Data Trace Editor – Tensioning the Graft: – as a muscle is tensioned to mid stretch, most of the potential energy generated results from passive tension of elastic recoil; – note that the tenodesis effect can effectively increase tendon excursion by 2-3 cm; – Mayer’s Rule: – … Read more
– Forearm: – in the report by Edwards et al, the authors performed a prospective study was undertaken to compare the use of forearm and upper arm tourniquets for local anaesthetic procedures on the hand; – 100 consecutive patients with an upper arm … Read more
– Discussion: – uremic bleeding is associated with platlet dysfunction and is corrected with DDAVP (desmopressin); – platelets from patients w/ chronic renal failure frequently show defects of the biochemical responses necessary for aggregation and secretion, such as an increase in cytoplasmic free-calcium levels; – both prolongation of bleeding … Read more
– Urinary Injuries: – see: renal / urogenital trauma – frx patterns at risk: – Malgaigne frx: rupture of bladder & urethra occurs in 20 % of patients; – pubic rami frx: (especially from straddle injuries); … Read more
– UTI in the Spine Injured Patient Management: – Rx with ATB’s, pending urine culture – Consider single dose therapy for symptomatic non-pregnant women with no known anatomic abnormalities; – Follow up culture in 7 to 14 days; – Prolonged therapy (7-10 days) is for symptomatic men, pregnant women or patients with … Read more
– Discussion: – upper extremities are involved in as many as two-thirds of pts who have peripheral neuropathy, but the involvement tends to be milder & to become clinically symptomatic at later age than does involvement of the lower extremities; – intrinsic-minus hands develop with decreased stability
– See: – Amputation of the Finger and Hand: – Above-Elbow Amputation – Below-Elbow Amputation – Upper Extremity Prosthetics: – Wrist Disarticulations – General Considerations: – Disability: – loss of one upper extremity … Read more
– Discussion: – it is important that the injection site be at distance proximal to site of injury; – if this cannot be performed w/ ease, retrograde axillosubclavian technique should be utilized; – insertion of needle into brachial artery is facilitated by immobilizing artery against humerus; … Read more
– Wrist: – exam: flexed & ulnarly deviated – synovectomy: – synovectomy is most indicates before joint changes occur; – flexion deformity: – 30 deg wrist flexion deformity can be treated by serial splinting & casting; … Read more
– Terminal Devices: – Functional Hooks vs. Cosmetic Hands; – Hooks: Voluntary opening vs closing: – voluntary opening: – more popular & are recognized by their numbers of rubber bands (# is proportional to pinch strength, w/ 3 bands equal to about … Read more