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Radiographic Evaluation of the Impinging Hip

Radiographic Evaluation of the Hip You can get a lot of information from the plain radiographs fractures djd (degenerative joint disease) sclerosis congruency scanogram (limb length and alignment) loose bodies osteochondroma osteoid osteoma bony prominence @ head neck junction (Cam impingement) coxa profunda protrusion  crossover sign posterior wall sign acetabular dysplasia AP Pelvis coccyx should centered 1-3 cm over pubic symphysis…

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Ankle Spanning External Fixation (Delta Frame)

Ankle-spanning external fixation, aka "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. CPT Code 20692 - Application of multiplanar external fixator. Tibial Schanz Pins Mark out the tibial tubercle. The most…

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Iliopsoas Tendonitis & Snapping Hip

Tendinitis probably because something is rubbing on it or tendon is overloaded because of undercoverage/dysplasia and it is stabilizing the head or maybe there is bone spur or calcified labrum rubbing it Internal Snapping Hip Syndrome probably most common cause/indication  this has to be painful to indicate surgery Associated with FAI probably secondary to spur from flexion (>90) to exntesion…

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Proximal Hamstring Repair – Surgical Tips

Tips from Dr. Busconi Nonoperative reserved for 1-2 tendon tears…look at handouts Gluteal crease incisions remember that it is more lateral than you think vertical incisions only for chronic repairs locate the sciatic and posterior lateral cutaneous n. before doing your repair final repair in 30-40 degrees of flexion, make sure knee gets out to 10 degrees of flexion hinged…

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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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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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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." Logan et al. 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: Logan et al. 2015

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