Data Trace Editor Discussion used to retard the progression of rheumatoid arthritis; may substitute for methotrexate or sulfasalazine; liver enzymes should be monitored during treatment; loading dose: 100 mg PO qd for 3 days followed by maintenance dose of 20 mg PO qd; this medication can be given to patients recieving non steroidals and/or steroids
– Discussion: – rate limiting step in prostaglandin and Thromboxane A2 biosynthesis is liberation of arachidonic acid from phospholipids, making free fatty acid available for metabolism by cyclooxygenase; – Prostacyclin and Thromboxane are formed from arachidonic acid
– Positioning: – foley and appropriate IV access established; – place patient into left lateral decubitus position (L side up) – break table in the middle; – Incision and Exposure: – incision is made along 10th rib which then curves along anterior abdomen as appropriate (based on size of patient); – 10th rib is identified, … Read more
– See: – Plating Techniques – Technique: – incision begins in front of radial styloid process, extending proximally in straight line along anteromedial border of the brachioradialis; – brachioradialis is reflected laterally to expose superficial radial nerve in proximal portion; – avoid injury this nerve as … Read more
– Discussion: – in most cases, antegrade screw insertion across the fracture site, will result in fracture site compression; – once the medial threads have passed the fracture site, fracture compression usually takes place; – remove one of the two hexagonal nuts, and then advance the remaining screw up … Read more
– See: – Orthofix – Over Distraction of Wrist Joint – Positioning: – supine, hand table, flouro; – prep for contralateral iliac crest (ipsilateral w/ less personel); – Frame Configuration: – Lateral Frame: – 45 deg Oblique Frame: … Read more
– Discusison: – w/ application of severe AP force, hemipelvis rotates externally until posterior iliac wing contacts posteior sacrum; – continued force rips posterior SI ligaments, completely dissconecting hemipelvis from the sacrum; – APC III have highest rate of assoc injury, including retroperitoneal bleeding; – by definition then, an … Read more
– Discussion: – involves tearing of both anterior SI ligaments of floor of pelvis (sacrotuberous and sacrospinous); – involves a widened anterior SI joint & injury to anterior ring (usually a symphysis diastasis) best seen on the Inlet view; – may be bilateral or unilateral; – this … Read more
– Discussion: – anterior SI ligaments are stretched; – radiographs show slight (< 2 cm) widening of the pubic symphysis and often imperceptable widening of the SI joint; – results from low energy forces Surgeon Variability in the Treatment of Pelvic Ring Injuries Stress radiograph to detect true extent of … Read more
– See: – PA View – Radial Inclination – Discussion: – AP has the dorsum of the hand touching the film, with the x-ray beam passing palmar to dorsal, whereas in a PA film, the palmar surface lies flat on the film and the x-ray beam passes from the dorsal to palmar surface; – palmar … Read more