Data Trace Editor – used to image the scaphoid, triquetrum, body of hamate, scapho-triquetral and trapezium-trapezoid joints; – hand rests on its ulnar border and tilts 40 to 50 degrees palmarly; fingers are slightly flexed and held together; – central beam is directed to the center of the carpus
– Discussion: – pronation of forefoot is combination of external rotation at ankle, abduction of hindfoot, & eversion of forefoot; – in pronation, the medial structures tighten and are injured first; – Sequence of Injury: – avulsion frx of medial malleolus or rupture of deltoid ligament; … Read more
origin: distal 1/4 of the volar (ant) surface of the ulna; insertion: distal 1/4 of the volar surface of the radius; action: pronates the forearm; nerve supply: Median , C7 , C8 , T1 ; synergists: Pronator Teres Stabilization of the distal ulna by transfer of the pronator quadratus origin.
– for N/V/Agitation/Antiemetic/Antipyschotic; – Adult: Antiemetic: 5-10 mg PO/IM/IV tid/qid, or 5-10mg deep IM q4-6hr; – Up to 40mg PO q6hr max; 25 mg PR q6-8 hr; – Antipyschotic: 10-20 mg IM acutely or 5-10 mg PO tid/qid for maintainance; – treat extrapyridimal effects with diphenhydramine 25mg in the bag, q6hr; – Contraindications include: comatose … Read more
Erythropoietin / Procrit Discussion Cautions: – before using procrit, make sure that the simple causes of anemia (lack of iron, B12, or folate) have been addressed; – see iron lab studies – Blood management experience: relationship between autologous blood donatoin and transfusion in orthopaedic surgery. – Efficacy of Intraoperative Blood Collection and Reinfusion … Read more
– Discussion: – first major branch of the brachial artery is the profunda brachii; – arises from the brachial artery high in the arm, about level w/ lower edge of the latissimus dorsi tendon (18-25 cm above the medial epicondyle); – leaves brachial artery to pass posteriorly company w/ … Read more
– Discussion: – largest branch of femoral artery in femoral triangle; – arises on lateral side of femoral artery, 3-5 cm below inguinal lig; – passes on surface of pectineus & adductor brevis; – passes posteriorly, lying behind femoral artery & vein on medial … Read more
– See: Tibial Non Unions / treatment methods for tibial defects – Discussion: determinants in prognosis: – infection: (see: tibial infections) – worst prognostic feature of tibial fractures is infection; – infection is most frequent after high velocity, open injuries w/ skin necrosis; … Read more
– See: sub-talar arthrodesis – Primary Fusion: – indicated for fractures w/ more than 3 parts; – restores length of gastrocnemius-soleus complex – corrects flat foot – relieves the narrow peroneal space; – in the presentation by AF Infante et al (15th Annual Meeting of … Read more
For control of grand mal, pyschomotor, or focal epilecptic seizures; metabolized to Phenobarbital; Adults and Peds >8yrs: day 1-3 = 100 mg HS, day 4-6=100 mg bid; day 7-9 =100 mg tid; day 10 (maintenance)=250mg tid; Peds <8yrs: day 1-3: 50 mg HS; day 4-6=50 mg bid; day 7-9=100mg bid; day 10 (maintenance) = 125-250 … Read more