medial

Definition

Medial subluxation of long head of biceps tendon out of groove and into rotator interval

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

Epidemiology

Rare

Types

Medial

- 80%

- calcaneum dislocated medially

Lateral

- 20%

- higher energy injury

Approaches

Anterior

Anterolateral

Lateral

Posterior

Medial

Anterior Approach / Smith Peterson

Indications

- neonatal hip sepsis

- open reduction hip DDH

Techique

Position

- supine

- sandbag under buttock

- free drape leg

Landmarks

Approaches

Medial Parapatellar

Medial

Lateral

Posterior

Modified Posterior

Medial Parapatellar Approach

Indications

Synovectomy 

Patellectomy 

TKR

Technique

Dislocated Hip

Issue

Hip has been out for some time

- degree of acetabular dysplasia evident

- less time for remodelling

- increased instability if not addressed

Management

Open reduction + FDRO / Pelvic Osteotomy 

- usually perform pelvic osteotomy to correct acetabular dysplasia

- reserve FDRO for > 3 years / or if difficult reducing hip