Table of Contents

 

 

 

SECTION 1

INTRODUCTION

 

 

Overview

 

 

Introduction to Traumatic Injury   Andrew Sonin, MD

1-2

 

Traumatic Injury, Special Topics

 

 

Stress/Insufficiency Fracture   Andrew Sonin, MD

1-4

 

Pathologic Fracture   Andrew Sonin, MD

1-10

 

Physeal Injury (Salter-Harris)   Andrew Sonin, MD

1-16

 

Child Abuse: The Extremities   Andrew Sonin, MD

1-22

 

Muscle Injury   Andrew Sonin, MD

1-26

 

Hematoma   Andrew Sonin, MD

1-30

 

Foreign Body   Andrew Sonin, MD

1-36

SECTION 2

SHOULDER AND HUMERUS

 

 

Introduction and Overview

 

 

Shoulder and Humerus Overview   Michael J. Tuite, MD

2-2

 

Osseous Pathology

 

 

Sternoclavicular Trauma   Michael J. Tuite, MD

2-8

 

Clavicle Fracture   Michael J. Tuite, MD

2-12

 

Acromioclavicular Joint Injury   Michael J. Tuite, MD

2-14

 

Post-Traumatic Osteolysis Distal Clavicle   Michael J. Tuite, MD

2-18

 

Scapular Trauma   Michael J. Tuite, MD

2-20

 

Anterior Glenohumeral Dislocation   Michael J. Tuite, MD

2-24

 

Posterior Glenohumeral Dislocation   Michael J. Tuite, MD

2-28

 

Inferior Glenohumeral Dislocation and Luxatio Erecta   Michael J. Tuite, MD

2-32

 

Greater Tuberosity Fracture   Michael J. Tuite, MD

2-34

 

Osteochondral Injury, Shoulder   Michael J. Tuite, MD

2-36

 

Humeral Head/Neck Fracture   Michael J. Tuite, MD

2-38

 

Little Leaguer’s Shoulder   Michael J. Tuite, MD

2-42

 

Tug Lesion, Humerus   Michael J. Tuite, MD

2-44

 

Humeral Shaft Fracture   Michael J. Tuite, MD

2-46

 

Musculotendinous Pathology

 

 

Shoulder Girdle

 

 

Pectoralis Injury   Michael J. Tuite, MD

2-48

 

Deltoid Muscle Injury   Michael J. Tuite, MD

2-52

 

Proximal Triceps Injury   Michael J. Tuite, MD

2-56

 

Rotator Cuff

 

 

Rotator Cuff Impingement   Michael J. Tuite, MD

2-58

 

Os Acromiale   Michael J. Tuite, MD

2-64

 

Rotator Cuff Tendinopathy   Michael J. Tuite, MD

2-68

 

Rotator Cuff Partial Thickness Tear   Michael J. Tuite, MD

2-72

 

Rotator Cuff Full Thickness Tear   Michael J. Tuite, MD

2-78

 

Rotator Interval Tear   Michael J. Tuite, MD

2-84

 

Subscapularis Tear   Michael J. Tuite, MD

2-88

 

Rotator Cuff Postoperative Repair   Michael J. Tuite, MD

2-92

 

Calcific Rotator Cuff Tendinopathy   Michael J. Tuite, MD

2-98

 

Proximal Biceps Tendon

 

 

Biceps Tendinopathy, Shoulder   Michael J. Tuite, MD

2-102

 

Biceps Tendon Tear, Intraarticular   Michael J. Tuite, MD

2-106

 

Biceps Tendon Dislocation   Michael J. Tuite, MD

2-110

 

Ligamentous Pathology

 

 

Instability and Labrum

 

 

Normal Labral Variants   Michael J. Tuite, MD

2-114

 

Adhesive Capsulitis, Shoulder   Michael J. Tuite, MD

2-118

 

Bankart Lesion   Michael J. Tuite, MD

2-122

 

Bankart Variation Lesions   Michael J. Tuite, MD

2-126

 

ALPSA Lesion   Michael J. Tuite, MD

2-130

 

GLAD/GARD Lesion   Michael J. Tuite, MD

2-134

 

HAGL Lesion   Michael J. Tuite, MD

2-136

 

Inferior Glenohumeral Ligament Injury   Michael J. Tuite, MD

2-138

 

Bennett Lesion   Michael J. Tuite, MD

2-140

 

