The Hip - book

Intramedullary Hip Screw for Intertrochanteric Fractures

 – Discussion: (see IM Nailing of subtrochanteric fractures)     – a type of intramedullary device (designed for intertrochanteric and subtrochanteric fractures) which allows               controled sliding of the femoral head screw within the IM nail glidign hole;     – advantages of IM device:               – IM nail with interlocking reconstruction … Read more

Interspinales

origin and insertion: pairs of small muscles joining the spinous process of adjacent vertebrae, one on each side of the interspinalis ligament; continuous in the cervical region extending from the axis to the 2nd thoracic vertebrae and in the lumbar region from the first lumbar vertebrae to the sacrum; action: extension and hyperextension of the spine; nerve … Read more

Intertrochanteric Fractures

– Discussion: – frx occur as a result of a fall – from direct and indirect forces; – occurs along lines between greater and less trochanters; – theoretically extracapsular, however, it is not always possible to distinguish betwee intertroch and basilar femoral neck frx; – extracapsular intertroch frx occur thru cancellous bone, which has an … Read more

INTERVALS

See:  – Rate  – Rhythm 1) PR : > 0.11 < 0.20 sec  2) QRS: < 0.12 sec  3) QT c : < 0.45 sec

Intervertebral Discs

    – See:       – Diskitis       – Herniated Disc in the Adult: (discussion and evaluation)       – Herniated Disc in the Child: – Structure:     – Annulus fibrosus:     – Cartilagenous End Plate:     – Nucleus pulposus: – Cervical Spine:     – see … Read more

Internal Rotators of the Shoulder

– Discussion:     – major internal rotators are teres major, latissimus, pect major;     – latissimus dorsi & teres major insert along medial lip of bicipital groove & pectoralis major along lateral lip and also serve as internal rotators;     – these muscles comprise larger mass than those that externally rotate the humerus … Read more

Internet Outcomes Study

– The Problem:      – External fixation is perceived as an inferior treatment method for management of tibia fractures even though there is scant evidence to support this in prospective studies.      – in the JTO 2000 special report by Seligson, et al, the authors conducted an international survey of treatment methods for tibia … Read more

Interosseous Membrane

– Discussion:      – almost completely bridges radius & ulna from proximal to distal R-U joint      – acts as a hinge for rotation of radius about ulna;      – fibers run distally in oblique direction from radius and ulna;      – central portion thickened in 3.5 cm band;     … Read more

Interpretation of Critical Care measurements

* PCWP: Pulmonary Capillary Wedge Pressure; Normal = 6 – 12 mm Hg; * CVP * jugular wave pattern * Cardiac Output * Shunt * A-a gradient * Compliance * Sampling of Mixed Venous O2:    – Shows changes in Arterial oxygenation as Cardiac Output changes;    – Allows calculation of AVo diff and Shunt[Shunt: … Read more