Arthroscopic Screw in Situ
Medial femoral condyle
Technique
Arthroscope in lateral portal
Clear fat pad
Ensure can see entire dimensions of OCD
If fragment is displaced, reduce and pin with accessory K wire
Arthroscope in lateral portal
Clear fat pad
Ensure can see entire dimensions of OCD
If fragment is displaced, reduce and pin with accessory K wire
Geometric measure of the closeness of the fit of the knee articulation
The ideal TKA maximises articular conformity while minimising axial constraint
Highly conforming / Fully congruent
- constant sagittal femoral radius
- large contact areas
- theoretical limitation of flexion to 120o due to posterior impingement of the tibial component
Adolescents & young adults
Usually between 12 - 21 years
Throwing athletes / gymnasts
Little Leaguer's Elbow
- combination of capitellar OCD and MCL injury
- a repetitive throwing injury / seen in pitchers
1. Trauma & Overuse
Common throwing sports / gymnastics