– PreOp Planning – most important step in reconstruction of any intra articular frx, is to expose the fracture w/o devasclarizing the fragments; – treatment plan: – open reduction; – elevation of the depressed plateau; – bone … Read more
– Discussion: – articular fracture without significant displacement; – malleolar fractures with large plafond fragments; – these fragments are usually posterior; – posteroinferior tibiofibular ligament & deep transverse ligament are attached to the fragment; – first reduce & fix fibula; … Read more
– Discussion: – tunnel radiograph of knee provides an angled PA projection of knee; – patient is prone with the knee flexed at 40 deg; – central beam directed caudally toward the knee joint at a 40 deg angle from the vertical; … Read more
– Nonossifying fibroma – Osteosarcoma – Giant Cell Tumor of Bone – Ewing’s sarcoma: – Osteochondroma – Chondroblastoma – Chondromyxoid fibroma – Eosinophilic granuloma … Read more
– Osteochondroma – Osteosarcoma – Giant Cell Tumor of Bone – Ewing’s sarcoma: (diaphyseal region); – Chondroblastoma – Chondromyxoid fibroma – Fibrous Dysplasia – Eosinophilic granuloma – Aneurysmal bone cyst – Simple bone cyst … Read more
– See: – Myobacterium tuberculosis – Vertebral Osteomyelitis – Discussion: – 4000 cases of extrapulmonary involvment each year in the US; – most common extra pulmonary location of TB is the spine; – spine is the extrapulmonary site in over 50% of the cases of … Read more
– See: – Blair Fusion – Charcot Marie Tooth – Equinovalgus – Grice Arthrodesis – Kocher approach – Ollier incision – Subtalar Fusion – Discussion: – results in fusion of subtalar, calcaneocuboid, and talonavicular joints; – most effective … Read more
– PreOp Planning: – knee deformities should be corrected prior to any forefoot fusions; – stability of talus in mortise is necessary for successful arthrodesis; – determine if flexibility of forefoot and hindfoot; – if foot can be reduced to a satisfactory position then an in situ type of arthrodesis may be considered; – if … Read more
– See: Operative Treatment of Posterior Malleolar Fractures – Discussion: – involves frxs of medial malleolus & fibula, along w/ frx of posterior lip of articular surface of tibia is frxed & displaced, allowing posterior & lateral displacement and external rotation w/ supination of the foot; – medial malleolus may remain … Read more
– Discussion: – name derives from the fact that the fracture exists in the frontal, lateral, and transverse planes; – frx tends to occur in older children and young adolescents during an 18 month window, prior to physeal closure; – lateral portion of epiphysis is the last to close leaving it vulnerable to injury; – … Read more