Ortho Oracle - orthopaedic operative atlas

Nerves Menu

Depolarization Disorders of Nerves Electromyography Entrapment Neuro Exam Menu: Repair of Nerves: Segmental Innerv. Lower Limb Nerve Injury (neuroma); Nerves: Anterior Interosseous Branch Axillary nerve Brachial Plexus Cluneal nerves Dorsal Scapular Nerve Femoral Nerve liohypogastric Nerve Ilioinguinal Nerve Inferior Gluteal Nerve Lateral Antebrachial Cutaneous Nerve Lateral Femoral Cutaneous Nerve Leg and Foot, Innervation of Long … Read more

Nerve Injury

– See: EMG – Nerve Injury Discussion:     – remember that in any case of presumed nerve injury, always consider whether an isolated compartment syndrome had occured; – neuropraxia: – least severe injury, is characterized by a conduction block (focal conduction block); – conduction across the zone of nerve injury is inhibited, however, conduction within the nerve both proximal and … Read more

Nerve Injuries in THR

– See: Total Hip Replacement Menu:             – arterial injuries: in THR              – nerve injury              – nerve palsy from TKR – Discussion:     – incidence of sciatic (tibial and/or peroneal) &/or femoral palsies after THR ranges from 1-3%;     – incidence of nerve palsy is 1-2% of primary … Read more

Nerve Entrapment

– See: – Carpal Tunnel – Cervical Disc Disease – Cubital Tunnel Syndrome – Nerve Entrapment: – w/ entrapment, nerve fibers are not affected uniformly; – superficially located fibers tend to bear the brunt of compression, while central fibers are relatively spared; – large diameter, heavily myelinated fibers are more sensitive to compression than poorly … Read more

Neomycin Sulfate

– Neomycin alone and a mixture of Bacitracin and polymxin should be effective against all strains except proteus;   – Evidence shows that 0.5% Neomycin solution irrigation may not decrease  infection, however, gentle scrubbing with this solution will dramatically decrease infections; (0.1% concentration is too weak);   – the side effects of these topical ATB … Read more

Neiserria Gonnorhea

– Discussion:     – most common form of septic arthritis in young adults;     – women are affected two to four times as often as men;             – disseminated infection may occur more frequently in women because gonorrhea in women is often asymptomatic, allowing                       for dissemination before symptoms … Read more

Necrotizing Soft Tissue Infections

– Discussion:     – necrotizing fascitits is any necrotizing soft tissue infection spreading along fascial planes, with or without overlying cellulitis;      – rapidly progressive inflammation and necrosis of subQ tissues and deep layer of superficial fascia with sparing of deep fascia and muscle;     – also called Meleney ulcer, NF is severe manifestation of … Read more

Navicular Stress Fracture

Discussion: Navicular stress fractures: a prospective study on athletes Tarsal navicular stress injury: long-term outcome and clinicoradiological correlation using both computed tomography and magnetic resonance imaging. Navicular stress fractures: outcomes of surgical and conservative management Outcome of conservative and surgical management of navicular stress fracture in athletes. Eighty-six cases proven with computerized tomography. Clinical and … Read more

Navicular Body Fractures

– Discussion:     – frx of body of navicular may be associated w/ mid-tarsal joint injuries;     – classification: 3 types:          – coronal plane fracture w/ no angulation of the forefoot;                 – displaced frx require ORIF w/ lag screw fixation;   … Read more