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Treatment Options

The past treatment of pectoralis major ruptures has been controversial. There have been studies advocating conservative treatment, some operative repair , and several have included both in their descriptions . More recently, most authors advocate early repair of these injuries . The pectoralis major functions to adduct, forward flex, and internally rotate the shoulder.

Several […]

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 […]

Osteochondritis Dissecans of the Knee

Basics Description A pathologic joint entity of localized bone necrosis with overlying cartilage injury Osteochondritis dissecans primarily affects the knee, but it is also seen in the hip (in late Legg-Calve-Perthes disease), elbow, and ankle. Osteochondritis dissecans occurs primarily in the 2nd decade of life, but it also is seen in children and older […]

Alignment More of Issue in Distal Tibial Fracture Union Than Interlocking Screw Application

Fractures of the tibia or femur (shinbone or thighbone) have been fixed using hardware such as screws and plates since 1939, when Gerhard Kuntscher reintroduced a procedure called marrow nailing, insertion of a special nail into the marrow space of the bone. The technique became more refined in the 1950s and now in the 2010s, […]

A Patient’s Guide to Hip Fractures

Introduction

As the population ages, the number of hip fractures that occur each year rises. A fracture of the hip in an aging adult is not simply a broken bone. It is a life-threatening illness. The hip fracture itself is rarely a difficult problem to solve. But once the fracture occurs, it brings with it […]