admin * Physical Exam: (heard best if pt. sits up, leans forward, & exhale) Early Diastolic (decrescendo) murmur. Mid Systolic Ejection Murmur (Austin Flint) S3 gallop (competes w/ diastolic murmur); widened pulse pressure Etiology: Congenital (bicuspid valves) Rheumatic hrt, Endocarditis VSD; Sequelae: Angina, LVH, CHF, DOE, orthopnea, PND; small increase in After-Load may cause large increase … Read more
(see also: Pelvic Frx; Radiographs; Work Up and Treatment) Anterior Column Frx Anterior Wall Fractures Both Column Frx Central Acebular Fracture Dislocations Classification and Column Theory Displaced Dome Fractures Heterotopic Ossification Hip Frx Fracture Dislocations of the Hip Judet View Iliofemoral Approach to the Acetabulum Ilioinguinal Approach to the Acetabulum Pediatric Acetabular Fractures Posterolateral Approach: … Read more
Basic Science Kinematic changes after fusion and total replacement of the ankle part 1: range of motion Foot Ankle Int. 2003 Kinematic changes after fusion and total replacement of the ankle part 2: movement transfer Foot Ankle Int. 2003 Kinematic changes after fusion and total replacement of the ankle part 3: talar movement Foot Ankle … Read more
EXPAREL web site Educational Presentations AAHKS 2015: Effective Functional Postsurgical Pain Control with an Opioid-Reducing Regimen. Iorio R, Kelly MA, Huddleston III JI, McAllister C. Duration – 8:55 minutes CCJR 2015: Postsurgical Pain Control with an Opioid-Reducing Regimen: A Focus on the Patient and Functional Outcomes. Mont MA, Kelly MA Kirschenbaum, IH Duration – 9:29 … Read more
CBS New York — 8/8/16 Time Release Pain Killer ‘EXPAREL’ Designed to Reduce Patients’ Exposure to Opioids ABC Birminham Area — 3/19/15 New Regimen Allows for Surgery Recovery without Pain Meds West Tennessee Healthcare — 8/6/14 Exparel TV Spot The Examiner (San Francisco) — 8/19/14 Hospitals Fight Prescription-Drug Abuse Becker’s Orthopedic Review — 8/6/14 Joint … Read more
2016 Femoral nerve block versus long-acting wound infilitration in total knee arthroplasty. Emerson, Barrington, Olugbode et al. Orthopedics. 2016. (article link) Liposomal bupivacaine as an adjunct to postoperative pain control in total hip arthroplasty. Yu, Szulc, Walton, Davidovitch, Bosco, Iorio. J Arthroplasty. 2016. (article link) Reducing opioid adverse events: a safe way to improve outcomes. … Read more
Hip and Knee Infiltration Technique Local Analgesia Infiltration Techniques – Hip and Knee Arthroplasty Spine Infiltration Techniques Anterior/Posterior Lumbar Interbody Fusion [PDF] L2/3-3/4, L4/5 Lateral Interbody Fusion Followed by Posterior Spinal Fusion L2-L5 with Instrumentation and Laminectomy L3/4-L4/5 [PDF] Lumbar Laminectomy and Discectomy Right L4-L5 [PDF] Posterior Cervical Fusion C4/5, C5/6 [PDF]
Discussion arises from median nerve, 5 cm above medial epicondyle; runs on volar surface of FDP and along interosseous membrane between ulna & radius; supplies FPL, lateral half of FDP, & pronator quadratus; may supply sensory branches to distal ru and carpal joints; variations: martin gruber anastomosis occurs in 10-15% of all forearms and in … Read more
Myopathic Disorders » Muscle Fiber Types » Biochemistry of Skeletal Muscle Contraction Muscle Contraction Depolarization Metabolic Sequence Calcium Regulation of Muscle Contraction Histology of Skeletal Muscle Chemistry of Skeletal Muscle Muscle Cramps » Extra cellular Matrix composed of many different molecular components, consisting mostly of collagens, proteoglycans, and glycosaminoglycans Matrix metalloproteinases enzymes that digest collagen … Read more
Editor: Scott D. Boden, MD Associate Editors: Robert Hart, MD Keith Luk, MD Robert Gunzburg, MD Section Editors: Chris Ames, MD Howard An, MD Ulrich Berleman, MD Helena Brisby, MD Elaine Buchanan, MD Helton L.A. Delfino, MD Ashish Diwan, PhD Eric Hurwitz, MD Norio Kawahara, MD Michael Kelly, MD Hubert Labelle, MD Teija Lund, MD … Read more