Ankle Joint Menu - Wheeless' Textbook of Orthopaedics Duke Orthopaedics presents Wheeless' Textbook of Orthopaedics Site Index A - Z Search Site by Word Home Contact Us My Account Ankle Joint Menu Foot Menu: Ankle Fractures Radiographs Ankle Equinus Deformity Achilles Tendinitis Anatomy: Ankle Joint Ankle Arthrodesis Ankle Arthroscopy...

Wheeless' Textbook of Orthopaedics
Notes on anatomy. Sections - Cervical Spine, Thoracic Spine, Lumbar Spine

Anatomy:
- four bursae around knee are susecptible to and inflammatory response from direct or indirect trauma;
- prepatellar bursae is most commonly affected area (housemaids knee);
- may show...

Includes Hip fractures, acetabluar fractures, osteonecrosis, Arthroplasty, paediatric (pediatric) hip problems, approaches, radiology, arthroscopy of the hip
Wheeless' Textbook of Orthopaedics

Wheeless' Textbook of Orthopaedics
left thoracic curvatures are uncommon (1-2% of curves) - associatted conditions: (33 % of patients) - occult syrinx; - treatment...

- two processes, lateral & posterior, project from body of talus;
- either process may be fractured, either as isolated injury or associated with other ankle or talar injuries;
- it is frequently confused with an ankle sprain;
- non union is a frequent complication of displaced lateral process fracture;
Wheeless' Textbook of Orthopaedics

Disscussion:
- optimal age for the medial approach:
- is of more value in the child younger than 18 months but older than 7 months;
...

Wheeless' Textbook of Orthopaedics Extensive menu on this topic includes -
Classification, Radiography, Work-up, Treatment

Discussion: - hip fusions acn occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone).
- they also occur spontaneously due to ankylosing spondylitis;
- surgical fusions are performed for young adults with advanced arthritis;
-...

indications: indicated for patients w/ a femoral neck frx who meet the following criteria:
- poor general health thay would prevent a second operation;
- pathologic hip...

- bones forming the knee joint are femur, tibia, & patella;
- both the left and right femurs converge toward the knee and each tibia is nearly vertical, femur and tibia meet angle of some 5-12 deg;
...

See: Arthrodesis following TKR:
- PreOp Planning for Arthrodesis:
- Discussion:
- arthrodesis provides potential of a painless, stable base of support but it does so at the expense of knee motion;
- optimal position of arthrodesis:
...

Wheeless' Textbook of Orthopaedics
Modified McBride Procedure for Hallux Valgus
modified procedure includes release of adductor hallucis, transverse metatarsal ligament, and lateral capsule combined w/ excision of medial eminence and plication of the capsule medially;
...

Notes on limb length inequality Wheeless Textbook of Orthopaedics

- patella infera indicates an abnormally low patella;
- it most often results from to soft tissue contracture and hypotonia of quadriceps muscle following surgery or trauma to knee
Wheeless' Textbook of Orthopaedics

- involves fracture at base of fifth metatarsal at metaphyseal-diaphyseal junction, which typically extends into the 4-5 intermetatarsal facet;
- Jones fracture is located w/in 1.5 cm distal to tuberosity of 5th metatarsal & should not be confused w/ more common avulsion fracture of 5th metatarsal styloid;
Wheeless' Textbook of Orthopaedics

- is apparent when with stress testing lateral tibial plateau rotates posteriorly in relation to the femur with lateral opening of joint;
- atraumatic type:
- presents as chronic...

Wheeless' Textbook of Orthopaedics
multisegmental hook systems, like CD and TSRH, provide multiple points of fixation to the spine and allow both compression and distraction on the same rod; -...

- lateral collateral ligament is primary restraint to varus angulation;
- LCL also acts to resist Internal Rotation forces;
- cutting of LCL in combination w/ either anterior or PCL results in large increase in varus opening;
Wheeless' Textbook of Orthopaedics

Wheeless' Textbook of Orthopaedics
indicated for moderate to severe deformities (HV angle of 13 to 20 deg);
- proximal osteotomy may be combined w/ other hallux valgus reconstructive procedures such as Silver procedure (resection of medial eminence)...

Primary vs Secondary Restraints:
- seationing of MCL results in marked valgus instability;
- isolated sectioning of ACL, PCL, LCL, or posterolateral structures does not cause large increases in...

Incidence of sciatic &/or femoral palsies after THR ranges from 1-3%;
- incidence of nerve palsy is 1-2% of primary total hip replacement, 3-4% after revision, and 5-6% in THR for congenitally dislocated hips;
Wheeless' Textbook of Orthopaedics

Stepwise illustrated account of Posterior or Posterolateral approach to the hip joint for joint replacement.
Wheeless' Textbook of Orthopaedics

anterior approach:
- femoral artery may be palpated in femoral triangle, & may be used as a guide in aspirating the hip joint;
- palpate the femoral pulse just as it exits...

Notes on periprosthetic fractures occurring operative and post operative periods.
Wheeless' Textbook of Orthopaedics