Posterior Labral Tear, Shoulder   Michael J. Tuite, MD

2-142

 

Extended Labral Tears   Michael J. Tuite, MD

2-146

 

Multidirectional Instability, Shoulder   Michael J. Tuite, MD

2-148

 

Postoperative Labral and Instability Repair   Shoulder Michael J. Tuite, MD

2-150

 

Superior Labrum

 

 

SLAP Tear   Michael J. Tuite, MD

2-154

 

Extended Slap Tear   Michael J. Tuite, MD

2-160

 

Combined Cuff and Labral Lesions

 

 

Internal Impingement, Shoulder   Michael J. Tuite, MD

2-164

 

Microinstability, Shoulder   Michael J. Tuite, MD

2-170

 

Neurogenic Pathology

 

 

Suprascapular and Spinoglenoid Notch Cysts   Michael J. Tuite, MD

2-172

 

Rotator Cuff Denervation Syndromes   Michael J. Tuite, MD

2-176

SECTION 3

ELBOW

 

 

Introduction and Overview

 

 

Elbow Overview   Andrew Sonin, MD

3-2

 

Osseous Pathology

 

 

Distal Humeral Fracture   Andrew Sonin, MD

3-6

 

Transcondylar Fracture, Elbow   Andrew Sonin, MD

3-10

 

Lateral Condylar Fracture, Elbow   Andrew Sonin, MD

3-14

 

Medial Condylar Fracture, Elbow   Andrew Sonin, MD

3-18

 

Capitellum Fracture   Andrew Sonin, MD

3-22

 

Elbow Dislocation   Andrew Sonin, MD

3-28

 

Monteggia Injury   Andrew Sonin, MD

3-34

 

Radial Head/Neck Fracture   Andrew Sonin, MD

3-38

 

Olecranon Fracture   Andrew Sonin, MD

3-44

 

Coronoid Fracture   Andrew Sonin, MD

3-50

 

Forearm Fractures   Andrew Sonin, MD

3-52

 

Ligamentous Pathology

 

 

Radial Collateral Ligament Injury   Andrew Sonin, MD

3-56

 

Lateral Ulnar Collateral Ligament Injury   Andrew Sonin, MD

3-58

 

Annular Ligament Injury   Andrew Sonin, MD

3-60

 

Ulnar Collateral Ligament Injury   Andrew Sonin, MD

3-62

 

Valgus Stress Mechanism/Little Leaguer’s Elbow   Andrew Sonin, MD

3-68

 

Tendinous Pathology

 

 

Biceps Tendon Injury, Elbow   Andrew Sonin, MD

3-74

 

Bicipitoradial Bursitis   Andrew Sonin, MD

3-80

 

Brachialis Injury   Andrew Sonin, MD

3-82

 

Triceps Tendon Injury, Elbow   Andrew Sonin, MD

3-84

 

Common Extensor Tendon Injury, Elbow   Andrew Sonin, MD

3-88

 

Common Flexor/Pronator Tendon Injury, Elbow   Andrew Sonin, MD

3-94

 

Other Pathology

 

 

Intraarticular Bodies, Elbow   Andrew Sonin, MD

3-100

 

Olecranon Bursitis   Andrew Sonin, MD

3-106

 

Synovial Fringe, Elbow   Andrew Sonin, MD

3-110

 

Anconeus Epitrochlearis   Andrew Sonin, MD

3-112

 

Neuropathies

 

 

Ulnar Nerve Injury   Andrew Sonin, MD

3-114

 

Median Nerve Injury   Andrew Sonin, MD

3-120

 

Radial Nerve Injury   Andrew Sonin, MD

3-124

SECTION 4

WRIST AND HAND

 

 

Introduction and Overview

 

 

Wrist and Hand Overview   Carol L. Andrews, MD

4-2

 

Ossicles and Sesamoids, Hand and Wrist   Carol L. Andrews, MD

4-6

 

Acronyms and Eponyms, Hand and Wrist   Carol L. Andrews, MD

4-12

 

Osseous Pathology

 

 

Distal Radius and Ulna

 

 

Juvenile Distal Forearm Fractures   Carol L. Andrews, MD

4-16

 

Distal Radius Fracture   Carol L. Andrews, MD

4-22

 

Die-Punch Fracture   Carol L. Andrews, MD

4-28

 

Ulnar Styloid Fracture   Carol L. Andrews, MD

4-30

 

