Data Trace Editor Clinical Stage Clinical Findings Treatment Newborn Dislocated Dislocatable < 6 mo Dislocatable Unreducible > 6 mo Unreducible Failed Reduction > 3 yr Dislocated + Ortolani + Barlow + Ortolani + Ortolani + Ortolani > 5 mm medial die pool Trendelenburg gait Pavlik harness Pavlik harness Pavlik harness … Read more
– Normal Values: Adult: 45-125 U/L, Child 20-150 U/L; – Increased: – increased calcium deposition in bone – hyperparathryroidism – pagets disease – osteomalacia / rickets: in both cases there is failure of mineralization; – caffey’s syndrome (infantile cortical hyperostosis) – osteoblastic bone tumors (metastatic or osteogenic sarcoma) – alk phos level is high in … Read more
– Early Example – Late Example treated w/ Knee Fusion and Modified Boyd
– See: Hallux Valgus Menu: – Discussion: – indicated for hallux valgus interphalangeus – when deformity is located at IP joint; – some authors feel that this procedure is better suited as a salvage procedure; – procedure consists of a closing lateral wedge osteotomy of proximal phalanx combined w/ excision of medial eminence; – may … Read more
Discussion consists of polyostotic fibrous dysplasia, cafe’-au-lait spots of “coast of Maine” variety, and premature menses; it is more common in girls than boys and accompanies approx 1 in 30 cases of polyostotic fibrous dysplasia; there is appreciable coincidence of other endocrinologic dz including hyperthyroidism & Cushing’s dz as well as hyperparathyroidism and hypophosphatemic rickets; in polyostotic cases of … Read more
– Discussion: – B agonist; – for brochospasm in reversible airway dz and for relief in exercised induced bronchospasm; – adult: – 2-4 inhalations q4-6hr or 2-4 mg PO tid/qid; nebulized 2.5-5mg in 3ml NS (supplied in 5 mg/ml solution); … Read more
– Discussion: – onset- usually a few hours to 10 days after last drink (Usually 6-48 hr); – early symptoms: tend to be mild; – nausea, vomiting, anorexia, insomnia, diaphoresis, agitation, tachycardia, HTN, if seizures occur, – common abstinence syndrome, occurring at 6-8 hr, is the earliest withdrawl syndrome and is often present when the … Read more
– See: Skin Prep; – alcohols are most effective on clean skin; – the most effective alcohol concentration is between 70 and 90% – alcohols may not kill all spores; – as a drawback it has a skin dessicating effect
(See: – Pediatric Lateral Condyle Frx) Discussion frxs of lateral condyle that involve capitulum alone or extend medially to involve the lateral portion of trochlea; see capitellum fracture Lateral approach » typically the plate is positioned posteriorly, and can be placed if needed as far as the posterior aspect of the capitellum; remember that the … Read more
– See: Pediatric Radial Neck Frx – ORIF of radial neck frx in adults: – similar principles as radial head frx – see: posterolateral approach: – consider the new precontoured radial head locking plates; – careful not to injure posterior interosseous nerve – safe zone: – radial head is covered by cartilage on 360 degrees of … Read more