Data Trace Editor – Discussion: – response to sympathetic blockade is best diagnostic test for RSD; – over 2/3 of patients will obtain significant relief; – patient is given at least two successful stellate ganglion blocks; – if patient has had a technically successful sympathetic block, and does not obtain significant relief, then the … Read more
– Bone scan: – generally considered sensitive but not specific; – bone scans may help to r/o associated conditions such as a stress frx; – Triphasic Bone Scan: – may add higher degree of specificity; – first stage is … Read more
– Discussion: – rotator cuff anatomy – etilogy of tear and frequency of tear – partial rotator cuff tear – how do RTC tears heal? – arthroscopic vs open rotator cuff repair – biology of tendon healing to bone – references: – Histological evaluation of repair of the rotator cuff in a primate model – Repair integrity and … Read more
– See: RU joint – Discussion: – involves resection of ulnar articular head, leaving shaft and styloid relationship intact; – in cases of distal radial malunion, a Bower’s hemiarthroplasty may be indicated to restore passive pronation and supination of the forearm; – this procedure should be considered before performing … Read more
– Discussion: – a wafer of up to 2-4 mm of distal ulnar head is removed, while the styloid process TFCC, and attatched ligaments remain attached; – the procedure is contra-indicated if more than 4 mm of positive variance; – may be indicated for symptomatic … Read more
– Types of Injuries: – short leg syndrome: (see growth deformities of the limbs) – unequal leg lengths may predispose to injury in shorter leg; – trochanteric bursitis: – gluteus medius attaches by a broad insertion into its lateral … Read more
– a series of pairs of small muscles extending from the sacrum to the axis; – origin: transverse processes of the vertebrae; – insertion: bases of the spinous processes of the 1st vertebrae above; – action: acting bilaterally, rotation of the spine to the opposite side; acting unilaterally, extension and hyperextension of the spine; – … Read more
– a series of pairs of small muscles extending from the sacrum to axis; – origin: transverse processes of the vertebrae; – insertion: bases of the spinous processes of the 2nd vertebrae above; – action: acting bilaterally, rotation of the spine to the opposite side; – nerve supply: posterior rami of the spinal nerve; – … Read more
Carl J. Basamania M.D. – Discussion: – rotatory stress test was developed to reliably test for anterior instability of of the shoulder; – in most cases, the test will identify a Bankart Lesion, but on occassion the test will pick up a Hagl lesion (avulsion of IGHL); – Technique: – test begins on … Read more
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears; (partial rotator cuff tear) – etilogy of tear – ref: Association between alcohol consumption and rotator cuff tear – how do RTC tears heal? – Shoulder Exam: – impingement sign and test: – it is essential to document … Read more