Distal Radiouinar Fracture, Postoperative   Carol L. Andrews, MD

4-32

 

Trauma-Related Osteolysis in Children   Carol L. Andrews, MD

4-36

 

Distal Radiouinar Joint Instability   Carol L. Andrews, MD

4-40

 

Wrist

 

 

Scaphoid Fracture   Carol L. Andrews, MD

4-44

 

Scaphoid Fracture, Postoperative   Carol L. Andrews, MD

4-50

 

Carpal Fracture, Other Than Scaphoid   Carol L. Andrews, MD

4-54

 

Carpal Dislocation   Carol L. Andrews, MD

4-60

 

Carpal Impaction Syndromes   Carol L. Andrews, MD

4-66

 

Ulnar Impingement Syndrome   Carol L. Andrews, MD

4-70

 

Hand

 

 

Metacarpal Fracture and Dislocation   Carol L. Andrews, MD

4-72

 

Finger Fracture and Dislocation   Carol L. Andrews, MD

4-78

 

Ligamentous Pathology

 

 

Wrist

 

 

Intrinsic Ligament Tear, Wrist   Carol L. Andrews, MD

4-84

 

Triangular Fibrocartilage Complex Injury   Carol L. Andrews, MD

4-90

 

Carpal Instability   Carol L. Andrews, MD

4-96

 

Hand

 

 

Collateral Ligament Injury, Fingers and Thumb   Carol L. Andrews, MD

4-102

 

Tendinous Pathology

 

 

Flexor Tendon Injury, Wrist and Fingers   Carol L. Andrews, MD

4-108

 

Extensor Tendon Injury, Wrist and Fingers   Carol L. Andrews, MD

4-114

 

Other Pathology

 

 

Ganglion Cyst, Wrist   Julia Crirn, MD and Andrew Sonin, MD

4-120

 

Vascular Injury, Wrist and Hand   Carol L. Andrews, MD

4-124

 

Neuropathies

 

 

Nerve Entrapment Syndromes, Wrist   Carol L Andrews, MD

4-128

SECTION 5

HIP AND PELVIS

 

 

Introduction and Overview

 

 

Hip and Pelvis Overview   Adam Zoga, MD

5-2

 

Osseous Pathology

 

 

Hip and Proximal Femur

 

 

Femoral Head Fracture   Adam Zoga, MD

5-8

 

Femoral Neck Fracture   Adam Zoga, MD

5-12

 

Trochanteric and Intertrochanteric Fracture   Adam Zoga, MD

5-18

 

Subtrochanteric and Femoral Shaft Fracture   Adam Zoga, MD

5-24

 

Hip Dislocation   Adam Zoga, MD

5-30

 

Chondral and Osteochondral Injury, Hip   Adam Zoga, MD

5-36

 

Pelvis

 

 

Acetabular Fracture   Adam Zoga, MD

5-40

 

Pelvic Fracture, Stable   Adam Zoga, MD

5-46

 

Pelvic Fracture, Unstable   Adam Zoga, MD

5-50

 

Pelvic Stress and Insufficiency Fracture   Andrew Sonin, MD and Adam Zoga, MD

5-56

 

Osteitis Pubis, Post-Traumatic   Adam Zoga, MD

5-62

 

Pelvic Avulsion Fracture/Apophysitis   Adam Zoga, MD

5-66

 

Postoperative Imaging

 

 

Pelvis/Hip/Femur Trauma, Postoperative Appearance   Julia Crim, MD

5-72

 

FAI and Adult DDH, Postoperative Appearance   Julia Crim, MD

5-76

 

Labroligamentous Pathology

 

 

Acetabular Labral Tear   Adam Zoga, MD

5-80

 

Femoral Acetabular Impingement and Dysplasia   Adam Zoga, MD

5-86

 

Hip Labral Trauma, Postoperative   Adam Zoga, MD

5-92

 

Ligamentum Teres Injury   Adam Zoga, MD

5-94

 

Musculotendinous Pathology

 

 

Hip Internal and External Rotator Injury   Adam Zoga, MD

5-96

 

Hip Flexor Injury   Adam Zoga, MD

5-102

 

Hip Adductor Injury   Adam Zoga, MD

5-108

 

Snapping Hip Syndrome   Adam Zoga, MD

5-112

 

Proximal Hamstring Injury   Adam Zoga, MD

5-116

 

