The differential diagnoses of a limp in a child are broad. Normal age-related gait must first be differentiated from gait impairment. Once gait impairment is identified, differential diagnoses are narrowed as the history and physical examination findings begin to suggest a source for the limp. In many instances, a diagnosis...

The Old Begets the New: Trochanteric Nail Insertion for Femoral Shaft Fractures, Revisited
Purpose : Intramedullary (IM) nailing of femoral shaft fractures through a trochanteric starting point with the patient in a lateral decubitus position was popularized in the 1940s by G. Kuntscher. Large diameter nails (without locks) were used to obtain an interference...

- serial diagnostic exam should take into consideration static deformities of the lower extremities, gait, ROM, tenderness, and knee stability;
- in the child w/ a painful knee, it is essential to closely examine the ...

Intraoperative frozen section (FS) consultation is used in evaluating possible infection in cases of hip and knee revision arthroplasty, serving as an adjunct to preoperative and intraoperative studies. We examined our experience for more than 11 years to determine if FS examination had value when sections were sent unselectively. As...

Chronic Osteomyelitis From Staphylococcus Aureus From Applied Radiology 2005 Douglas R. Lake, MD; Brian Reeves, DO; Allister R. Williams, MD; John Richard McEvoy, Jr. Summary A 35-year-old man was transferred from an outside facility for definitive management of long-standing left leg pain. His medical history was unremarkable except for the incision and drainage...

J Am Acad Orthop Surg, Vol 13, No 4, July/August 2005, 267-278. Full Text available to members. Abstract free
Erik N. Kubiak, MD, Ronald Moskovich, MD, Thomas J. Errico, MD and Paul E. Di Cesare, MD
Ankylosing spondylitis is an inflammatory disease of unknown etiology that affects an estimated 350,000 persons in...

Patient must be suitably undressed (down to underwear)>br> First examine patient standing and then lying down.
Look, feel, move and special tests.

Notes on -
- evaluation of the painful THR
- indications for revision:
- evaluation for loosening:
Examination
Pre-op planning
Surgical Technique
Wheeless' Textbook of Orthopaedics

In our Clinic for Orthopaedics and Traumatology under direction of Dr. Josef Schmitt we treat patients with diseases of the complete orthopaedic range. We focus especially on: Articular endoprothesis Arthroscopic surgery Podiatric surgery Microsurgical disk operations Paediatric orthopaedic surgery in cases of foot deformities Sports traumatology Sonographic examination of newborns...