Data Trace Editor – Discussion: – occurrence of syndesmosis injury with Weber B / SER fractures – references: – Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures. – Syndesmotic instability in Weber B ankle fractures: a clinical evaluation. … Read more
– Discussion: – abnormally narrow intercondylar notches have been shown to correlate directly with an increased incidence of ACL tears; – w/ excessive internal rotation of the femur, the ACL may be ruptured as it impinges on the edge of the intercondylar notch; – notchplasty is used to widen the anterior portion and recess of the … Read more
1) Because WRIGHTLOCK rods have a smaller diameter than other systems, the rods will seem flexible. However, a fully assembled WRIGHTLOCK construct will create rigidity comparable to a large rod system. The OCS instrumentation helps ensure a maximum correction by allowing the surgeon to plan the strains in the rods. With a large rod system, … Read more
– Discussion: – non steroidals exert their actions by inhibiting isoforms of cyclo-oxygenase 1 and 2; – cox 1: expressed in the stomach and kidneys; – cox 2: – cox 2 receptor is not normally expressed in synovial tissue; – regulates inflammatory response and is responsible for disease symptoms; – Specific Agents: – Aspirin – … Read more
– Discussion: – nucleus pulposus consists of a network of delicate collagenous fibers in a mucoprotein gel rich in polysaccharide; – contains type II collagen; – nucleus has a high water content, apparently the result of imbibition by the gel; – it functions to resist compressive loads; … Read more
– See: – Proximal Pole Frx: – Bone Grafting of Scaphoid Non Unions: – Scaphoid Nonunions: – Radiographs: – need to determine whether there is AVN of scaphoid: – classic signs of AVN include: … Read more
– See: – Inotropic Agents – Discussion: – for hypotension refactory to high doses of dopamine ( >20 ug/kg/min); – is peripherally converted to dopamine; – Dosing: many patients require up to 40 ug/ml – titrate to blood pressure; – Peds: initially 0.1 ug/kg/min titrated to effect; – Method of Delivery: – infusion is prepared … Read more
– Discussion: – various stages of Fusion of the the basiocciput may be seen; – ranging from partial fusion, either anterior or posterior, to complete occipitalatlantal fusion; – atlantal-axial fusion anomalies are seen w/ equal frequency; – aplasia / Hypoplasia may involve any portion of the ring of … Read more
– Discussion: – for endogenous depression; tricyclic antidepressant; – adult: 50-100mg PO qhs; – increase to 300 mg/day if needed; – note many anticholinergic side effects including blurred vision; urinary retention, dry mouth; – as compared to other tricyclic antidepressants, nortriptyline has … Read more
– Discussion: – Non Union – General Discussion: – definition of fracture union: defined as bridging callus (ideally both cortices) on 2 orthogonal views with the disappearance of fracture lines – care must be taken not to mistake a pseudoarthrosis for a simple hypertrophic nonunion; – treatment of the pseudoarthrosis requires complete resection of the synovial tissue, and … Read more