Trauma Fractures
Hammer Toes
– Anatomy and Discussion: – term describes abnormal flexion posture of PIP joint of one of lesser 4 toes; – the hammer toe deformity is similar to the curly toe deformity but is not malrotated; – flexion deformity of PIP may be fixed or supple; – w/ … Read more
Hallux Rigidus and Cheilectomy
– Discussion: – hallux rigidus results from degenerative changes at the first MTP joint; – this may be more disabling than hallux valgus, because pt is unable to achieve relief even when not wearing shoes; – it is a frequent complaint of runners; – there is limitation … Read more
Hallux Valgus and Bunion Surgery
– See: – adolescent bunion – bunionette – Discussion: – pathophysiology – blood supply of MCP joint – windlass mechanism – diff dx: – gout – hallux rigidus (cheilectomy); … Read more
Halo Orthosis
– See: – Cervical Spine Menu: – Halo Placement in Children: – Discussion: – most effect orthosis for controling motion at C1-C2 articulation; – contra-indications: – unstable skull frx; – traumatized skin overlying pin sites; … Read more
Gun Shot Wounds
– Discussion: – firearms tutorial – missile characteristics: – NRA website – Weapons Effects and Parachute Injuries – Shooting Soldiers: Civil War Medical Images, Memory, and Identity in America – General Management: – most important issue is to get the correct diagnosis (no viceral injury, no compartment syndrome, no … Read more
Osteonecrosis of the Humeral Head
Co-authors: Milford H. Marchant Jr., M.D., Allston Stubbs, M.D., Carl J. Basamania, M.D. March 15, 2005 – Background: – Definition: In situ death of bone within the humeral head due to disruption of blood supply – Other Names: Avascular … Read more
Green Stick Frx of Forearm
– See: – Greenstick Frx of Distal Radius & Ulna – Green Stick Frxs of Mid 1/3 of Radius & Ulna – Discussion: – frx may be incomplete (greenstick) in radius and/or ulna, or the frx may be complete in one bone and incomplete (green stick) in … Read more
Green Stick Frxs of Mid 1/3 of Radius & Ulna
– See: Green Stick Frx – Discussion: – occurs most often in children less than 8 yrs of age as a result of a fall on an outstretched hand; – anatomically the frx tends to occur just distal to insertion of pronator teres, and therefore distal fragment is supinated as compared … Read more
Greenstick Frxs of Distal Radius & Ulna
– See: Green Stick Frx – Discussion: – greenstick frx of the distal radius may occur along ulnar frx at same level; – Acceptable reduction: – infants: upto 30 deg angulation can be accepted; – children: upto 15 deg can be accepted; – Management: – these do … Read more
