The Hip - book

Forces Displacing Humeral Fractures

– Above the Level of the Pectoralis:     – frx above level of pectoralis allows proximal frag to abduct & rotate internally, owing to action of rotator cuff;          – pectoralis has greatest influence on shaft segment & tends to displace it medially and anteriorly; – Above the Deltoid:     … Read more

Forefoot and Toe Deformities

– See: Claw Toes – Discussion:     – in pts who have a rigid cock-up deformity of toe that is present at skeletal maturity, we perform arthrodeses of the proximal and DIP joints, removing wedges of articular cartilage and adjacent bone based dorsally to correct the deformity, shorten the toe, and allow for apposition of osseous surfaces … Read more

Fondaparinux / Arixtra

– See Lovenox – Discussion:     – synthetically manufactured pentasaccharide anticoagulant;     – inhibitor of antithrombin (see coagulation cascade);     – in contrast to heparins (which inactivate factor Xa and thrombin), fondaparinux only inhibits antithrombin;     – dosage: 2.5 mg SQ q24 Effect of low molecular weight heparin (dalteparin) and fondaparinux … Read more

Foot and Ankle Amputation

– Diabetic Foot – Treatment Considerations – Syme’s Amputation       – Ankle-level amputation. – Chopart Amputations:        – The Modified Chopart’s Amputation.        – Resurrection of the amputations of Lisfranc and Chopart for diabetic gangrene.        – Congenital Chopart amputation. A functional assessment. – Pirogoff:       – Pirogoff Amputation for Foot Trauma: An Unusual Amputation Level A … Read more

Foot and Ankle in CP

– Discussion:     – pattern of cerebral palsy influences type of foot & ankle deformities;     – ankle equinus:     – equinovarus:     – pes valgus:     – equinovalgus deformity:          – is more common in children w/ diplegia and spastic quadriplegia;          – … Read more

Foot Inclusion for External Fixators

– Indications:     – temporary fixation of foot to eliminate ankle & soft tissue motion at frx site may be needed w/ open frx treated w/ external fixators;     – patient w/ concurrent head injury or severe soft tissue wounds involving muscles that control ankle or foot motion;     – foot inclusion … Read more

Foot Lumbricals

      – See: Plantar Muscles of the Foot:   Origin: between the tendons of the flexor digitorum longus, except the1st, which arises from the middle side of the first tendon of           the flexor digitorum longus;   Insertion: on the medial side of the proximal phalanx, into the expansions … Read more

Folic Acid

– Macrocytic (folate deficiency) anemia; pregnancy;  – Adult: Supplement: 0.4mg PO qd;  – Pregnancy: 0.8mg PO qd;  – Folate defficiency: 1 mg PO qd/tid;  – Peds: Supplement: 0.04-0.4 mg PO/24 hr;  – Folate def: 0.5-1.0 mg/24 hr;  – Supplied tabs: 0.1mg, 0.4mg, 0.8mg, 1.0mg;  – Injection: 5mg/ml; 10 mg/ml