The Hip - book

Mechanism of ACL Tear

– See: Biomechanical Role: – Discussion:     – ACL tears most often occur during football and basketball in younger patients, and occur most often from skiing injuries in older patients;     – substantial anterior tibial shear forces that stress ACL are produced from quadriceps contraction, esp in 0-30 deg of extension;     … Read more

Mechanical Axis

– Discussion:     – mechanical axis refers to the angle formed by a line drawn from the center of the femoral head to the medial tibial spine and a            line drawn from the medial tibial spine and the center of the ankle joint;            – this should not be confused w/ the wt … Read more

Measures of Clotting Cascade

– See: clotting cascade – Prothrombin Time (PT) 11.5-13.5 sec – PT is used to evaluate extrinsic clotting mechanism: I, II, V, VII, X; – Prolonged: – coumadin; – vit K deficiency; – fat malabsorption – liver dz – Partial Thromboplastin TIME (PTT) 27-38 sec; – tests intrinsic & common coag pathways (XII, XI, IX, … Read more

MEAN CELL VOLUME (MCV)

Male 80-94 fL; Female 81-99 fL; Increased: Megaloblastic anemia (B12, Folate), Macrocytic anemia, Reticulocytosis, Down’s syndrome, Chronic Liver dz, ETOH; Decreased: Iron Deficiency Anemia, Thalassemia, occassionally w/ Lead poisoning

Matriectomy: for Nail Pathology

– Discussion:     – indicated for chronic ingrown toe nails or for any condition in which the nail shape is thickened and distorted; – Surgical Matriectomy:     – excision of matrix w/ scapel may be used but has high complication rate;     – for adequate exposure of the entire germinal matrix, two oblique … Read more

Mastocytosis

– Discussion:     – characterized by increased numbers of mast cells in vicera, principally liver, spleen, GI tract, and lymph nodes;     – skin may show numerous hyperpigmented macules that reflect dermal mast cell accumulation;     – symptoms of systemic mastocytosis are largely attributable to release of mediator substances from mast cells and include generalized puritis, … Read more

Martin Gruber Anastomosis

– Discussion:     – motor nerve may cross over from the median to ulnar nerve in the forearm; (motor connections but not sensory connections);     – it occurs in two patterns:     – from median nerve in proximal forearm to ulnar nerve in middle to distal third of forearm, & from AIN to … Read more

Marfan’s Syndrome

Discussion older names include dolichostenomelia (Greek for long, narrow limbs) and dystrophia mesodermalis congenital, typus Marfanis; inherited as an autosomal dominant trait with variable expressivity. characterized by long, thin limbs and by laxity of ligaments; Pathophysiology dz of collagen synthesis (possibly the alpha subunit) may have abnormal production of collagen type I (and ? type … Read more

MAPROTILINE/LUDIOMIL

    for depressive neurosis; manic depressive illness; major depressive disorder; anxiety associated with depression;  Dosage: Outpatient (mild to moderate depression):75mg PO qd in single or divided doses for 2 weeks; increase in 25mg increments until satisfactory response;  Inpatient (severe depression):100-150mg/day in single or divided doses; maximum recomended dosage is 300mg/day;  Note: this is contraindicated … Read more