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Prescription Sports

RUNNING ON A HARD SURFACE

Running is one of the most popular sports in the world. This not only covers marathons and track and field running – running is also part of the training in virtually all other sports, including soccer, rugby, handball and triathlon. Running is a very efficient method for maintaining or improving […]

Tibial Shaft Fracture

Basics

Description A fracture of the diaphysis (usually midportion) of the tibia Classification: Fractures are classified by the amount of comminution and the position of the fracture. The AO system can be used to describe the fracture further. Open fractures are classified by the system of Gustilo and Anderson. Epidemiology Can occur in any age […]

Subtrochanteric Fracture

Basics Description By definition, subtrochanteric hip fractures (or, simply, subtrochanteric fractures) extend into the region between the lesser trochanter and a point 5 cm distally. Classification: Multiple systems exist, but prognostically the most critical factor is fracture stability, which is based on the degrees of comminution of the medial and posteromedial cortex. The Russell […]

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 […]

Scaphoid Fracture

Basics Description Fracture of the most radial (thumb side) of the carpal bones, usually as a result of a dorsiflexion injury to the wrist The most common of the carpal fractures, estimated at 60% Frequent problems include delayed diagnosis and nonunion. Classification: Chronologically: Acute or chronic Anatomically: In the proximal, middle, or distal third […]

Sacral Insufficiency Fracture

Basics Description Sacral Insufficiency fractures occur in the sacral ala between the SI joints and the neural foramina (Denis Zone 1). The fracture pattern adopts a characteristic H-shape, which is pathonemonic of the condition. It is postulated that the vertical limbs of the H occur 1st, followed by the transverse fracture line. In ~50% […]

Radial Head Fracture

Basics Description Radial head fractures: Occur in the proximal 2-3 cm of the radius Are intra-articular fractures (The radial head articulates with capitellum.) Classification : Type 1: Nondisplaced fractures Type 2: Partial head fractures Type 3: Complete head fractures Radial head fractures often are associated with other injuries to the elbow or the forearm. […]

Prepatellar Bursitis

Basics Description Prepatellar bursitis is an inflammation of the bursa in front of the patella. Bursae are located between structures to reduce friction. These sacs are lined with a membranous synovium that produces and absorbs fluid; they are subject to acute or chronic trauma or infection and to low-grade inflammatory conditions such as gout, […]

Phalanx Fracture

Basics Description A phalanx fracture is a break in 1 or more phalanges in the fingers. Finger fractures are classified by: Which phalanx is involved Location within the phalanx Pattern Complexity Open or closed Stable or unstable to motion Epidemiology Fractures of the metacarpals and the phalanges are common. Occur among all ages Common […]

Olecranon Fracture

Basics Description The olecranon: Is the proximal bony projection of the ulna at the elbow Articulates with the trochlea of the distal humerus to form the ulnohumeral portion of the elbow joint: This articulation is responsible for flexion and extension of the elbow joint. Is the insertion site of the triceps tendon Contraction of […]