Data Trace Editor – Discussion: – function of the PTFJ – accept 1/6 the axial load of the leg – resist torsional stresses originating from the ankle – resist tensile forces created with weight bearing – resists lateral bending forces – subluxation is common in preadolescent … Read more
– See: Congenital Pseudarthrosis of Tibia – Classification into “Stiff” and “Lax” Pseudoarthrosis: – stiff pseudoarthrosis: – bone ends are hypertrophic – hypertrophic non union should first be compressed for 2-3 weeks, followed by gradual distraction; – Lax Non Union: – lax nonunion … Read more
– See: Achondroplasia – Discussion: – autosomal dominant disorder which occurs as a result of a mutation of a calmodulin like calcium binding protein; – result is abnormal proteoglycan accumulation in the chondrocyte rough endoplasmic reticulum; – there are moderate to severe epiphyseal, metaphyseal, and physeal abnormalities in long … Read more
– Decongestant; – Adult: 30-60 mg PO q6-8hr; SR caps 120 mg PO q12hr; – Contraindicated in patients with HTN or CAD or MAOIs; – found in many cough and cold preparations; – Peds: 6 mo – 1 yr – 1/4 tsp qid 1 yr – 3 yr – 1/2 tsp qid 3 yr – … Read more
– See: – Humeral Shaft Fractures in Children – Throwing Shoulder – Discussion: – most of these injuries are either Salter I or II fractures; – frx separations of proximal humeral epiphysis occur most often between ages of 11 and 15 years; – 80% of longitudinal growth of humerus occurs in proximal physis; – large … Read more
– Discussion: – frx of proximal tibial metaphysis are rare; – valgus greenstick fractures usually occur between 3-6 yrs of age; – cortex is slightly opened on the medial side; – distal fragment is angulated lateralward; – Non Operative Treatment: – usually treated with closed … Read more
– See: Hallux Valgus: – Cresentric Proximal Osteotomy: – allows redirection of the MT without loss of bone neither shortens nor lengthens the first metatarsal; – complications include malunion, delayed union, non union, and transfer metatarsalgia (not from shortening but if first MT is dorsiflexed); – Technique of Concentric Osteotomy: – dorsal incision is made … Read more
Intramedullary Nailing of Femoral Shaft Fractures. Part I. Decision-making Errors with Interlocking Fixation. Intramedullary nailing of femoral shaft fractures. Part II: Fracture-healing with static interlocking fixation. Intramedullary nailing of femoral shaft fractures. Part III: Long-term effects of static interlocking fixation. Interlocking intramedullary nailing in femoral shaft fractures. A report of forty-eight cases. Cephalomedullary screws as the … Read more
for endogenous depression; tricyclic antidepressant; Adult: 5-10mg PO tid/qid; Monitor elderly patients for cardiovascular side effects; anticholinergic effects
– See: – Subtrochanteric Fractures – Discussion: – failure of nail to fill IM canal of either the proximal or distal fragment, may lead to postoperative instability; – tend to migrate into a varus deformity – requires abduction and traction for reduction; – tends to have an accentuated anterior bow; – internal rotation tends to … Read more