Glenohumeral Joint
– See: Shoulder Menu: – Anatomy: – GHJ has a greater ROM than any other joint; – Bony Anatomy: – its shallow, & is more akin to a grapefruit in saucer than ball in socket. – lack of bony stability & wide ROM … Read more
– See: Shoulder Menu: – Anatomy: – GHJ has a greater ROM than any other joint; – Bony Anatomy: – its shallow, & is more akin to a grapefruit in saucer than ball in socket. – lack of bony stability & wide ROM … Read more
Eye Opening Spontaneous 4 To Voice 3 To Pain 2 None 1 Verbal Oriented 5 Confused 4 Inappropriate Words 3 Incomprehensible Words 2 None 1 Motor Obeys Command 6 Localizes Pain 5 Withdraw (pain) 4 Flexion (pain) 3 Extension (pain) … Read more
– Discussion: – this procedure allows long toe flexors to behave like intrinsic muscles producing active plantar flexion at MP joints & extension at IP joint; – indicated for flexible hammer toes and claw toes; – inform pt that toe ischemia sometimes follows correction of this … Read more
– Girdlestone: – references: – Treatment of chronic infected hip arthroplasty wounds by radical debridement and obliteration with pedicled and free muscle flaps. – Management of the Recalcitrant Total-Hip Arthroplasty Wound. – Resection arthroplasty of the hip
– Discussion: – GCT of tendon sheath are not really tumors but reactive lesions, which are similar to PVNS; – they do not always arise from the tendon sheath but may arise from the synovium; – it is the second most common benign hand tumor next to ganglions; … Read more
– Discussion: – a common benign but locally aggressive lesion of unknown etiology; – occurs chiefly in men between 20-50 yrs (after epiphyseal closure); – tumor is expansile lytic lesion that involves the epiphysis & metaphysis; – tumor may enlarge to occupy most of epiphysis & adjacent metaphysis; … Read more
– Discussion: – bilateral angular deformity: common and is most often physiologic; – normal knee alignment progresses from 10-15 deg of varus at birth to maximal valgus angulation of 10-15 deg at age of 3-3.5 yrs; – neutral alignment: … Read more
– dosage must be adjusted in pts with impaired renal failure to assure adequate, but not excessive, blood levels; – one method of dosage adjustment is to increase the interval between administration of the usual dosages; – the interval between doses (in hrs) may be approximated by multiplying the serum creatinine level (mg/100 ml) by 8; … Read more
– See: Aminoglycocides – Discussion: – indicated for serious Gm Neg infections caused by suseptable Pseudomonas, Proteus, E. coli, Klebsiella, Enterobacter sp., Serratia, and Gm Neg Sepsis; – as with all aminoglycocides, gentamicin binds to bacterial ribosomes and inhibits protein synthesis; – tobramycin is more active than gentamicin against Pseudomonas, including … Read more
– Discussion: – arises from L1 and L2; – in abdomen, it descends on anterior surface of Psoas and then divides into genital and femoral branches; – genital branch innervates cremaster muscle and gives twigs to scrotum and adjacent thigh; – femoral branch passes under inguinal ligament & … Read more