Clin. Orthop. Relat. Res.. 2007 Feb;455:38-44.
Dear Dr. Christopher, i also had the same thaught, so i went and read the full article and found:"Based on limited and low-level evidence, non-operative treatment was considered superior to traditional operative treatment in the management of grade III AC separations."So yes, a spelling error.
Med Sci Sports Exerc. 1990 Oct;22(5):605-14.
The pathologic motion of the lateral tibial plateau moving posteriorly to the femoral condyle on a rotational stress examination is best described by which of the following terms?
Anteromedial rotatory instability
Anterolateral rotatory instability
Posteromedial rotatory instability
Posterolateral rotatory instability
I understand that we name instability by the position of the more distal part of the anatomy. So, posterolateral instability means the tibia would be posterior and lateral to the femur. Can someone explain how the tibia is lateral to the femur (if the tibia is externally rotating, wouldn't the lateral plateau be more medial relative to the lateral femoral condyle). Thanks
in the physical exam sectioncan we addchecking the intigrity of MCL , PLC & mechanical alignment for varus vulgus deformity as these affect decisionand also in imaging check for physeal closure in adolescent atheletes
A 15-year-old female who is an avid runner has started developing increasing pain along her right leg. She indicates that the pain has developed in the past few months and has progressed in the past few weeks to where she cannot tolerate weightbearing on the limb. She runs approximately 10 miles per day and is set on a collegiate running career. She notes that her menses began at age 11, but she has not had a menstrual cycle for 3 months presently. She denies sexual activity. On examination, she is exquisitely tender over the right tibia at the level of the middle to distal third. Radiographs are seen below in Figure A and Figure B. Which of the following should be included as part of this patient’s management?
Observation with continuation of physical activity
Discontinuation of running with weightbearing in CAM walker
Intramedullary nailing of the tibia
Casting of the affected lower extremity
Discussion of eating habits and training regimens
I think we all know the point of the question and that we are supposed to discuss training and eating. But it is a poor set up of choices, to be forced to choose an answer that fails to address protected weight bearing and cessation of running.
Quadriceps tendon repair
Repair of quadriceps tendon using Krackow stitch
A 21-year-old rugby player has recurrent pain and instability of the right shoulder recalcitrant to conservative management. Figure A is an image taken during diagnostic arthroscopy in the lateral decubitus position viewing from the posterior portal with instrument through a rotator interval anterior portal. In addition to the pathology seen in Figure A, what other associated intra-articular condition is most likely present?
Rotator cuff tear
Posterior labral tear
"The lesion shown in Figure A is a Bankart lesion, or avulsion of the anteroinferior fibrocartilaginous labrum adjacent to the IGHL. There is also the presence of a GLAD lesion or glenolabral articular disruption. Hill-Sachs lesion are the most common associated intra-articular findings. "According to the article, 79% had ventral capsule insufficiency, 68% had Hill-Sachs compression fractures. So capsular insufficiency is the second most common.
Typo: "commonest complication is rocking horse phoenomentn loosening "
Posterolateral Elbow Rotatory Instability (PLRI)
Seem like the author has some unclarity regarding the Varus and Valgus Stress. The article needs a review with a focus on those issues. Dr. Blomberg, can you kindly have a look.
Am J Sports Med. 2014 May;42(5):1155-60. Epub 2014 Mar 27.
Arthroscopic subcoracoid decompression for subcoracoid impingement
Arthroscopic video demonstrates subcoracoid decompression for subcoracoid impingement
We need more details about this operation ,thanks.
A baseball pitcher has aching pain in the posterior shoulder after throwing. On exam, he has a 30 degree internal rotation deficit and is diagnosed with internal impingement. Stretching should focus on which aspect of the joint capsule?
Stretching is to be done for the posterior inferior capsule as stated in this question/explanation. The posterior-inferior capsular tightness in GIRD leads to posterosuperior translation of humeral head in ABER. Thus, the posterior-inferior capsule needs to be stretched.
A patient undegoes an uncomplicated anterior cruciate ligament reconstruction. Which of the following activities are generally not recommended during the first 6 weeks of physical therapy?
Heel slides to improve flexion
Isometric quadriceps strengthening
Isokinetic quadriceps strengthening
arent straight leg raises open chain and should be avoided?
Dr. Cooper-Thanks for your comment. The edit has been made per your request.
HI great content, but I noticed a typo in the table, the right hand column reads posteromedial when it should read posterolateral
A 22-year-old college pole vaulter has chronic anterior pain on her jumping knee. The patient has had over 6 months of physical therapy without improvement. It initially only bothered her during training, but she is now no longer able to compete and has pain with daily activities. Her MRI is shown. What is the recommended treatment?
Use of a Chopat strap
Intra-tendinous injection of corticosteroid
Intra-articular corticosteroid injection
Arthroscopic patellar chondroplasty
Surgical excision of the affected tissue
Again there is no decent evidence to justify surgery here. The only evidence is case series with no control arms, it's likely most patients adapt and settle down, and do no better with surgery. Given how a decent % can still not get back to sport after surgery, the outcomes are hardly impressive.
The proton energy produced by a 1.5 Tesla magnetic resonance imaging (MRI) machine most closely approximates what percentage of a 3.0 Tesla machine?
Also, I'd recommend looking at Dr. Stroh's comment below on power/energy of MRI.
Hip arthroscopy portal placement
Video shows basic setup and hip arthroscopy portal placement
first time i see, great