Data Trace Editor – See: Sensory latency – Discussion: – distal motor latency is the interval between the stimulus and the onset of the compound muscle action potential (CMAP) in the thenar muscles; – a motor conduction latency of more than 4.0 msec is significant; – incremental change of 0.4 msec in the … Read more
– See: MP joint in RA – Planning: – indications: – irretrievable articular cartilage damage; – volar subluxation; – dislocation are indications for surgery; – cautions: – cervical spine … Read more
– Discussion: – index finger is most commonly involved, often found in older pts w/degenerative arthritis; – Etiology: – muscular contracture or trauma; – collateral ligament or volar plate tethering on prominent MP head or osteophyte (on either side or volar aspect of metacarpal head); – torn palmar … Read more
– See: – Plating Techniques – Monteggia Fractures in Children – Discussion: – Giovanni Monteggia (1814) first described frx of proximal 1/3 of ulna in association w/ anterior dislocation of radial head; – hence dislocation of radial head w/ frx of proximal 1/3 of ulna is known as Monteggia’s deformity. – Mechanism: – proposed … Read more
Review Article: Drug Therapy: Moricizine
– Discussion: – adult: – 0.1-0.3 mg/kg/dose IM/IV/SC – 8-20mg PO q4hr, 30mg (MS Contin) PO q8-12 hr / 5-15 mg SQ/IM q4hr – IM/SC: Max. analgesic effect at 45-60 min; duration 3-4 hrs; t/2: 2-3 hr; … Read more
Discussion short trunk disproportionate dwarfism is established by age of 2 or 3 and progresses; inherited as autosomal recessive trait; children have normal intelligence and survive well into adulthood; pectus carinatum is also apparant; other problems include corneal opacity and abnormal dentition; type of mucopolysaccharidoses in which keratan sulfate accumulates in the tissues; measurement of … Read more
– see: structural bone grafts: – Discussion: – can be used to help recreate bone stock w/ protrusio, cavitary, or medial wall deficiency; – cannot be expected to provide ingrowth or stability, but over time the morselized graft can undergo revascularization and remodeling; – antiprotrusio cage or gap cup can be placed over the … Read more
– Evaluate for: – lateral talar shift: – medial clear space – deltoid injury – fibular shortening; – talocrural angle – tibiofibular line – fibular rotation, or lateral displacement; – tibiofibular line – syndesmotic integrity (see radiographs) – talar tilt: (stability) – osteochondral lesions of talus – Discussion: – fibular length, talar tilt, talar … Read more
– Discussion: – modified procedure includes release of adductor hallucis, transverse metatarsal ligament, and lateral capsule combined w/ excision of medial eminence and plication of the capsule medially; – this procedure was modified to retain the lateral sesamoid, which helps to prevent hallux varus (which as common w/ original Mcbride bunionectomy); – as this procedure attempts to … Read more