The Hip - book

Cervical Stenosis

– See:       – Cross Table Lateral       – Spondylosis – Discussion:     – risk of spinal cord injury with damage to cervical vertebrae is greater in individuals who have narrow spinal-canal diameters;     – narrow mid-sagittal spinal-canal diameter increases risk of severe neurological injury from spinal frx or … Read more

Cervical Spondylosis

– See: – Cervical Stenosis: – Central Cord Syndrome – Soft Disc Protrusion: – SCIWORA Syndrome – Uncovertebral joints – Discussion: – refers to a combination of degenerative disc disease and osteophyte formation; – cervical spondylosis typcially begins to be seen at age 40-50, is seen in men > women, & most common occurs at … Read more

Cervical Radiculopathy

Cervical Radiculopathy: Diagnosis and Treatment Richard J. Nasca, MD Nasca RJ. Cervical radiculopathy: current diagnostic and treatment options. J Surg Orthop Adv. 2009;18(1):13-18. Introduction: Pain around the shoulder, arm and hand may be caused by irritation or compression of one or more cervical nerve roots. In the majority of patients, the symptoms are of short … Read more

Cervical spine in JRA

Discussion involvement can lead to kyphosis, facet ankylosis, & atlantoaxial subluxation; the majority of patients w/ polyarticular JRA may show C-spine involvement; Radiographs anterior erosion of the odontoid process; anterior posterior erosion of odontoid process; subluxation of C1 on C2; focal soft tissue calcification anterior to the ring of C1 ankylosis of apophyseal joints (often … Read more

Cervical Spine in Ankylosing Spondylitis

(see also: Spine in AS) Disussion patients with ankylosing spondylitis are prone to C-spine fracture following minor trauma; acute neck pain in a patient with ankylosing spondylitis is usually caused by a fracture through the ankylosed spine; site of involvement is most commonly near cervicothoracic junction (or C6-7); the fracture may extend thru the disc … Read more

Cervical Spine

                                                             – Management of the Spine Injured Patient:       – Physical Exam of the Cervical Spine:       – Radiology of the Cervical Spine: (Clearance of the CSpine in Trauma Patients)       – Spine Menu:       – Anesthesia in the Spinal Cord Injured Patient:      – AP … Read more

Cephradine/Velacef

Adult: 0.5 gm PO q6hr Good diffusion from blood into CSF only with inflammation; 80-95 % of dose will be excreted in urine (w/ nl R F(x))

Cephalothin/Keflin

– First Generation Ceph – 1-2gm q4hr IV or 125mg/kg/4-6hr,t1/2=40min;Inject; – Decrease dose with renal failure; – 60-70 % of dose will be excreted in urine (w/ nl R F(x)) – Contra with cephalo allergy, caution with penicillin allergy; – Good diffusion from blood into CSF only with inflammation;     – Note: Ratio of … Read more

Cerebral Palsy

        – Discussion:     – pattern of hip deformity in cerebral palsy depends on type and extent of neurologic impairment;     – non progressive neuromuscular disorder w/ onset before 2 yr resulting from injury to the immature brain;     – etiology includes:  perinatal infections (TORCH), prematurity (most common), anoxic injuries, … Read more