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Operative Treatment for Adhesive Capsulitis

Manipulation Under Anesthesia

Manipulation under anesthesia (MUA) has been used to treat adhesive capsulitis for many years. This treatment has commonly been described to prospective patients as “stretching the tight capsule” or “breaking up adhesions” within the shoulder joint. Arthroscopic visualization of the glenohumeral joint after this procedure, however, reveals that a MUA does not […]

Spine Fusion

Basics Description Spine fusion is a surgical procedure that causes 2 or more vertebral levels to be joined with solid bony healing in the spine. It is performed to correct spinal instability from traumatic, degenerative, or iatrogenic causes and to prevent spinal deformity progression. Epidemiology Incidence Over the last 2 decades, the incidence of […]

Shoulder/Proximal Humerus Fracture

Basics Description The proximal humerus consists of the articular surface of the shoulder joint and the attachments of the rotator cuff to the greater and lesser tuberosities. Most of the blood supply to the humeral head comes from the anterior humeral circumflex branch of the axillary artery. >90% of proximal humeral fractures result from […]

Septic Arthritis

Basics Description Septic arthritis is an infection of the joint. In infants, the capillaries penetrating the physeal plate into the epiphysis persist until age 18 months, so spread of infection may occur from the metaphysis indirectly to the epiphysis and then to the joint. Possible irreparable damage to growth plate occurs. Classification: Polyarticular septic […]

Posterior Tibial Tendon Rupture

Basics Description PTT dysfunction or rupture is the most common cause of adult acquired flatfoot deformity. A working knowledge of the anatomy and function of the PTT in the normal foot is necessary to understand the pathophysiology that results from dysfunction. Origin: Posterior aspect of the tibia, the fibula, and the interosseous membrane Course: […]

Friedreich Ataxia

Basics Description Friedreich ataxia is an uncommon, heritable disorder causing progressive spinocerebellar degeneration. Scoliosis, ataxia, and foot deformities are the most common findings. Systems affected: Central nervous system; Heart; Skeleton Classification: No subclassifications are used in Friedreich ataxia. It is classified under the category spinocerebellar degeneration, and it is the most common example of […]