Ortho Oracle - orthopaedic operative atlas

Ligamentous Instability

– See:    – Flexion and Extension Views    – SCIWORA Syndrome: – Anterior Ligamentous Disruption:     – detected by presence of small anteroinferior avulsions and segmental disc widening;     – ligaments include: anterior longitudinal ligament & Annulus fibrosus;     – w/ complete cervical dislocation from anterior ligament failure, more stable internal … Read more

Ligaments of the Wrist

– Volar Wrist Ligaments: – ligaments of wrist are most highly developed on palmar side of wrist; – palmar wrist ligaments originate laterally from radial styloid, & are directed in a distal ulnar direction; – intrinsic ligaments: – radial ligaments arise on palmar facet of radial styloid passing on to capitate; – ulnar sided intrinsic … Read more

Lidocaine/Xylocaine

– Local Anesthetic Actions – Systemic Actions:    – see: class I cardiac agents    – for management of ventricular ectopy ( >5 PVC/min or any PVC after acute MI) including VT & V Fib;    – initial bolus:            – given as a bolus of 1 mg/kg (50-100mg) initially;            – additional boluses of 0.5 mg/kg are given subsequently … Read more

Ligament Healing Characteristics

See: – Biomechanics of ACL: – Effects of Immobilization:     – immobilization significantly decreases strength and energy-absorbing capacity of rabbit bone-ligament-bone preparations;     – effect is most obvious at the ligament-bone junction;            – under conditions of stress deprivation, there is increased osteoclastic activity at the junctional region of … Read more

Levaquin / Levofloxacin

– Discussion:     – dose 500 mg PO q24 Efficacy of high doses of levofloxacin in experimental foreign-body infection by methicillin-susceptible Staphylococcus aureus.

Levator Scapula

  origin: transverse process of 1st 4 cervical vertebrae insertion: vertebral border of scapula between superior medial angle and scapular spine; action: elevates scapula to inferiorly rotate glenoid cavity; working with the upper Trapezius , elevates and adducts scapula; reversed origin insertion action: when scapula is fixed, laterally flexes and slightly rotates cervical spine; nerve supply: dorsal … Read more