Data Trace Editor – See: – Carpal Instability – Ligaments of the Wrist – Discussion: – perilunate dislocation pattern provides a whole spectrum of wrist sprains, fractures, dislocations; – types of perilunate dislocations (in order of frequency): – transscaphoid-perilunate … Read more
– Studies that Do Support the Use of O2 for Prevention of Infection: – Supplemental Perioperative Oxygen to Reduce the Incidence of Surgical-Wound Infection – Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. – Studies that Do Not Support the Use of O2 for Prevention of Infection: … Read more
– See: – Epiphyseal Artery – Metaphyseal Artery – Nutrient Artery – Discussion: – forms an extensive network of vessels covers entire length of the bone shaft; – periosteal vessels send small branches thru minute channels in cortex to supply about outer … Read more
– See: Classification and Column Theory – Percutaneous Screw Placement: – anterior column screws can be placed either antegrade (from cephalad to caudad) or retrograde (vice versa); – implant: 7.3 or 8.0 mm cannulated screws; – C-arm is placed perpendicular to the superior pubic ramus; … Read more
– Discussion: – note that type II fractures may often not be amenable to percutaneous fixation because an acceptable reduction of the depressed fragment can be difficult to obtain; – part of the difficult lies in the fact that the depressed fragment is buried w/ in the plateau and is … Read more
– Discussion: – anatomy of the midfoot: – many orthopaedists have moved away from pin fixation because fixation must be rigid enough to prevent transverse plane & dorsoplantar motion of TMT joint and be maintained for at least 12-16 weeks; – this exceeds the length of … Read more
– Technique for Surgical Neck Frx: – use 2.5 mm terminally threaded AO Schanz pins; – following appropriate reduction, one pin is inserted thru lateral arm, at a point 8 cm distal to acromion in order to avoid axillary nerve; – second pin is inserted … Read more
– Discussion: – arises from posterior aspect of profunda femoris artery; – they course directly against linea aspera of the femur & tendonous insertions of adductor muscles; – inferior gluteus artery gives twigs to upper ends of muscle attaching to ischial tuberosity and transverse branch of MFCA appears … Read more
Insomnia, anxiety, convulsions, induced coma following severe head injuries; Peds: Sedative: 6mg/kg/dose PO or PR; Hypnotic: 2-6 mg/kg/dose IM or PO; Cerebral Edema: Load: 3-5 mg/kg IV x 1, then maintenance 2-3.5 mg/kg/dose q1hr prn to keep level between 25-40 ug/ml; Can be habit forming; can cause respiratory depression; may produce profound hypotension when used … Read more
– H2 blocker: – Cimetidine – Zantac – Pepcid – Nizatidine – Other: – Antacids – Omerprazole – Nexium – Carafate – Protonix – Aciphex (rabeprazole sodium): – proton pump inhibitor approved for … Read more