Data Trace Editor – Discussion: – compartment syndromes can occur in the foot as in other parts of body; – mechanism of injury is severe local trauma, & assoc skeletal injury may be minimal; – classic symptoms & signs are progressive pain, numbness in toes, and decreased motion, however, these are the same symptoms … Read more
– Discussion: – many surgeon use 30 mm Hg as the cut off for performing fasciotomy; – diastolic pressure: (Whiteside’ Theory): – development of a compartment syndrome depends not only on intra-compartment pressure but also depends on systemic blood pressure; – DBP – CP should be greater than 30 – references: – Diastolic … Read more
– Discussion: – pathophysiology: – compartment syndrome is elevation of interstitial pressure in closed fascial compartment that results in microvascular compromise; – as duration & magnitude of interstitial pressure increase, myoneural function is impaired & necrosis of soft tissues eventually develops; – intracompartmental pressure: … Read more
– Discussion: – comminuted frx of fibula tend to result from high energy injures resulting from direct lateral trauma or vertical loading; – associated injuries include: – impaction frx of lateral tibial plafond; – metaphysis of tibia (Pilon frx); … Read more
– See: – Avulsion Fracture – Comminuted Fractures – Excision of Olecranon: – Fracture Dislocations – Oblique Fractures – Radial Head Fractures: – Surgical Approach: – Transverse Fractures – Discussion: … Read more
– Discussion: – see: Winquist Classification – sign of high energy trauma: more blood loss, systemic complications, and fat embolism syndrome; – all cortical contact is lost; – simple cloverleaf nails are contraindicated w/ type III and IV comminuted frxs because of risk of shortening of frx about nail; – small diameter nails fail to … Read more
– See: Nerve Repair: – Discussion: – digit flexors are restored by transferring ECRL to FDP tendons; – FPL is reinforced by Brachioradialis and, in certain instances, the distal joint of the thumb is arthrodesed; – MP joint of the thumb is arthrodesed if this joint is unstable; … Read more
– See: Distal Radius Frx Menu / Intra-Articular Fractures of the Distal Radius – General Discussion: – frx was described by Abraham Colles in 1814, originally described as low energy extra articular frx of distal radius occuring in elderly individuals; – frx is typically dorsally displaced and angulated; – mechanism: – fracture is also caused by … Read more
(See also: Total Hip Replacement Menu) Discussion stress transfer to femur is desirable because it provides physiologic stimulus for maintaining bone mass & preventing disuse osteoporosis; if prosthesis has a collar that is seated on the cut surface of the neck or if there is a layer of cement in contact with the bone and undersurface of the … Read more
– See: Infections of the Hand – Discussion: – type of web space infection, which involves both palmar and dorsal sides; – frequently arises from a distal palmar callus, but spreads to the dorsal side; – spread of infection is limited by palmarly by the adherence of the palmar … Read more