Abdominal Muscle Injury   Adam Zoga, MD

5-122

 

Sports Hernia   Adam Zoga, MD

5-126

 

True Hernias   Adam Zoga, MD

5-132

 

Other Pathology

 

 

Bursitis, Hip and Pelvis   Adam Zoga, MD

5-134

 

Piriformis Syndrome and Nerve Injuries of the Pelvis   Adam Zoga, MD

5-140

SECTION 6

KNEE

 

 

Introduction and Overview

 

 

Knee Overview   Andrew Sonin, MD

6-2

 

Osseous and Chondral Pathology

 

 

Distal Femoral Fracture   Andrew Sonin, MD

6-8

 

Tibial Plateau Fracture   B. J. Manaster, MD, PhD, FACR

6-14

 

Tibiofemoral Dislocation   Andrew Sonin, MD

6-18

 

Proximal Tibiofibular Joint and Proximal Fibular Fracture   Andrew Sonin, MD

6-24

 

Patellar Fracture   Andrew Sonin, MD

6-28

 

Avulsive Injury, Knee   Andrew Sonin, MD

6-34

 

Stress Injury, Leg   Andrew Sonin, MD

6-38

 

Toddler Fracture   Andrew Sonin, MD

6-44

 

Osteochondral Injury, Knee   Andrew Sonin, MD

6-46

 

Chondral Injury, Knee   Andrew Sonin, MD

6-52

 

Subchondral Fracture, Knee   Andrew Sonin, MD

6-58

 

Articular Cartilage: Postoperative Imaging   Andrew Sonin, MD

6-64

 

Ligamentous Pathology

 

 

Anterior Cruciate Ligament Injury   Andrew Sonin, MD

6-70

 

Anterior Cruciate Ligament: Postoperative Imaging   Andrew Sonin, MD

6-76

 

Posterior Cruciate Ligament Injury   Andrew Sonin, MD

6-82

 

Medial Collateral Ligament, Knee   Andrew Sonin, MD

6-88

 

Lateral Collateral Ligament Complex, Knee   Andrew Sonin, MD

6-94

 

Posterolateral Corner Injury   Andrew Sonin, MD

6-100

 

Iliotibial Band Friction Syndrome   Andrew Sonin, MD

6-104

 

Meniscal Pathology

 

 

Meniscal Pitfalls and Variants   Andrew Sonin, MD

6-108

 

Discoid Meniscus   Andrew Sonin, MD

6-114

 

Meniscal Degeneration   Andrew Sonin, MD

6-118

 

Meniscal Horizontal Tear   Andrew Sonin, MD

6-120

 

Meniscal Radial Tear   Andrew Sonin, MD

6-124

 

Meniscal Vertical Longitudinal Tear   Andrew Sonin, MD

6-128

 

Meniscal Bucket-Handle Tear   Andrew Sonin, MD

6-134

 

Other Displaced Meniscal Tears   Andrew Sonin, MD

6-138

 

Complex Meniscal Tear   Andrew Sonin, MD

6-144

 

Meniscocapsular Separation   Andrew Sonin, MD

6-146

 

Popliteomeniscal Fascicles   Andrew Sonin, MD

6-148

 

Parameniscal Cyst   Andrew Sonin, MD

6-150

 

Intrameniscal Cyst   Andrew Sonin, MD

6-154

 

Meniscal Ossicle   Andrew Sonin, MD

6-155

 

Postoperative Imagingofmenisd   Andrew Sonin, MD

6-156

 

Tendon Pathology

 

 

Quadriceps Injury   Andrew Sonin, MD

6-162

 

Patellar Tendon Injury   Andrew Sonin, MD

6-168

 

Transient Patellar Dislocation   Andrew Sonin, MD

6-174

 

Pes Anserine Bursitis   Andrew Sonin, MD

6-180

 

Posteromedial Corner Injury   Andrew Sonin, MD

6-182

 

Other Pathology

 

 

Popliteal Cyst   Andrew Sonin, MD

6-186

 

Intercondylar Notch Cyst   Andrew Sonin, MD

6-192

 

Prepatellar and Pretibial Bursitis   Andrew Sonin, MD

6-196

 

Deep Infrapatellar Bursitis   Andrew Sonin, MD

6-200

 

Medial Patellar Plica Syndrome   Andrew Sonin, MD

6-202

 

