Specialists

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ThoracoLumbar Spine Fracture and Dislocation

Basics

Description Most spine fractures occur in the thoracolumbar region. TL1 is the most frequently injured area. Concomitant spine injuries are present in up to 15% of patients. Associated abdominal injuries are present in ~20% of patients. The Denis 3-column classification (1,2) is the system most commonly used to describe thoracolumbar fractures. Divides the thoracolumbar […]

Talus Fracture

Basics Description The talus, a small bone in the hindfoot: Articulates with the calcaneus and the remainder of the midfoot bones Supports the body’s weight and distributes the body’s forces to the foot Is critical to proper function of the foot Is covered (~60%) with articular cartilage Is vascularly supplied by vessels through a […]

Neck Pain

Basics Description In adults: Common Usually secondary to degenerative disc disease and arthritis In children and adolescents: Less common When it does occur, the pain often is secondary to a neoplasm or infection. Neck pain also occurs after trauma and is extremely common after motor vehicle accidents. General Prevention No definite methods of prevention […]

Lisfranc Fracture-Dislocation

Basics Description Dislocation of the TMT joints of the foot. Can occur at any age Often accompanied by fractures around the TMT joints Classification: Type A: Total incongruity of TMT joint Type B: Partial incongruity of TMT joint complex, either medial or lateral Type C: Divergent (1st metatarsal medial, 2nd-5th lateral) Epidemiology Incidence Lisfranc […]

Knee Dislocation

Basics Description Dislocation of the knee is an orthopaedic emergency. The most common causes are motor vehicle accidents, followed by sports and falls from heights. Classification: Anterior Posterior Medial Lateral Rotary: Subclassified as anteromedial, anterolateral, posteromedial, posterolateral General Prevention Seat belts and airbags are the best methods of prevention. Epidemiology Incidence Rare Associated Conditions […]

Hip Replacement

Basics Description Many forms of arthritis lead to destruction of the articular cartilage of the hip joint, resulting in pain and loss of function. End-stage arthritis can be treated with surgical replacement of the joint. Elderly patients may have a greater risk of cardiac complications and more associated medical problems than younger patients. Patients […]

Hip Dislocation

Basics Description Dislocations and fracture-dislocations of the hip are orthopaedic emergencies. Serious, high-energy injuries in which the femoral head becomes completely dislodged from the acetabulum A thorough examination must be performed to assess for other possible injuries. Up to 50% of patients suffer other fractures at the time of injury. Associated acetabular or femoral […]

Elbow Dislocation

Basics Description Dislocation of the elbow mostly results from trauma. Posterior dislocation is most common. It most frequently involves people <20 years of age. Rarely, elbow dislocation can occur in elderly patients after a fall. Most elbow dislocations occur at the ulnohumeral joint. Classification: Usually refers to the position of the ulna relative to […]

Dislocation in the Adult

Basics Description Dislocation occurs when a force across a joint disrupts the restraining capsule, ligaments, and muscles. Dislocated joints may reduce spontaneously or remain unreduced. Dislocations can be associated with periarticular fractures, ruptured ligaments, capsular damage, and cartilage damage. The dislocation may result in stretch or injury to the arteries or nerves that cross […]

Developmental Dysplasia of the Hip

Basics Description DDH covers a spectrum of varying degrees of superolateral displacement of the femur and deformation of the acetabulum, developing mostly in utero or, rarely, in infancy. It usually is discovered on routine screening in early childhood. It occasionally is discovered in teens with a limp or pain, in which case it probably […]