Data Trace Editor – Anatomy: – radiographic teardrop: – true floor of acetabulum corresponds to the radiographic teardrop; – teardrop lies in the inferomedial portion of the acetabulum, just above the obturator foramen; – the lateral and medial lips corresponds to … Read more
– Discussion: – consider photographs for documentation; – consent should explain possibility of long term nail disfigurement; – instruments: – freer septum elevator, dental spatulas, fine hemostats, beaver blade, small currette, single and double pronged skin hooks; – an easy way of applying … Read more
– Frx – Menu (See: Post Op Orders) – Axial Skeleton – C-spine – Spine – Pelvis – Upper Extremity – Shoulder – Humerus – Elbow – Wrist – Hand – Lower Extremity – Hip – Femur – Knee – Tibia – Ankle – Foot – Systems – Neuro – Cranio-Maxillo-Facial – Spine – Cardiac … Read more
– Debridement: – all foreign material must be removed from the knee; – retained frags of cement can act as nidus for residual infection; – infected granulation tissue & scar tissue should be excised to provide healthy vascularized soft tissue surrounding the knee. – number of debridements needed before wound closure depends … Read more
– IM Nailing Technique – Open Femur Frx – Radiographs: – look for evidence of a pathologic lesion on x-ray, noting that it would be disasterous if a nail were driven through an occult osteosarcoma or chondroscaroma; – AP pelvis: (rule out concomitant injuries) – Hip Dislocation … Read more
– Evaluate Proximal Stem: – decide whether trochanteric osteotomy is required; – it is essential to avoid a proximal femoral frx while extracting the stem; – direct extraction of a femoral stem can be blocked by excessive cement or proximal bony overgrowth medial to the greater trochanter; … Read more
– Discussion: – arises from thickening and contracture of pretendinous bands: – inserts into skin distal to MP joint & into tendon sheath does not cause N/V displacement, but is responsible for MP flexion deformities which can be predictably corrected by surgical excision; – at a point just distal … Read more
– Discussion: – exactly contoured plates produce asymmetric compression (ie the near cortex is compressed more than the far cortex); – i.e., the far cortex may not be compressed at all; – when prebent plate is fixed to the bone, the bend is straightened out; … Read more
– Discussion: – this stage is both preclinical and preradiographic; – dx is suspected in one hip when other has definite disease, because it is known that there is high incidence of bilateral involvement; – this is the stage of the truly silent hip
(see Steroids) Adult: 20 mg PO qod, Max dose approx 85 mg PO qd. – Peds: 2 mg/kg/day References Intermittent glucocorticoid steroid dosing enhances muscle repair without eliciting muscle atrophy Weekly steroids strengthen, repair muscles. Steroids thought to waste muscles surprisingly turn out to be beneficial in weekly doses Prednisone in Duchenne dystrophy. A randomized, … Read more