Angular limb deformity Flashcards Preview

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Flashcards in Angular limb deformity Deck (20):
1

Define anatomic axis

line that passes through the center, or mid-diaphysis, of the bone in the frontal or sagittal plane. Best used with straight bones. If the bone is curved more than one line may be used to resolve the curved anatomic axis (think radius pro-curvatum)

2

Define mechanical axis

A straight line connecting the center points of the joints proximal and distal to the bone in the frontal or sagittal plane. It is always a straight line and represents the weight bearing axis of the bone

3

Define joint orientation angle

The intersection of a joint orientation line and a bone axis

4

How are joint orientation angles named (labeled)

Axis first (so a or m), then cranial/caudal or medial/lateral,
then proximal or distal and finally the bone. mMPTA

5

Define inclination angle

Measured in the frontal plane. Its the intersection of the proximal femoral anatomic axis and a line originating at the center of the femoral head that bisects the femoral neck

6

Define coxa vara using inclination angle

This is a deceased angle of inclination

7

Define coxa valga using the inclination angle

This an increased angle of inclination

8

Anteversion angle

Measured in the transverse plane and is the angle between the femoral neck and the frontal plane of the femur as described by the caudal aspect of the femoral condyles

9

Define CORA

Center of rotation of angulation (essentially the apex of the deformity). A bone can have more than one

10

What three things does every CORA posses

A location, a magnitude and a plane. The plane is always directed opposite the way the bone is deviated

11

What is meant by an opening CORA

A CORA on the convex side of the transverse bisecting line with respect to the neutral CORA

12

What is meant by a closing CORA

A CORA on the concave side of the transverse bisecting line with respect to the neutral CORA

13

Angular limb deformity with a single CORA (the anatomic axes of the bone intersect within the cortical confines of the bone)

Uniapical deformity

14

Angular limb deformity with two CORA

biapical deformity

15

Angular limb deformity with more than 2 CORA

multiapical deformity

16

Angular limb deformity with 2 CORA whose planes lie in opposite directions

Biapical partially compensated

17

Angular limb deformity with 2 CORA whose planes lie in the same direction

Biapical non-compensated

18

What happens if your osteotomy and the ACA (angular correction axis) is placed at the CORA

Angular correction and co-linearity of the axis are achieved

19

What happens when your ACA (angular correction axis) is based at the CORA and the osteotomy is located somewhere other than the CORA

Appropriate realignment occurs through angulation AND translation

20

What happens when the osteotomy and the ACA occur at a level different from the CORA

Co-linearity of the segments does not occur and iatrogenic translation results (avoid this)