extended brachial … Read more
– Dosing: – contraindicated w/ clinical allergy, must periodically examine urine sediment with chronic use; – for symptomatic Paget’s Disease of bone, hypercalcemia, post-menopausal osteoporosis (in addition to supplemental calcium, adequate vitamin D intake, and adequate diet); – osteoporosis: – may be … Read more