Ortho Oracle - orthopaedic operative atlas

Angiosarcoma

(See: Soft Tissue Menu) Discussion high grade sarcomas of vascular origin; occur most often in middle aged persons; when the tumor arises in bone, it frequently extends up and down the bone w/ distinctive pattern of “soap bubble” lesions; sub-types: hemangioendothelioma – more common in bone than in soft tissue hemangiopericytoma – more common in soft … Read more

Aneurysms of the Upper Extremity

Discussion pulsatile, tender mass vasospastic symptoms (burns’s) digit ischemia and/or gangrene embolic showers from mural thrombi adjacent nerve compression may be erythematous and mimic an abscess systolic bruit or thrill Exam allen’s test may be positive if the aneuysm is occluded; perform digital Allen’s test; Treatment surgery recommended due to risk of thrombosis & peripheral … Read more

Aneurysmal Bone Cyst

– Discussion:     – non-neoplastic expansile lesion consisting of blood filled spaces separated by connective tissue septa containing bone or osteoid              and osteoclast giant cells     – etiology unknown     – may be primary or secondary;     – an uncommon expansile osteolytic lesion of bone consisting of a proliferation of … Read more

Anesthesic Considerations for Spine Patients

– Pre-anesthetic Considerations:     – in spine injured patients, anesthesia is necessary even if the extremity is insensate inorder to prevent spasm and automatic dysreflexia;           – need to monitor for automatic dysreflexia (spinal anesthesia preferred);     – be aware that acture high paraplegics, because of generalized venous dilation, … Read more

Anemia w/u Labs

– Folic Acid / B12 deficiency – Iron: – Males 65-175 ug/dL; Females 50-170 ug/dL          – increased: – hemochromatosis, hemosiderosis caused by excessive iron intake, excess destruction or decreased production of erythrocytes, liver necrosis;          – decreased: – Anemia of Infection and Chronic dz, Cirrhosis, Nephrosis,  – Iron Binding Capacity (total) TIBC: – 250-450 ug/dL;          – normal … Read more

Anconeus

  origin: posterior surface of lateral epicondyle of humerus; insertion: lateral side of olecranon process and posterior surface of proximal portion of ulna; action: extension and pronation of the forearm at the elbow; nerve supply: radial, C5, C6; synergist: triceps brachii The aconeus muscle flap: its anatomy and clinical application.

Positioning and Direction of Rotator Cuff Anchors

(see rotator cuff repair menu) Bone Anchor Direction modified convergence technique: bone anchors are inserted at anterior aspect of supraspinatus foot print; direction of insertion: insertion of anchors at a 45 deg angle to the bone surface is recommended;   References The deadman theory of suture anchors: observations along a south Texas fence line. A … Read more

Anatomy of the Upper Limb

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”> hr size=”3″/> img src=”/image4/arma4.jpg” usemap=”#arma4″/> from b>An Atlas of Human Anatomy/b> by Carl Toldt, M.D., 1919. /div>br/>hr/>br/>br/> /div>

Anatomy of the Upper Limb

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”> hr size=”3″/> img src=”/image4/arma3.jpg” usemap=”#arma3″/> from b>An Atlas of Human Anatomy/b> by Carl Toldt, M.D., 1919. /div>br/>hr/>br/>br/> /div>

Anatomy of the Upper Extremity

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