Data Trace Editor – Discussion: – hip fusions acn occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone). – they also occur spontaneously due to ankylosing spondylitis; – surgical fusions are performed for young adults with advanced arthritis; – indications: … Read more
– See: – management of burns – ossification of soft tissues – hetertopic ossification – management of elbow flexion contracture – Excision of Hetertopic Bone About the Elbow: – hetertopic bone is most often located along the posteromedial aspect; – medial approach to … Read more
– Discussion: – w/ the knee flexed 70 deg, the patella apex is palpated, and a longitudinal stab incision is made just lateral to the border of the patellar tendon using a No. 11 or 15 knife blade; – placing the incision close to the lateral border of the patellar ligament facilitates inspection of the … Read more
– See: – Entrapment of Median nerve at the Elbow and Forearm: – Combined Injuries of the Median and Ulnar Nerves: – Median Nerve – Nerve Repair – Deficit: – loss of pronation of forearm, wrist flexors, index & long finger … Read more
– Discusion: – high pressure grease and paint guns are most common cause of injury, & site of injury is often the pad od the thumb or index finger; – severity of injury is often underestimated due to the small punctate entrance wound; – injected substance passes rapidly thru … Read more
– See: TKR following HTO: – Discussion: – indications for HTO: – associated conditions: – posterolateral corner deficiency – osteoarthritis of the knee: – motivation for procedure: – narrowed medial cartilaginous space may regenerate (and associated degenerative features may reverse) if weight bearing stresses are partially shifted from the medial to the lateral side of the … Read more
– For exposure to HBsAg positive materials such as blood contact; – Adult: 0.06ml/kg IM to maximum of 5ml; – w/in 24 hr of needle stick exposure; – w/in 14 days of sexual contact; – Repeat at 1 and 6 months after exposure; – Administered in gluteal or deltoid muscle; – Supplied in vial of … Read more
– Discussion: – screw is threaded at both ends and can be countersunk beneath articular surface, obviating the need for removal after frx has healed; – it is designed to achieve compression by use of a differential thread-pitch between its proximal & distal ends, and it has guiding jig that maintains … Read more
– Diff Dx: slipped vertebral apophysis – Discussion: – disc herniation is uncommon in children; – herniations are most common at the disc spaces between the fourth and fifth lumbar vertebrae & between 5th lumbar and 1st sacral vertebrae; – Clinical Findings: – children experience little or no back … Read more
– See: Diff Dx of Hand Infections – Discussion: – most often involves the tip of the digit; – occurs from contact w/ oral tracheal secretions and self inoculation (common w/ dentists); – incubation period from two to 14 days; – characterized by … Read more