Heel Pain

Oct 29, 2019 by in ORTHOPEDIC Comments Off on Heel Pain

KEY FACTS • Heel pain results in 1 million medical visits per year and comprises 1% of all visits to orthopaedic surgeons. • The majority of patients with heel pain…

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Diabetic Foot

Oct 29, 2019 by in ORTHOPEDIC Comments Off on Diabetic Foot

KEY FACTS • Diabetes mellitus is a multisystem disease resulting from defects in insulin secretion &/or resistance to insulin action, which culminates in systemic hyperglycemia, which can have negative effects,…

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Cavus/Neuromuscular Foot

Oct 29, 2019 by in ORTHOPEDIC Comments Off on Cavus/Neuromuscular Foot

KEY FACTS • The foot is a complex “machine” consisting of many bones and joints kept in a fine balance by many extrinsic (leg) and intrinsic (foot) muscles. • Any…

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Physical Examination and Imaging

Oct 29, 2019 by in ORTHOPEDIC Comments Off on Physical Examination and Imaging

KEY FACTS • A thorough physical examination includes the following components: ○ Inspection ○ Palpation ○ Assessment of motion ○ Strength testing ○ Examination of vascular status ○ Stability assessment…

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Orthotics and Prosthetics

Oct 29, 2019 by in ORTHOPEDIC Comments Off on Orthotics and Prosthetics

KEY FACTS • The use of orthotic devices varies in a fairly significant way depending on the training and background of the prescribing practitioner. ○ Various practitioners, including orthopaedic surgeons,…

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Radiological Diagnostics

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Radiological Diagnostics

The standard radiological diagnostics of acetabulum fractures include conventional X-rays including an anteroposterior (AP) view of the hip; the whole pelvis (pelvic AP view); and oblique views according to Judet…

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Approaches

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Approaches

Historical Development Historically, open reduction and internal fixation of displaced acetabular fractures was performed using a few standard approaches: Kocher-Langenbeck approach Ilioinguinal approach Extended iliofemoral approach Several modifications were developed…

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Special Screws and Views

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Special Screws and Views

Intraoperatively, the gold standard to analyze the results of reduction and fixation during acetabular fracture fixation is fluoroscopic X-ray views. Despite the ongoing discussion, if Judet views are still necessary…

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Both-Column Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Both-Column Fractures

Fracture Characteristics Definition Both-column fractures are complete articular fractures and are characterized as having no part of the articular surface connected to the axial skeleton (floating acetabulum). Both-column fractures are…

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Posterior Wall Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Posterior Wall Fractures

Fracture Characteristics Definition A posterior wall fracture is a partially articular fracture, characterized by a fracture of the posterior acetabular joint surface, without involvement of the entire posterior column. Posterior…

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