Surgical Management of Nonunion

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Surgical Management of Nonunion

In the treatment of synovial pseudarthrosis, all of the synovial-like tissue is removed from between and around the nonunion fragments. If this tissue is not thoroughly removed, the synovial pseudarthrosis…

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Complex Regional Pain Syndrome

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Complex Regional Pain Syndrome

Diagnosis of CRPS is based on clinical and radiographic manifestations, but other procedures may help confirm the diagnosis. Thermography may show asymmetry of skin temperature in a stocking or glove…

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Nonunion of Fracture

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Nonunion of Fracture

The diagnosis of nonunion is made both clinically and radiographically (see Plate 9-13). On clinical examination of a nonunion, the fracture fragments are still mobile after the appropriate healing time….

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Osteonecrosis

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Osteonecrosis

The blood supply to particular segments of certain bones is unique and one directional. Consequently, some specific fracture patterns are especially likely to create an avascular segment of bone. For…

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Joint Stiffness

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Joint Stiffness

One of the best examples of this problem is a Colles fracture of the distal radius in the older patient (see Plate 9-11). Although this fracture almost always heals, adequate…

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Posttraumatic Osteoarthritis

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Posttraumatic Osteoarthritis

Intra-articular fractures are particularly likely to lead to post-traumatic osteoarthritis. Whenever a fracture line extends across the articular surface, the articular cartilage is permanently damaged. The amount of injury can…

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Implant Failure

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Implant Failure

Bone mass deficiency may also contribute to implant failure, because stabilization of a fracture with plates and screws depends on the secure fixation of screws in the bone fragments. In…

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