OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

MP chondrodesis and stiletto flap for Clasped thumb

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA Children with distal arthrogryposis often are born with fixed clasped thumbs (Metacarpophalangeal joint flexion contractures). Children with the more common Amyoplasia-type of Arthrogryposis Multiplex Congenital (AMC) rarely have clasped thumbs. Instead, they get flexion deformities at the carpometacarpal (CMC) joint of the thumb. The results […]

Medial Epicondyle Fracture Fixation in the Lateral Decubitus Position

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA Fixation of the medial epicondyle fracture remains controversial, with arbitrary degrees of displacement providing treatment guidelines in the predominating literature. The degree of displacement has not only been shown to be difficult to determine with plain films, but more importantly is irrelevant to the outcome. […]

Thumb Reorientation Osteotomy for thumb-in-palm deformity

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA Children with Amyoplasia often suffer from limited hand use due to a thumb-in-palm deformity. The thumb is underpronated and flexed at the carpometacarpal (basal) joint. The thumb reorientation osteotomy corrects all aspects of the apposition of the thumb by pronating, extending, and abducting the thumb […]

Partial Pectoralis Major Flexorplasty for Amyoplasia

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA The partial pectoralis major flexorplasty muscle transfer is the best option for providing elbow flexion to patients with Amyoplasia who lack a latissimus dorsi.

Rotational Osteotomy for Radioulnar Synostosis

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA Congenital synostosis of the forearm is generally well tolerated, as most children are born with their forearms stuck in a neutral position. For children with a moderate to severe forearm pronation or supination contracture, a rotational osteotomy can set forearm rotation to a more useful […]

Non-Union? Let’s Solve It!

Courtesy: AO Trauma North America Moderator: Raymond D. Wright, Jr., MD Professor Orthopaedic Trauma Fellowship Director Associate Residency Program Director Department of Orthopaedic Surgery University of Kentucky Chandler Medical Center Lexington, Kentucky Faculty: Mitchell Bernstein, MD, FRCSC, FAAOS Assistant Professor Orthopedic Trauma & Limb Deformity McGill University Health Center Co-Director, Limb Deformity Unit, Shriners Hospital […]

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