Ulnar Collateral Ligament

Ulnar Collateral Ligament (Medical Collateral Ligament) of the Elbow The ulnar collateral ligament (or UCL) is an important elbow stabilizer Anterior band tightens as elbow is in extension and posterior band tightens with flexion For baseball players (pitchers), the late cocking and acceleration phase of pitching is the trouble spot high level pitchers can hyper externally rotate The kinetic chain is important Example:…

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Total Shoulder Arthroplasty (Stemless) – Pitt Technique

Indications for Total Shoulder Arthroplasty Primary glenohumeral arthritis with intact rotator cuff Young, with good bone stock to support stemless humeral prosthesis Example: A patient with avascular necrosis (AVN) secondary to sickle cell in a relatively young patient may benefit from a stemless total shoulder arthroplasty (shoulder replacement) If limited to humeral side, you could consider a hemi in this…

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Salter-Harris Fractures

Introduction Salter-Harris fractures are fractures that affect the growth plate in skeletally-immature patients.  Mnemonic There is a simple mnemonic that is often used to help remember the different types of Salter-Harris Fractures, using the letters S-A-L-T-R.  Letter Type Key Word  Description S I  Straight Across The fracture traverses through the cartilage of the physis. A II Above The fracture is…

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Animated Anatomy of the Lateral Compartment of the Leg

This video is a sample from AnimatedAnatomy.com demonstrating a narrated and 3D explanation of the leg anatomy. The following anatomical structures and actions are described: Peroneus (or fibularis) longus Peroneus (or fibularis) brevis 5th Metatarsal Superficial peroneal nerve Medial cuneiform Tibialis anterior (antagonist of the peroneus longus) Foot eversion [vcex_divider style="solid" icon_color="#000000" icon_size="14px" margin_top="20px" margin_bottom="20px"] [AMAZONPRODUCTS asin="0781776236, 1416059873"]

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Animated Anatomy of the Deep Posterior Compartment of the Leg

This video is a sample from AnimatedAnatomy.com demonstrating a narrated and 3D explanation of the leg anatomy. The following anatomical structures and actions are described: Flexor digitorum Popliteus Deep Posterior Compartment Tibialis posterior Flexor hallucis longus Flexor retinaculum of the ankle Tarsal tunnel Tibial nerve [vcex_divider style="solid" icon_color="#000000" icon_size="14px" margin_top="20px" margin_bottom="20px"] [AMAZONPRODUCTS asin="0781776236, 1416059873"]

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Animated Anatomy of the Posterior Compartment Leg Muscles

This video is a sample from AnimatedAnatomy.com demonstrating a narrated and 3D explanation of the leg anatomy. The following anatomical structures and actions are described: Gastrocnemius Soleus Calcaneus Achilles tendon tibial nerve plantar flexion knee flexion plantaris muscle [vcex_divider style="solid" icon_color="#000000" icon_size="14px" margin_top="20px" margin_bottom="20px"] [AMAZONPRODUCTS asin="0781776236, 1416059873"]

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Animated Anatomy of the Thigh Anterior Compartment Muscles

This video is a sample from AnimatedAnatomy.com demonstrating a narrated and 3D explanation of the thigh anterior compartment anatomy. Anatomic structures discussed include: vastus medialis rectus femoris vastus lateralis vastus intermedius gracilis sartorius pes anerinus (or anserine) tibial tuberosity [vcex_divider style="solid" icon_color="#000000" icon_size="14px" margin_top="20px" margin_bottom="20px"] [AMAZONPRODUCTS asin="0781776236, 1416059873"]

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Animated Anatomy of the Hip External Rotators

This video is a sample from AnimatedAnatomy.com demonstrating a narrated and 3D explanation of the hip external rotator anatomy. Anatomic structures discussed: piriformis obturator internus obturator externus gemelli sacrum ischial tuberosity and spine greater trochanter   [vcex_divider style="solid" icon_color="#000000" icon_size="14px" margin_top="20px" margin_bottom="20px"] [AMAZONPRODUCTS asin="1416059873, 0781776236"]

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C1-C2 Transarticular Screw (Magerl Screw)

Described in 1987 by Magerl et al. Rigid C1-C2 transarticular fixation technique Indications: C1-2 pseudarthrosis or nonunion atlantoaxial instability (acute or chronic) patients who are not amenable to halo fixation as part of occipital cervical fusion Risks: vertebral or carotid artery injury Technique Notes Enters C2 and inferior aspect screws pass through C1-2 facet which is significantly more anterior than…

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Ankle Spanning External Fixation (Delta Frame)

The ankle-spanning external fixator is a versatile external fixation construct that is useful for fractures of the tibial plafond (pilon), unstable ankle fractures, and talus fractures. It can be adapted for other injuries including midfoot fractures. Tibial Schanz Pins Mark out the tibial tubercle. The most proximal pin will go 2-4 finger breadths distal to this point. Make a mark 1…

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External Fixator Component Cost List

This information is from research entitled "Damage Control Orthopaedics: Variability of Construct Design for External Fixation of the Lower Extremity and Implications on Cost."  Partially Threaded Schanz Pin - $253   Large Ex-fix Pin Clamp (6-Position) - $673   Large Ex-fix Pin Combination Clamp - $946   Large Ex-fix Carbon Fiber Bars (300mm) - $348 References:

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Sacral Fractures

Predicting Displacement of Sacral Fractures Based on Fracture Pattern From Bruce et al. Incomplete Sacral Fracture Displacement Rate (2.6%) No ramus fracture: 0% Ipsilateral or contralateral ramus fracture: 0% Bilateral rami fractures: 9% Complete Sacral Fracture Displacement Rate (50%) No ramus fracture: 0% Unilateral ramus fracture: 33% Bilateral rami fracture: 68% REFERENCES: OTA highlight paper predicting future displacement of nonoperatively managed lateral compression sacral fractures:…

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Complications After Spine Surgery – Review

Credit: R. Carter Cassidy, MD COMPLICATIONS AFTER SPINE INJURIES most common: UTI, wound infection, Pneumonia Most predictive: comorbidities higher grade impairment giving steroids Barriers to care multi trauma fear of harm by nursing staff complex injuries = long surgeries many details – attention to details can keep you out of trouble Complications infection, dvt/pe, pressure ulcers, pneumonia or respiratory failure,…

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