Ortho Oracle - orthopaedic operative atlas

Group II Clavicle Frx – Distal Third Frx

– Discussion:       – comprise 12-15% of clavicular frx & are subclassified according to location of CC ligaments relative to fracture fragments;       – distal clavicle fractures may have a high incidence of non union but most of these are asymptomatic, and of these only a small number will be severe enough to require surgery; – … Read more

Group Fasicular Nerve Repair

– Discussion:     – indicated in cases where a minimal number of group fasicles can clearly be indentified;     – may be indicated in lacerations of the median and ulnar nerves in the distal forearm; – Operative Technique:     – expsure and debridement:          – see: phalangeal incisions:   … Read more

Griseofulvin/Fulvicin/Grisactin/Gris Peg/Grisfulvin

– For treatment of ringworm infections of the skin, hair, and nails that will not respond to topical agents alone; – Adult: Tinea corporis: 330-375mg PO qd for 2-4wks; – Tinea cruris: 330-375 mg PO qd for 2-4 weeks; – Tinea capitis: 330-375 mg PO qd for 4-6 wks; – Tinea pedis:660-750mg PO qd for … Read more

Grisel’s syndrome

– See: Atlanto-Axial Subluxation: – Discussion:     – atlantoaxial rotary subluxation in association w/ pharyngeal infection, occurs predominantly in children;     – it results in severe torticollis, resistant to manual therapy;     – > 5 mm of anterior displacement of arch of C-1 (Fielding type III) indicates disruption of both facet capsules as … Read more

Grice Arthrodesis

– Discussion:     – extra-articular arthrodesis which is useful in blocking subtalar motion in those patients who have no gross skeletal deformities but have             instability of the hindfoot;     – this arthrodesis is particularlly applicable in children, since there is little interference with future growth of the foot;     – spastic pes … Read more

Greater Tuberosity Fractures

– See: Fracture Dislocation – Discussion:     – isolated displaced greater tuberosity fractures are thought to occur in less than 2% of proximal humeral frx;     – greater tuberosity fragments w/ its attached rotator cuff will characteristically have a longitudinal tear in the cuff between the supraspinatus and subscapularis tendons;       … Read more

Greater Trochanteric Osteotomy

– See: Total Hip Replacement Menu:  – Discussion:     – indications for osteotomy:     – considerations for wire re-attachment:            – wires can theoretically undergo gavanic corrosion if they are close to or touch the metal implant;            – this is usually of little significance even if the wires … Read more