The Hip - book

Theophylline Drug Interactions and Toxicities

– Theophylline Clearance is Decreased by:  – Cimetidine (but usually not Ranitidine)  – Erythromycin  – Propanolol  – Allopurinol;   – Theophylline Clearance is Increased by:  – Dilantin  – Phenobarbital – Side Effects: Tachycardia, PVCs, N/V, HA, Seizures  

Thenar Space Infections

    – See: Infections of the Hand – Anatomy:     – extends mediolaterally from long metacarpal bone to the thenar eminence;     – extends proximodistally from transverse carpal ligament to just proximal to superfical palmar arch;     – borders of the thenar space include:             – … Read more

Theophylline

– See: Theophylline Preparations: Drug Interactions and Toxicities: Aminophylline;  – Discussion:  – for prevention of bronchial Asthma, reversible bronchospasm assoc w/ chronic bronchitis and emphysema;  – is direct relaxant of smooth muscle of bronchial airway & pulmonary blood vessels (bronchodilator and smooth muscle relaxant);  – Adult Dose:  – can only begiven PO;  – 24mg/kg/24hrs PO … Read more

The Ankle Joint

– See: Role of the Ankle in Gait     – Discussion:     – is a hinge joint w/ malleoli projecting downward from tibia & fibula forming medial and lateral walls of the mortise, encompassing talus;     – in addition, malleoli serve as pulleys for tendons reaching plantar surface of foot from posterior and lateral compartments of … Read more

The role of local antibiotic therapy in the management of compound fractures

Ostermann PA. Henry SL. Seligson D. Clinical Orthopaedics & Related Research. (295):102-11, 1993 Oct. Seven hundred four compound fractures (198 [28%] Grade I, 259 [37%] Grade II, and 247 [35%] Grade III) were treated during a seven-year period at the author’s institution. One hundred fifty-seven open fractures (22%) (Group A) received systemic antibiotic prophylaxis only, … Read more

Thenar Flap

– Discussion:       – can be used for coverage of finger tip injuries the index, long, ring, (and in some cases the little finger);       – can be used in children and young adults (esp. women) – Advantages:     – more subcutaneous fat available than cross finger flap     … Read more

TFCC Repair

– Discussion:     – indicated primary for traumatic peripheral ulnar sided TFCC tears;     – negative predictive factors for successful repair include concomitant ulnocarpal impaction syndrome (associated w/ degenerative tears) and peripheral radial tears (due to the relative avasucularity of the disc in this region;            – some surgeons feel … Read more

TFCC Tear: Associated Injuries

– See: Ligaments of the Wrist – Discussion:         – lunotriquetral interosseous ligament tear – relatively frequent occurance;         – scapholunate dissociation – less frequent occurance;         – ulnocarpal impaction syndrome (which can also mimic TFCC tear);                 – … Read more