Orthonotes
by the.bonestories
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Recurrent instability may follow failed Bankart repair. Causes: capsulolabral failure, glenoid bone loss, engaging Hill-Sachs. Workup: MRI, CT for bone loss quantification. Revisio...
Sports | 👁 4 | 2 weeks agoSLAP = Superior Labrum Anterior to Posterior tear at the biceps anchor; pain is deep, activity‑related, with mechanical clicking. Snyder classification I–IV (and extensions V–VII);...
General | 👁 3 | 2 weeks agoSurgical approaches: posterior, anterolateral, direct anterior, transtrochanteric. Posterior: excellent exposure, preserves abductors, higher dislocation risk. Anterolateral: stabl...
Arthroplasty | 👁 2 | 2 weeks agoImplants classified by degree of constraint: CR (least) → PS → CCK → Hinged (most). CR retains PCL; PS substitutes with cam-post. Constrained implants indicated for instability or...
Arthroplasty | 👁 4 | 2 weeks agoHemiarthroplasty: isolated humeral head disease (e.g., AVN, head-splitting fracture). Anatomic TSA: primary OA, RA, post-traumatic arthritis with intact rotator cuff. Reverse TSA:...
Arthroplasty | 👁 3 | 2 weeks agoIndicated for cuff tear arthropathy, pseudoparalysis, massive irreparable cuff tears. Developed by Grammont: medialized & lowered center of rotation. Deltoid substitutes for defici...
Arthroplasty | 👁 4 | 2 weeks agoLocally aggressive benign tumor in skeletally mature adults (20–40 yrs). Campanacci classification: Grade I (latent), II (active), III (aggressive with soft tissue extension). X-ra...
Tumor | 👁 5 | 2 weeks agoExpansile blood-filled benign tumor in children/young adults. Common sites: metaphysis of long bones, spine posterior elements. X-ray: blow-out lesion with thin shell, septations....
Tumor | 👁 4 | 2 weeks agoDevelopmental fibro‑osseous lesion replacing normal bone with fibrous tissue. Types: monostotic (70%), polyostotic; associated with McCune–Albright (café‑au‑lait, endocrine). X‑ray...
Tumor | 👁 2 | 2 weeks agoBiopsy should be performed only by definitive surgical team at referral center. Types: core needle (preferred), incisional, excisional. Incision along surgical approach, longitudin...
Tumor | 👁 4 | 2 weeks agoFollow ATLS with careful immobilization; CT is first‑line imaging for suspected injury. AO Subaxial classification guides stability and surgical approach; assess disco‑ligamentous...
Trauma | 👁 4 | 2 weeks agoCorrect deformities in **CAVE** order: **C**avus → **A**dductus → **V**arus → **E**quinus. Use **Ponseti casting** with abduction and supination around talar head; avoid pronation/...
Pediatrics | 👁 6 | 2 weeks ago