The Hip - book

MRSA Infections:

– Discussion: (see MSSA)     – true methicillin resistance involves the production of enzymes which are able to maintain cell-wall integrity during growth and division even when beta lactams have inactivated penicillin-binding proteins (ie resistant to penicillins and cephalosporins);       – MSRA of are now present in both large and small non-teaching hospitals and in community … Read more

MSK Changes associated with Steroids

– 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

MSK: Orders for the CRF Patient

– See: Bone Disease associated with Renal Disease: – Discussion:     – serum Phos is kept between 4 to 5 mg/dl w/ phos binders w/ meals;     – diet should be supplemented with PO Calcium (1.0 to 1.5 gm/day);     – if PO calcium does not bring the serum calcium to a … Read more

MRI of Hip

– MRI Dx of AVN:      – diff dx: transient regional osteoporosis

Categories Hip

MRI of Skeletal Tumors

– Discussion:      – useful in planning surgery & limb salvage procedures;      – assists w/ preop planning for relationship of tumor to such adjacent normal structures as physes, joints, & N/V bundles; – Soft Tissue Tumors:     – specificity of MRI is poor;     – for planning limb salvage prosthesis, … Read more

MRI of the Spine

– See:       – MRI in Cervical Fractures       – Role of CT & MRI in Cervical Fractures       – MRI of Disc Herniation       – MRI diagnosis of Spinal Osteomylitis – Discussion:     – most sensitive and accurate method for screening patients with symptoms of a spinal cord lesion;     – … Read more

MRI References for Osteosarcoma

Magnetic resonance imaging in planning limb-salvage surgery for primary malignant tumors of bone. Imaging of intramedullary tumour spread in osteosarcoma. A comparison of techniques.

MRI Imaging of the Shoulder:

– Discussion:     – used to assess impingement syndromes (coronal oblique views) and less often glenoid pathology (transaxial views);     – it accurately identifes full-thickness rotator cuff tears;           – defects show up with high signal intensity traversing supraspinatus tendon on T2 images;           – … Read more