Avascular Necrosis Case Studies

Design and Setting: This was a contemplation of 23 different cases of little leaguer’s elbows that were collected from a variety of case reports. These all included the history, physical examination finding, bilateral internal and external

His dressings are removed along with the brace and his incision is a curvilinear laceration through the medial retinacular region. Extensor mechanism of the knee is intact and a straight leg raise is painful but normal. Range of motion is grossly limited in flexion secondary to pain but full extension is easily achieved. He is stable with varus and valgus stress testing at 0 and 30 degrees. Gentle Lachman's test does not demonstrate any gross instability. The ankle shows some dependent edema but no acute injury. Range of motion, dorsiflexion, plantar flexion, inversion, and eversion are all intact with adequate strength. Extensor hallucis longus, dorsiflexion, plantar flexion function of the ankle are all intact with 5/5 strength, L3-S1 sensory dermatomes are intact to light touch, though the patient does describe some mild periwound numbness. There is no streaking erythema. Wound is benign and shows no signs or symptoms of infection. Vascular tone is full and compartments are

The symptoms are described as dull and sharp. Weight bearing and putting pressure aggravate the pain. Current pain level is 6/10. The exam of the left lower extremity showed that the pin sites were completely healed. Skin was intact. Pulses were palpable. He was able to range his ankle comfortably. He virtually had no motion of the subtalar joint. His pain was over the lateral part if the subtalar joint. The foot was warm. Pulses were palpable. He was intact neurovasculay. There was no calf pain. Reported CT scan demonstrated that the calcaceus fracture was healed. The patient has post-traumatic subtalar joint arthritis and calcaneal cubital joint arthritis. Plan: steroid injection, shoe wear and activity modification. If conservative treatment fails, he will benefit from a subtalar joint

A foot sprain is one of the most common injuries of athletes since they use their feet a lot. This occurs if there is a tear in the ligaments – tough bands of fibrous tissue which connects the bones to each other in a joint.

He was subjected to several CT scans, and ultimately diagnosed with a fracture of the spinous process of the thoracic vertebra. The radiologist notes indicate the fracture was non displaced and could even possibly be congenital.

Bone bruiseu is a very common finding in acute knee injury. It is more often on the lateral kneeu compartment. ( 60 )

Of note, anteroposterior and lateral views of the left foot taken on this visit reveal no evidence of fracture or dislocation. There is mild periarticular osteophyte formation, however, no Joint space narrowing is noted.

Examination of the right knee reveals pain to palpation over the iliotibial band with intermittent clicking over the lateral femoral epicondyle. He continues to exhibit an altered gait without a gait aid. Biomechanics of gait are altered in the right lower

HISTORY OF PRESENT ILLNESS: This patient is a 10-year-old male. He was in a Motocross accident this past Saturday, sustaining tibial eminence fracture, displaced. He presents today for evaluation.

Until the last decade, diagnostic arthroscopy was the only possible way to clarify a doubtful diagnosis. Unfortunately, it is an invasive and expensive procedure, and its overuse has produced unnecessary comp-lications, such as infection, neurovascular lesions and damaged intra-articular materials. ( 86 ) It is preferably performed only for treatment purposes, provided that alternative non invasive diagnostic modalities such as MRI are available. ( 87 )

The use of physical therapy has progressed throughout the medical field for a plethora of reasons. Whether you need physical therapy after a car accident or breaking your arm in a basketball game, physical therapy has been accustomed for a wide range of injuries. Many people cannot afford the physical therapy needed because numerous insurance companies do not support the practice. Nonetheless, studies have shown that physical therapy takes a great toll on your recovery process. More importantly as children become more involved in sports and start earlier in age to be more competitive, the injury rate of children has increased significantly. With that being said, the range of injuries on the knee specifically have varied and transformed the

This patient most likely has Osgood-Schlatter disease. Osgood-Schlatter disease is characterized as osteochondrosis of the tibia tubercle and associated patellar tendonitis. The severity of Osgood-Schlatter disease can range from mild tendonitis to complete separation of the anterior tibial apophysis. The main goal of treatment for this disease is to decrease the stress on the tibial tubercle. Typically the patient will be restricted from strenuous physical activity for 4-8 weeks, and this usually is sufficient. Using a tubercle band t brace the knee is also very helpful in the healing process. If the pain isn’t relieved more dramatic measures such as a cast or knee immobilizer will be required. After the 8 weeks of limited physical

[3] Inflammation of the area just below the knee where the tendon attaches to the shin bone. This is also a common cause of knee pain in growing adolescents. (ortho.aaos.org) This Occurs in growing adolescents that are involved in sports that require a lot of running, jumping and swift changes in direction (mayoclinic.org) This can also cause a painful lump , which is what Brandon had.

Nicolay Walz, Keith Yeates, H. Taylor, Terry Stancin, and Shari Wade examined the long term effects of TBI’s after 18 months after the injury occurred in children. 147 children were involved in the study between 3 to 6 years old; 85 children were diagnosed with orthopaedic injury (injuries and diseases within the musculoskeletal system), 43 children were diagnosed with moderate TBI, and 19 children were diagnosed with severe TBI. Results demonstrated that children who were diagnosed with both types of TBI’s performed worse than children diagnosed with orthopaedic injury though a variety of testing methods (Walz, N. C., Yeates, K. O., Taylor, H. G., Stancin, T. and Wade, S. L., 2012). Tests consisted of a narrative (reading of “The

A twenty-one year old female, basketball player experienced an ankle sprain by accidentally stepping on another player’s foot. The player was going up to make a shot landed on the opponents foot when she came back down, which made her ankle invert. The head athletic trainer evaluated her then taped her ankle to provide support and keep the swelling to a minimum at that time, so the player could return to play. Immediately after the game, the player’s ankle was iced down to control the swelling and was receiving NSAID’s to help with the pain or discomfort she was feeling. The player was referred to the team physician for x-rays and MRI to help rule out fractures. Treatment was started to help relieving the swelling and pain.