– Discussion: – circumferential soft-tissue release involving posterior, medial, lateral, and plantar aspects of the foot; – its designed particularly to correct the horizontal subtalar rotation of the calcaneus that is associated with congenital club foot; – because of this, the posterior aspect of the calcaneus not only is … Read more
– Discussion: – there are four main considerations in classifying osteomyelitis; – condition of the host – functional impairment caused by the disease – site of involvement – extent … Read more
– See: – Syme’s Amputation – Transmetatarsal Amputation – Discussion: – Francis Chopart first described disarticulation thru midtarsal joint; – Chopart amputation removes the forefoot and midfoot, saving talus and calcaneus; – Chopart amptutations should not performed for ischemia; – this … Read more
– Anterior Compartment Syndrome: – anterior compartment of leg is involved most often; – pain is often burning in nature which worsens with activity and completely subsides after 15 minutes of activity cessation; – diff dx: – tibial and fibular stress frx; – … Read more
– Diff Dx: – stress fractures (identified on 45 deg medial oblique view) – inflammatory arthritides (RA or Reiter’s Syndrome) – plantar fasciitis – distal tibial tarsal syndrome – heel pad atrophy; – after the age of 40, the adipose tissue begins to atrophy, w/ resulting loss of absorbency
– See: Patella and Patellofemoral Function – Discussion: – chondromalacia describes softening & fissuring of articular hyaline cartilage; – chondromalacia may result from an excessive load on patellofemoral joint, but disuse may be a contributing factor; – most common in yound women; – relationship between chondrosis & … Read more
– See: Bone Tumor Menu – Discussion: – age at presentation: – most common primary epiphyseal tumor in children is chondroblastoma; – most commonly arises between ages 10 to 30; – not infrequently, the tumor will also arise … Read more
– See: – Cervical Stenosis: – Central Cord Syndrome – Soft Disc Protrusion: – SCIWORA Syndrome – Uncovertebral joints – Discussion: – refers to a combination of degenerative disc disease and osteophyte formation; – cervical spondylosis … Read more
– See: Frx Dislocations of the Hip – Discussion: – because of associated high energy trauma: look for other injuries – vast majority of patients sustained a hip dislocation will have associated injuries; – assoc ligamentous injuries to ipsilateral knee; – associated posterior wall fractures, femoral head, … Read more
– Discussion: – elbow can be entered either ulnarly or radially, but radial approach is preferred inorder to avoid ulnar nerve injury; – radial nerve is lies anterior to the elbow joint, and may be moved even more anteriorly by supinating the forearm; – landmarks for aspiration of the elbow joint … Read more