Data Trace Editor – Discussion: – epithelioid sarcoma is the most common soft-tissue sarcoma in the hand and most commonly occurs in young adults; – slow growing malignant soft tissue tumor, usually occuring in adults; – these are usually minimally symptomatic. – “pseudocapsule” or poorly circumscribed mass often attached to tendons, tendon sheath, or joint capsule; … Read more
– Discussion: – in polio, paralytic equinovalgus deformity results from paralysis of tibialis anterior and posterior, together w/ unopposed action of peronei and triceps surae; – os calcis is everted and is displaced laterally and posteriorly; – sustentaculum tali can no longer function as calcaneal buttress for talar head, which shifts medially and into equinus; – hindfoot … Read more
– See: ankle equinus: cerebral palsy – Discussion: – more common in spastic hemiplegia, and is caused by overpull of of the tibialis posterior and/or anterior tibial tendons; – try to determine which of these muscles is more pathologically involved; … Read more
– See: – Obstetrical Paralysis: – Upper Trunk Brachial Plexus Injuries in Adults; – Discussion: – most common birth related neuropraxia (about 48%); – lesion of C5 & C6 roots are usually produced by widening of the head shoulder interval (in some cases C7 is involved as … Read more
– produces swine erysipelas, surviving on decomposing fish, shell fish, meat – the organism penetrates the skin thru a small abrasion or wound and causes infection in fish handlers; – suppuration ordinarily does not occur, but the condition is accompanied by lymphangitis, lymphadenitis, swelling, and a tense, shiny appearance to the digit; – … Read more
Female soccer and basketball players have the highest rates of ACL injuries Female soccer players have more non contact ACL injuries than male soccer players Male and female basketball players have similar rates of contact and non contact ACL injuries The rates of ACL injuries can be reported as injuries/1000 hrs of exposure or injuries/exposure … Read more
– Discussion: – implantation of epithelioid tissues into deeper areas as a result of penetrating trauma; – often the inciting trauma occurs well into the past (patients may or may not remember); – mass is often mildly painful but is non tender, most often lies on … Read more
– Discussion: – inferior epigastric pedicle is long (8 to 10 cm) and reliable; – muscle width of 8 to 10 cm is limited, and the skin paddle is long & bulky when compared to the Latissimus Dorsi; – rectus abdominis muscle can be harvested thru either a transverse or … Read more
– See: Inotropic Agents * for Cardiac arrest, VF, Bradycardia, w/ hypotension, EMD: * Dose: 0.5-1.0 mg IV/ET or 1-4 ug/min IV, titrate BP q5min as required; hence give: 2.5-10 ml of 1:10,000 solution; (1mg in 10ml = 1:10,000) * Do not mix with Na Bicarbonate; * Must monitor BP; * Beta agonist with some … Read more
Images kindly provided by Donald Serafin M.D., Duke University Medical Center – Discussion: – epineural repair is currently the gold standard for repair, as no prospective studies have indicated than fasicular repair is superior; – it is probably most indicated w/ pure sensory or pure motor nerves; – Technique: … Read more