Data Trace Editor – See: Hand Tumors – Discussion: – cystic lesion (actually a ganglion) over dorsum of finger near DIP & fingernail; – it is associated w/ degenerative lesions and spur formation (Heberden’s nodes) over DIP joint; – ganglion may or may not be connected to DIP joint by a synovial stalk; … Read more
– Discussion: – multidirectional instability implies three-way subluxations or dislocations either anteriorly, posteriorly, or inferiorly; – these patients usually have no true Bankart lesion and incontrast patients have a capacious axillary pouch; – ref: The Effect of Variation in Definition on the Diagnosis of Multidirectional Instability of the Shoulder. – … Read more
– Negative influences on bone healing: – NSAIDS: – Effects of short-term treatment with corticosteroids and indomethacin on bone healing. A mechanical study of osteotomies in rats. – Antiinflammatory drug effects on bone repair and remodeling in rabbits. – Selective and Nonselective Cyclooxygenase-2 Inhibitors and Experimental Fracture-Healing. Reversibility of effects after short-term treatment. – Dose and Time-Dependent Effects … Read more
– Discussion: – surgical descision making: – Limb Alignment After Open-wedge High Tibial Osteotomy and Its Effect on the Clinical Outcome – Opening wedge high tibial osteotomy for symptomatic hyperextension-varus thrust. – The effect of a proximal tibial medial opening wedge osteotomy on posterolateral knee instability: a biomechanical study. – Osteotomy Options: … Read more
Foot Ankle Int. 1999 Jun;20(6):368-374 O’Brien TS, Hart TS, Shereff MJ, Stone J, Johnson J ABSTRACT BACKGROUND: A retrospective review was undertaken for 36 patients who underwent ankle arthrodesis. METHODS: Nineteen patients underwent an arthroscopic ankle arthrodesis, and 17 patients underwent an open arthrodesis. Only patients with limited angular deformities were … Read more
Foot Ankle Int. 2009 Jun;30(6):565-567 Lee KB, Cho YJ no abstract available Copyright © 2009 (Foot Ankle Int. Jun;30(6):565-567) by the American Orthopaedic Foot and Ankle Society, Inc., originally published in Foot & Ankle International, and reproduced here with permission.
– diff dx: – exercise-associated muscle cramping – Parkinson’s disease – amyotrophic lateral sclerosis – peripheral neuropathy – lumbar radiculopathy (S1) – metabolic myopathies (myopathic disorders) – low serum Mg and calcium – vitamin D deficiency – vascular insufficiency – hypothyroidism – diabetes mellitus – lipid-lowering agents, … Read more
ORIF of Calcaneal Frx Using Lateral Approach: – Preoperative Planning: – Surgical Stratedgy: – pt in true lateral position – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap); – extension from tuberosity to calcaneo-cuboid (watch peroneals) – reduction of critical angle of Gissane/ anterior process to … Read more
– Discussion: – T1 images w/ short TR & w/ short TE will provide the best anatomic detail; – T1 imaging is most useful for lesions involving marrow & subQ fat; – T1-weighted imaging also provides the highest signal-to-noise ratio and is therefore optimal for evaluating … Read more
– See: Steroid Menu – Discussion: – daily doses of more than 5 to 7.5 mg of prednisone or its equivalent should be avoided because of side effects produced by glucocorticoids, esp diminishing of bone mineral content; – low dose (5 to 7.5 mg PO qd) may benefit certain pts … Read more