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Orthopaedic Surgery Orthopedic Surgery ST 240
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Bone Cell
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Microscopic View of Bone Tissue
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Structure of Long Bone
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Types of Bones = Long Bone
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Flat Bone: Frontal
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Irregular Bone: Vertebra
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Short Bone: Cuboid
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Long Bone Development
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JOINTS Synarthrosis - Immovable Joint Synarthrosis - Immovable Joint Amphiarthrosis- Slightly Movable Joint Freely Amphiarthrosis- Slightly Movable Joint Freely Diarthrosis - Freely Movable Joint Diarthrosis - Freely Movable Joint Ball & socket Ball & socket Condyloid- movement in one plane Condyloid- movement in one plane Gliding- side to side Gliding- side to side Hinge- movement in a Pivot, rotates around an axis Hinge- movement in a Pivot, rotates around an axis Saddle Joints- moves in many planes Saddle Joints- moves in many planes
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Diarthrosis (synovial) Joint
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Hip X-Ray
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Hinge (Knee)
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Ball and Socket (Hip)
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Hinge (Elbow)
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Shoulder X-Ray
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Schematic of Shoulder
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Shoulder
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Rotator Cuff 4 muscles of the Rotator Cuff Supraspinatus Subscapularis Infraspinatus Teres Minor
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Anterior Rotator Cuff
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Posterior Rotator Cuff
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Inflamed Tendon
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Rotator Cuff Tear Rotator cuff tear the shoulder easily dislocates
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Rotator Cuff Tear
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Sutures Placed for Repair
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Use of Anchor for Repair
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Anatomy of the Elbow
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Lateral View of the Elbow
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Anterior View of the Elbow
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Hand and Wrist Joints
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Hand Anatomy
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External Fixation for Colles’ Fx
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External Fixator of Leg
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Schematic of Hip
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Head of Femur
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Posterior Femur
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Anterior Femur
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Anatomy of the Hip
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Anterior Muscles of the Leg
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Posterior Muscles of the Leg
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IM Nailing Positioning
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IM Nailing Entry point
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Reaming Insert guide wire Insert guide wire Ream in.5 increments until ? Ream in.5 increments until ?
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IM Nailing The nail should have an anterior bow Key post of the proximal drill guide will point laterally After assembly check for position of screws Insert nail
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Proximal & Distal Locking
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Cannulated Screws
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Compression Hip screws with side plate
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Hip Compression Plate
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Steps of a Total Hip Replacement
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Total Hip Prosthesis
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A New Hip!
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Schematic of Knee
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Knee X-ray
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Posterior view of Knee Joint
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Anterior view of Knee Joint
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Total Knee Replacement
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Anatomy of Meniscus
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Torn Meniscus
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Medial Meniscus Tear with Fragment
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Fragment Dislocated into Knee Joint
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Arthroscopic Meniscal Resection
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Repaired Meniscus Probe
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Torn ACL
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Patella Tendon Autograft
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Tibia Drilling
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Inserting new ACL Graft
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ACL Graft Placement
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Lateral Foot
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Superior Foot
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FRACTURESFRACTURES
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Under-casting Material (cast padding)
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Plaster Casting Material
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Nice Cover Attempt!
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Always Have Back-up Communiques!
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