Peroneal Nerve Injury   Andrew Sonin, MD

6-206

 

Compartment Syndrome and Muscle Herniation   Andrew Sonin, MD

6-210

SECTION 7

ANKLE AND FOOT

 

 

Introduction and Overview

 

 

Ankle and Foot Overview   Fulia Crim, MD

7-2

 

Osseous Injuries

 

 

Accessory Ossicles, Ankle and Foot   Julia Crim, MD

7-8

 

Pilon Fracture   Julia Crim, MD

7-14

 

Malleolar Fracture   Julia Crim, MD

7-18

 

Ankle Dislocation   Julia Crim, MD

7-24

 

Osteochondral Injury, Ankle   Julia Crim, MD

7-28

 

Fracture of Talar Body and Process   Julia Crim, MD

7-34

 

Talus Neck and Head Fracture   Julia Crim, MD

7-38

 

Talus Dislocation   Julia Crim, MD

7-42

 

Calcaneus Fracture, Intraarticular   Julia Crim, MD

7-46

 

Calcaneus Fracture, Nonarticular   Julia Crim, MD

7-52

 

Navicular Fracture and Dislocation   Julia Crim, MD

7-56

 

Cuboid Fracture   Julia Crim, MD

7-62

 

Lisfranc Ligament Injury   Julia Crim, MD

7-66

 

Lisfranc Fracture-Dislocation   Julia Crim, MD

7-70

 

Metatarsal Fracture   Julia Crim, MD

7-74

 

Phalangeal Fracture and Dislocation, Foot   Julia Crim, MD

7-78

 

Stress and Insufficiency Fracture, Ankle and Foot   Julia Crim, MD

7-82

 

Salter-Harris Fracture, Ankle   Julia Crim, MD

7-86

 

Freiberg Infraction   Julia Crim, MD

7-90

 

Ligament Injuries

 

 

Syndesmosis Ligament Injury, Ankle   Julia Crim, MD

7-92

 

Ankle Sprain   Julia Crim, MD

7-96

 

Deltoid Ligament Injury   Julia Crim, MD

7-100

 

Spring Ligament Injury   Julia Crim, MD

7-106

 

Superior Peroneal Retinaculum Avulsion   Julia Crim, MD

7-110

 

Flexor Retinaculum Avulsion   Julia Crim, MD

7-114

 

MTP Ligament Injury, Digit 1   Julia Crim, MD

7-118

 

MTP Ligament Injury, Digits 2-5   Julia Crim, MD

7-122

 

Musculotendinous Injuries

 

 

Accessory Muscles, Ankle and Foot   Julia Crim, MD

7-126

 

Achilles Tendon Tear and Tendinopathy   Julia Crim, MD

7-130

 

Plantaris Tendon Injury   Andrew Sonin, MD

7-136

 

Flexor Hallucis Longus Tendon Tear Impingement, and Tendinopathy   Julia Crim, MD

7-138

 

Posterior Tibial Tendon Tear and Tendinopathy   Julia Crim, MD

7-142

 

Extensor Tendon Tear and Tendinopathy   Julia Crim, MD

7-148

 

Peroneal Tendon Tear and Tendinopathy   Julia Crim, MD

7-152

 

Tears of Intrinsic Foot Muscle and Plantar Fascia   Julia Crim, MD

7-158

 

Ankle Impingement Syndromes

 

 

Anterior Impingement Syndrome, Ankle   Julia Crim, MD

7-162

 

Posterior Impingement, Ankle   Julia Crim, MD

7-166

 

Os Trigonum Syndrome   Robert Hastings, MD and Julia Crim, MD

7-168

 

Miscellaneous Causes of Foot Pain

 

 

Haglund Syndrome   Julia Crim, MD

7-172

 

Tarsal Sinus Syndrome   Julia Crim, MD

7-174

 

Tarsal Tunnel Syndrome   Julia Crim, MD

7-178

 

Plantar Fasciitis   Julia Crim, MD

7-182

 

Ankle and Subtalar Instability   Julia Crim, MD

7-184

 

Sever Disease   Julia Crim, MD

7-190

 

Postoperative Ankle and Foot

 

 

Lateral Ligament Reconstruction, Ankle   Julia Crim, MD

7-192

 

Tendon Repair, Ankle   Julia Crim, MD

7-194

 

Amputation, Foot/Ankle   Julia Crim, MD

7-196