Ortho Oracle - orthopaedic operative atlas

Traumatic Dislocations of the Knee

  – Discussion:     – mechanism of injury:            – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries);            – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more

Trapezius

                        – Discussion:     – trapezius and serratius anterior  stabilize scapular base from which the arm operates;     – trapezius, which arises from spinous processes of  cervical and thoracic vertebrae  & inserts on spine of scapula            and acromion, is innervated by spinal accessory nerve and branches from third … Read more

Trauma Workup

I. Combat/Disaster Injuries II. Battlefield/Austere Environment Trauma Systems III. Extremity Soft Tissue Care and Amputation in an Austere Environment – ATLS Assessment:  (General Approach to Trauma) – ref: Evolution and Development of the Advanced Trauma Life Support (ATLS) Protocol: A Historical Perspective – airway protection: – anesthesia menu:  virtual anesthesia textbook / intubation menu – anesthesia consideration for … Read more

Trauma Management:

– Advanced Cardiac Life Support (ACLS)     – ACLS     – Iowa Family Practice Handbook     – AHCPR Guidelines     – eMedicine Online Text – Advanced Trauma Life Support (ATLS)       – Assessment of Perfusion/Shock: damage control orthopaedics               – blood pressure (systolic), heart rate, urine output (30 mL/hr) body temperature;               – labs: … Read more

Trauma and Fractures Menu

(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more

DVT Risk Reduction – Trauma, Pelvic Fractures, and Extremity Fractures

Prevention:      – coumadin, low molecular weight dextran, adjusted dose heparin, or low molecular weight heparin are proven effective for patients undergoing elective surgery Low Risk Trauma Patients w/ Lower Extremity Fracture:       – prophylaxis may be considered for patients with risk factors (female, obese, birth control, smoking ect).       – references:    … Read more

Tranylcypromine/Parnate

Tranylcypromine is a non-hydrazine MAOI. – usual effective dose of tranylcypromine is 30 mg/day, usually given in divided doses.  maximum dose of 60 mg/day, in divided doses. – effects of tranylcypromine are observed after 10 days of treatment; – monoamine oxidase inhibitory effects may be observed for 3 to 10 days after administration is discontinued; … Read more

Transverse Metacarpal Fractures

    – Discussion:     – usually result from direct blow;     – presents w/ dorsal angulation & increased palmar displacement of metacarpal heads because of deforming force of interosseous muscles and long flexor muscles, which are volar to the fracture plane;     – more proximal frxs (ie, shaft frx) are more likely to … Read more