Data Trace Editor – See: – Burns of the Hand – Chemical Burns – Electrical Burns – Frost Bite – Initial Management: – trauma management: – patients require a generalized trauma assessment w/ all clothing removed; – determine nature of the burn (flame, chemical, electrical); … Read more
– Anticoagulant Induced Bleeding: – Coags – Coag Pathway – Platlet abnormalities: – Transfusion Rx – Dilution Coagulopathy: – may result from massive transfusions; – rarely occurs w/ < 12 units of transfused pRBC, but occurs in nearly all pts that have received > 20 units of pRBC; – note: coagulopathy associated with … Read more
– Discussion: – proximal tibiofibular joint will prevent valgus correction unless fibula is shortened or tibiofibular ligaments are removed; – transection if tibiofibular ligamets: (preferred technique) – performed thru same incision as for osteotomy; – proximal tibiofibular joint capsule is disrupted … Read more
– See: Tumors of Soft Tissue – Prognosis: – prognosis of malignant melanoma worsens w/ increasing tumor thickness and also appears to be related to tumor site, age, and sex; – lesions on the scalp, hands, and feet, particularly in older pts and males, all have a poorer prognosis; … Read more
– Discussion: – malleolar screws with cortex thread, shaft & trocar tip have limited use in the metaphyseal area, distal humerus, trochanteric area, & sometimes in the ankle, where the bone is rather dense; – malleolar scew has a smooth shaft and is partially threaded; – … Read more
– See: – Phalangeal Injury – Pediatric Mallet Finger – Mallet Frx – Anatomy: – extensor mechanism of digits; – terminal extensor tendon is comprised of the convergence of lateral bands, and more proximally by terminal fibers of the oblique retinacular ligament; – Acute Injury: – from forcible flexion of the extended DIP joint: – … Read more
– Non Operative Treatment: – indicated for small (< 30-40%) fragment or displacement < 2 mm; – use mallet finger splint; – Indications Operative Treatment: – fragments > 30% of joint surface or displacement > 3 mm may require ORIF; – volar subluxation from mallet fracture: – needs to be re-evaluated after application … Read more
– See: Distal Phalangeal Frx Mallet Finger – Discussion: – may result from forceful hyper-extension; – displaced frx fragment moves volarly with the distal phalanx w/ DIP flexion – diff dx: dorsal DIP dislocation; – indications for treatment: – … Read more
– Discussion: – refers to flexion posture of DIP; – may occur as isolated disorder or along w/ hammer toe deformity; – this deformity occurs most often in 2nd toe, which is frequently the longest & which is impinged in a tight fitting shoe, causing DIP flexion; – mallet toe is common in diabetics with … Read more
– See: Bone Tumor Menu: – Osseous Sarcoma: – occur less often in bone than in soft tissue; – occurs in older patient population & may arise out of Pagets Dz or from a bone infarct (such as sickle cell); – it usually presents as an aggressive stage IIb … Read more