surgical management

Definition

Flexion deformity of DIPJ 

Aetiology

Usually in 2nd toe

- Long second MT

- Constrictive footwear

Clinical

Pain over

- tip of toe

- over dorsum of DIP joint

May be corn on tip of toe 

Fixed or flexible

Management

Definition 

Flexion deformity PIPJ with

- MTPJ normal / simple

- MTPJ hyper-extended / complex

- DIPJ any position

- P1 may become subluxed or dislocated

Aetiology

Uncertain

Long second toe / MT

Hallux valgus

Tight shoes

Examination

NHx

Convincing association with development of osteoarthritis

- arthritic changes beginning at radial styloid

- progress to scaphocapitate & capitolunate 

Background

The coronoid is the most important portion of ulno-humeral articulation

Reasons

1.  Provides anterior buttress

2.  Anterior capsule and brachialis attach to coronoid

2.  Anterior band of the MCL attaches to it

- distally and medially on sublime tubercle

Definition

Replant

- reattachment of body part that has been completely severed

Revascularisation of incomplete Amputation

Definition

Developmental hamartoma in which areas of the skeleton fail to mature normally

- remain indefinitely as immature, poorly mineralized trabeculae

Pathology

Hamartoma of bone and fibrous tissue

McCune - Albright's Syndrome

Rare triad of

1.  Fibrous Dysplasia