Data Trace Editor – See: Humeral Frx – Main Menu – humeral shaft fractures – Retrograde IM Nailing: – main advantage over antegrade nailing, is that violation of the rotator cuff is not necessary (and therefore shoulder motion is not affected); – retrograde nailing is also preferred over antegrade nailing for distal shaft fractures; – main disadvantage is … Read more
– Discussion: – Ascending Cervical Branches travel proximally under the hip capsule and continue proximally along neck deep to synovial membrane toward the femoral head; – these arteries are known as retinacular arteries; – as cervical arteries traverse superficial surface of femoral neck, they send many … Read more
– See: Compartment Syndrome – Discussion: – traumatic rhabdomyolysis, or crush syndrome, is consequence of prolonged continuous pressure on the limbs; – it reflects disintegration of muscle tissue & influx of myoglobin, potassium, and phosphorus into the circulation; – syndrome is characterized by hypovolemic shock and hyperkalemia; … Read more
(See ABG Note: well compensated chronic resp alkalosis may be confused with metabolic acidosis if the pCO2 is between 12 to 24 mm Hg. PCO2 < 35 mm Hg: indicates a Respiratory Alkalosis, usually due to Hyperventilation; Common etiologies include Anxiety, Acidemia (compensation), CNS injury Pneumothorax, Fever, PE, Pregnancy, Hepatic cirrhosis, and toxins; – … Read more
See ABG * Note: Chronic well compensated Respiratory acidosis may be confused with metabolic alkalosis. * Common etiologies include entities that can contribute to a buildup of CO2 such as COPD, Pneumonia CNS depression, Pulmonary Edema, Cardiopulmonary arrest, Airway or Chest wall injury, & Sedatives, and Neuromuscular dz; * Note: these entities may have Synergistic … Read more
– See: Total Hip Replacement Menu: – Discussion: – in most pts w/ chronic infection, surgeons continue to advocate complete removal of the prosthesis and the cement; – in especially difficult cases, resection arthroplasty is an effective means of controlling infection; – as expected patients will have … Read more
Discussion: Quantitative gait analysis in patients with medial patellar instability following lateral retinacular release. The diagnosis and treatment of medial subluxation of the patella after lateral retinacular release. Medial subluxation of the patella as a complication of lateral retinacular release Hemarthrosis as a major complication after arthroscopic subcutaneous lateral retinacular release: a prospective study. [Prevention … Read more
– See: Lateral Meniscus / General Discussion of Meniscal Repair – Indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery is considered avascular; (see vascularity of … Read more
– Meniscal Anatomy and Physiology: – medial meniscus – bucket handle meniscus tear – posterior horn tears of medial meniscus – lateral meniscus – discoid meniscus – indications for repair: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area … Read more