Papaverine
Double-blind, randomized, controlled trial of papaverine-containing infusions to prevent failure of arterial catheters in pediatric patients
Data Trace Editor
Papineau Technique
– Discussion: – type of open bone grafting technique in which wounds are packed w/ cancellous bone w/ no attempt at soft tissue coverage; – may be indicated for infected non unions; – Technique: – for this to be successful the wound must be clean and have adequate blood … Read more
Paprosky classification of Acetabular Defects
– See: – Total Hip Replacement Menu: – Acetabular Component Revision: – Acetabular Defects Grafting Options: (frozen allograft) – Dysplastic Hip: – Acetabular Radiographic Evaluation – Posterior … Read more
Pamidronate
– Discussion: – much more potent bisphosphonate than etidronate, has also proved to be effective therapy for hypercalcemia; – three different regimens have been used: slow IV infusion of 15-45 mg daily for upto 6 days; – single 24-hour IV infusion of up to 90 mg References: Efficacy of pamidronate … Read more
Pancrease
– Dose: Enteric coated: 1-2 caps w/ meals, & cap w/ snacks; Non-enteric coated: 3-12 tabs or 1-4 tsp. w/ ea meal; – Precautions: – may cause occult GI bleeding, diarrhea, allergic reaction, hyperuricemia, hyperuricosuria with high doses
Panner’s Disease / Osteochondrosis
– Discussion: – disease involving capitulum of distal humerus that produced changes similar to those observed in Legg Calve Perthes disease; – it should be distinguished from osteochondritis dissecans (which occurs in the older child or adolescent – older than age 13 years); – pathologic process is … Read more
Evaluation of the Painful Total Hip Replacement:
– See: THR Main Menu and Radiographic evaluation of THR – Discussion: – normal gait adaptions: – trendelenburg limp after THR is a clinical sign of gluteal insufficiency; – static trendelenburg sign: drop of the pelvis on the contralateral side while the individual stands on the operative side; – many patients will compensate for … Read more
Painful Total Knee Arthroplasty: Component Misplacement
– Discussion: – malposition of the joint line: – varus tibial component positioning – AP and lateral mechanical axias views can often identify subtle malalignment – flexion of femoral component: – will result in loss of full … Read more
Palmar Cutaneous Branch of Median Nerve
– Discussion: – palmar cutaneous branch of median nerve arises from radial border of median nerve approximately 5 to 6 cm proximal to distal transverse flexion crease of the wrist; – it runs along the median nerve for 2 to 3 cm, and then runs along the ulnar border of the flexor carpi … Read more
Palmar Interossei
– See: – Intrinsic Muscles of the Hand – origin: each from the 2 metacarpal bones between which it inserts; – insertion: – proximal phalanges of the 2nd, 3rd, and 4th digits & posterior expansion of the finger extensor tendons; – action: – 1st abducts index finger, … Read more