The Hip - book

Calcitriol / Rocalrol / l,25-Vitamin D3

– See:       – abnormalities associated w/ vit D       – general discussion of vit D – Discussion:     – action of l,25-vitamin D3 is to increase absorption of Ca from intestinal tract;     – 1,25 Vit D is known mediator of bone resorption thru indirect action on osteoclasts;     … Read more

Calcium

– See: Calcium Supplements: – Ionotropic Action: for acute Hypotension; (will raise the blood pressure, no matter what the cause of HypoTN)      – comes as 1gm/10 ml in rapid injection syringes;      – 1/4 amp (2.5 ml) for mild hypotension;      – 1/2 amp (5.0 ml) for moderate hypotension;     … Read more

Calcium Regulation of Muscle Contraction

– Discussion:     – muscle contraction is regulated by calcium ions, which will change thin filament into an activated state by binding to troponin;          – release of calcium actives the myosin-ATP complex, which motors the sliding action between actin and myosin;     – in absence of calcium, troponin & tropomyosin interfere … Read more

Calcium Supplements

– See Vit D Discussion: – Discussion:     – calcium requirements:          – age  1 – 10:  800-1000 mg per day;          – age 11 – 35: 1200 mg per day;          – premenopausal:  1000 mg per day;          – postmenopausal: 1500 mg per day;   … Read more

Calcaneovalgus Foot

– Discussion:     – calcaneovalgus (congenital calcaneovalgus) refers to flexible flatfoot in infants and young children;     – frequently seen infant foot disorder w/ forefoot abducted and the ankle severely dorsiflexed;           – mild form may be seen in upto 30% of infants but a more severe form is … Read more

Calcaneus Fatigue Fractures

– Discussion:     – frx results from multiple compressive loads in wt-bearing activities;     – most often seen in military recruits;     – symptoms include pain and swelling on both sides of heel and exquisite tenderness to palpation on the lateral & medial aspects of the heel;     – diff dx … Read more

Calcar Femorale

– Discussion:     – dense vertically oriented bone that originates in posteromedial portion of femoral shaft under lesser trochanter;            – it radiates laterally toward posterior aspect of greater trochanter;     – it reinforces the femoral neck posteroinferiorly;     – calcar femorale fuses w/ posterior aspect of femoral … Read more

Calcar Pivot

– Discussion:     – windshield wiper effect (distal toggle);     – this really only happens w/ non cemented component with large collar;     – distal portion of the stem loosens and begins to pivot around collar;     – frequently seen w/ Moore prosthesis that does not fill medullary canal;     … Read more

Calcinosis

– Discussion:     – may be secondary to degeneration;     – symptoms include pain, tenderness, and erythema;     – treatment includes heat, rest, injections/aspirations, and surgery for larger deposits;     – calcinosis circumscripta occurs in SLE, RA, and scleroderma, usually  in fingers, & may be assoc w/ Raynaud’s phenomenon; – Calcification in a … Read more