Advanced Techniques in Musculoskeletal Surgery

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Table of Content: Volume 4, Issue 2

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Case Report Pages 55-58

Sudden Anterior Tibial Tubercle Avulsion Fracture

Authors: Daniel Godoy-Monzon, MD, Jose Manuel Pascual-Espinosa, MD

Abstract: Acute avulsion fractures of the Anterior Tibial Tubercle are uncommon and affect the growth physis. We present a preadolescent boy with sudden pain, and locked knee, and review the diagnostic systematic and treatment.

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Case Report Pages 50-54

Chiari Osteotomy Plus Shelf Procedure in Neuromuscular Hip Dysplasia

Authors: Bradley M Garcia, Mike Scharf, Andrew G Georgiadis and Mark A Seeley

Abstract: The management of pediatric neuromuscular hip dysplasia is complex and may involve reconstructive or salvage procedures based on the severity of the subluxation, underlying femoral head and acetabular deformity, skeletal maturity, and patient co-morbidities. We report the use of a Chiari osteotomy as salvage in the management of a case of advanced neuromuscular hip dysplasia. Surgical details of the osteotomy with shelf augmentation and three-year post-operative follow-up are included.

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Case Report Pages 46-49

Sudden Proximal Femoral Fracture on 7-Years-Old-Boy Poliostotic Fibrous Dysplasia and Mccune Albright Syndrome

Authors: Daniel Godoy-Monzon, Jose Manuel Pascual-Espinosa, Angel Gonzalez-Fernandez, Esther Fernandez-Sainz Rozas and Juan Jimenez-Baquero

Abstract: Fibrous Dysplasia is a rare condition, affecting one (monostotic) or several bones (polyostotic) characterized by fibro osseous tissue in the bone causing pain, deformities and sometimes pathologic fractures. It is a result of a mutation in the GNAS that can have manifestation in different systems conforming a complex syndrome named McCune Albright (fibrous dysplasia, cafe au lait skin hyper pigmentation and endocrinopathies.

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Review Article Pages 41-45

Fracture-Avulsion of the Greater Tuberosity: Arthroscopic Transosseous Augmented Technique

Authors: Claudio Chillemi, MD, Riccardo Proietti, MD, Marco Damo, Marco Rengo, MD and Alessandro Castagna, MD

Abstract: The fracture-avulsion of the greater tuberosity represents the 2% of all humerus fracture, but the true incidence is likely to be higher, being challenging the initial diagnosis on X-ray. The fracture-avulsion of the greater tuberosity could have different treatment: Non-displaced or minimal displaced fractures are treated conservatively, while for the displaced or comminuted ones the surgical treatment is preferred.

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