The Hip - book

Descending branch of the Lateral Circumflex Femoral Artery

– Discussion:     – this branch is one of the major communications between deep and superficial femoral systems of the leg;     – descending branch may arise separately from either femoral or profunda artery passes downward beneath Rectus Femoris;     – provides branches to Vastus Lateralis  & intermedius, accompanied by branches of Femoral Nerve, & … Read more

Descending Genicular Branch of superficial femoral artery

– Discussion:     – descending genicular artery  arises superomedially from from superficial femoral artery  just proximal to adductor hiatus, and then immediately, it              divides into the saphenous and articular branches;     – saphenous branch anastomosises w/ medial inferior genicular artery;     – articular branch: descends in the … Read more

Design of Acetabular Components

– Cementless Design:     – acetabular components that are to be inserted w/o cement should be designed to be portions of spheres so that spherical reaming will optimize contact;     – sufficient initial fixation is a requirement for osseointegration and secondary stability of press fit cups;     – surface coating:      – … Read more

DESIPRAMINE/NORPRAMIN

– for endogenous depresssion; is a tricyclic antidepressant; – Adult: 25-200mg/day in single or divided dose; usually as single HS dose; – Many anticholinergic side effects including blurred vision, urinary retention, dry mouth; – Note Side Effects: Sedation: +; Insomnia: 0; Anticholinergic:+; Orthostatic Hypotension: ++; Nausea: 0

Desmopressin (Synthetic Arginine Vasopressin) (DDAVP, Stimate)

– For Diabetes Insipidus (intranasal & parental); bleeding due to hemophilia A and Type I von Willebrand’s dz (parental); bleeding from esophageal varices; head trauma;      – it can transiently correct the bleeding time in most patients with chronic renal failure and other acquired disorders of platelet function; – DI: Intranasally: Adult: 0.1-0.4 mL (10-40 ug) … Read more

Dens Fracture

– See:        – Anatomy of C2        – Development of Dens        – Odontoid view:        – Pediatric Dens Frx: – Discussion:     – odontoid fractures are the most common upper Cervical Spine fractures;     – remeber rule of thirds – cervical cord occupies … Read more