Periprosthetic Fractures

May 22, 2017 by in ORTHOPEDIC Comments Off on Periprosthetic Fractures

Fig. 22.1 Periprosthetic humeral shaft fracture distal to the tip of a cemented stem in an RSA, the Worland type C fracture Periprosthetic scapular fractures most commonly occur intraoperatively to…

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Proximal Humerus: Surgical Approaches

May 22, 2017 by in ORTHOPEDIC Comments Off on Proximal Humerus: Surgical Approaches

Fig. 5.1 Deltopectoral approach. (a) The deltopectoral sulcus is identified together with the cephalic vein. (b) The anterior circumflex artery crosses the humeral metaphysis and is accompanied by two veins….

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Surgical Neck Fracture

May 22, 2017 by in ORTHOPEDIC Comments Off on Surgical Neck Fracture

Fig. 11.1 Schematic drawing of the proximal humerus, axial view (red line tuberosity fracture, orange circle nail entry point, HH humeral head, GT greater tuberosity, LT lesser tuberosity): an adequate…

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Fracture-Dislocations

May 22, 2017 by in ORTHOPEDIC Comments Off on Fracture-Dislocations

Fig. 15.1 Complex three-part fracture-dislocation with bone loss between the lesser and greater tuberosities. (a) Anteroposterior X-ray showing the anterior dislocation of the head and the fracture of the lesser…

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External Fixation: When and How

May 22, 2017 by in ORTHOPEDIC Comments Off on External Fixation: When and How

Fig. 27.1 “Absolute safe zone” defined as equivalent in length to the patient’s own transepicondylar distance (a), when projected proximally from the lateral epicondyle (b) The elbow axis of rotation…

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Closed Reduction Principles

May 22, 2017 by in ORTHOPEDIC Comments Off on Closed Reduction Principles

Fig. 4.1 A two-part fracture pattern. The fragments are dislocated by the pectoralis major and deltoid muscle (a, anterolateral view), by the supraspinatus and subscapularis tendon (b, anterolateral view), and…

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Surgical Approaches Based on Fracture Patterns

May 22, 2017 by in ORTHOPEDIC Comments Off on Surgical Approaches Based on Fracture Patterns

Fig. 24.1 Indications for surgical approaches based on fracture patterns Fig. 24.2 Indications for posterior approaches based on fracture patterns 24.2 Lateral and Medial Approaches In trauma reconstruction, a medial…

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Malunion of Humeral Tuberosity Fractures

May 22, 2017 by in ORTHOPEDIC Comments Off on Malunion of Humeral Tuberosity Fractures

Fig. 13.1 Schematic drawing: displacement of the greater tuberosity >5 Fig. 13.2 Schematic drawing: arthroscopic fragment removal and rotator cuff reconstruction Displacement >5 mm of a larger fragment is managed…

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The Tuberosities

May 22, 2017 by in ORTHOPEDIC Comments Off on The Tuberosities

Fig. 12.1 (a) Single large fragment of greater tuberosity fracture: X-ray. (b) Arthroscopic treatment with two cannulated screws. (c) Postoperative X-ray Where there are several small or poor-quality fragments, fixation…

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