OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

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Fractures of the Femoral Shaft in Children

Courtesy: Kaye Wilkins MD, Prof Lynn Staheli MD   1. Deforming Forces Proximal Fragment Flexion + external rotation Due to iliopsoas muscle Abduction (varus tendency) Due to hip abductors Distal Fragment Shortening Due to: Hamstrings Quadriceps Key Concept Both muscle groups are biarticular – strong deforming forces 2. Age-Wise Incidence Peak 1: 2–5 Years Mechanism: […]

Radial sided Wrist Pain

Courtesy: Mary Lloyd Ireland M.D. Associate Professor University of Kentucky, Lexington, KY, USA

Ulnar sided Wrist Pain

Courtesy: Mary Lloyd Ireland M.D. Associate Professor University of Kentucky, Lexington, KY, USA www.MaryLloydIreland.com http://orthopaedics.med.uky.edu/

Anterior Approach to the Hip

Courtesy: Saqib Masud FRCS,John Davies FRCS Overview The anterior approach to the hip, commonly known as the Smith–Peterson approach, provides safe and direct access to the hip joint. Indications This approach is widely used for: Hip joint procedures Pelvic osteotomies Total hip replacement (THR)  It also allows extension to the pelvis when required. Patient Positioning […]

Sports Injuries of the Elbow in children

  1. Common Pediatric Elbow Injuries Supracondylar fracture of humerus (most common) Lateral condyle fracture of humerus Medial epicondyle fracture Elbow dislocation Radial neck fracture Olecranon fracture 2. Supracondylar Fracture Mechanism Fall on outstretched hand Hyperextension injury Distal fragment displaced posteriorly Classification (Gartland) Type I: Undisplaced Type II: Displaced with intact posterior cortex Type III: […]