Volume 3, Number 3 – Fall 2013 Volume 3, Number 2 – Summer 2013 Volume 3, Number 1 – Spring 2013 Volume 2, Number 4 – Winter 2012 Volume 2, Number 3 – Fall 2012 Volume 2, Number 1 – Spring 2012 Volume 1, Number 4 – Winter 2012 Volume 1, Number 3 – Fall 2011 Volume 1, … Read more
– See: – MRI Spine: Discussion; – Role of CT in C-spine Injuries: – Discussion: – for visualizing soft tissue and neural elements, & unsuspected disc herniations in presence of cercial spine fractures; – disc herniation may indicate disruption of anterior or posterior longitudinal ligament; – MRI … Read more
– See: – MRI of Hip: – Johns Hopkins – MRI Evaluation of AVN – Discussion: – magnetic resonance imaging is probably the most accurate imaging modality for dx of AVN of femoral head; – MRI imaging is also used to outline the area of involvement; … Read more
– Mosaicplasty: – refers to the technique of harvesting small circular (4-8 mm) autogenous grafts from the knee from non wt bearing regions of the knee, and transplanting the grafts in a mosaic pattern until the osteochondral defect is filled; – typically the grafts are harvested from the … Read more
– Discussion: – index finger is most commonly involved, often found in older pts w/degenerative arthritis; – Etiology: – muscular contracture or trauma; – collateral ligament or volar plate tethering on prominent MP head or osteophyte (on either side or volar aspect of metacarpal head); – torn palmar … Read more
– See: Monteggia Fractures in Adults – Discussion: – all four types of Monteggia frx dislocation are pertinent to children, including Monteggia equivalents; – diff dx: Monteggia equivalent (w/ fracture of proximal radius rather than dislocation of the radial head); – Classification: – type I: … Read more
– Discussion: (RTC menu) – mobilization is often required for massive tear; – simply closing extensive tear will not suffice if atrophied muscles are not contracting adequately and if excessive tensions placed on repaired cuff cause reinjury; – repair of good quality rotator cuff tissue is esp important in achieving an optimal result; … Read more
– See: Ligamentous Instability: – Discussion: – compressive forces are transmitted thru the posterior vertebral body wall onto the two Uncovertebral joints; – there is no significant disk material in this middle column; – tensile forces are w/ stood by posterior longitudinal ligament and the posterior Annulus fibrosus; … Read more
– Discussion: (see: dynamic instability); – type of non dissociative carpal instability; – capitolunate joint has high potential for instability, since it is mainly stabilized only by radiocapitate ligament (and captiotriquetral ligament, to a lesser degree); (see wrist ligaments); – may result from malreduced radial styloid frx, or any … Read more
– See: Orthopaedic Infection Menu: and risk factors for TJR infection – Pre-Admission Considerations: – removal of hardware prior to joint arthroplasty: – High incidence of early periprosthetic joint infection following THA with concomitant or previous hardware removal – Hospital and OR Considerations: – perioperative oxygen – normothermia: – Perioperative normothermia to … Read more