Data Trace Editor – 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
– See: Ligaments of the Wrist – Exam of TFCC Injury: – tenderness is usually centered about dorsal depression distal to ulnar head, or it may be localized around the ulnar styloid; – patients may also note tenderness between the triquetrum and the ulnar styloid; – … Read more
– Discussion: – for streptococcus and staph when penicillin is contraindicated; – tetracycline works by inhibiting the 70s bacterial ribosomes; – adult:250-500 mg PO bid/qid (taken between meals); – IM/IV routes not recommended; – peds: RMSF: 25-50 mg/kg/day q6 hr for 7 to 10 days; … Read more
– Discussion: – tethered cord syndrome is more frequent in children who have a myelomeningocele at level of L4 & L5 as opposed to those who have a lesion at thoracic level; – diff dx: – hydromyelia: – while … Read more
– Discussion: – goal is to avoid a life threatening clostridium infection; – tetanus prone wounds: – greater than 8-24 hrs from injury to treatment – barnyard contamination (bite wounds are considered moderate risk); – devitalized … Read more
1) Prof. Ivan Martin, I was intrigued by your concept and indeed I understand the potential impact it could have. I would be thrilled to hear about the results of further clinical tests, possibly within a prospective, randomized trial, controlled vs the microfracture without resurfacing. Please let me know if you wish to further discuss … Read more
– Discussion: – terrible triad: (RHF + MCL + coronoid process frx) + elbow dislocation – in this injury there is little to keep the elbow reduced; – general operative considerations: 1) radial head: repair or replacement of the radial head (see ORIF or radial head) … Read more
– See Rotator cuff: – anatomy: – origin: middle half of the lateral scapular border; – insertion: inferior aspect of greater tuberosity of the humerus, capsule of shoulder joint; – action: – lateral rotation of humerus at the shoulder (responsible for 45% of power of external rotation); … Read more
– See: Abductors of the Shoulder : Origin: dorsal surface of inferior angle of the scapula on the lower 1/3 of scapular axillary border; Insertion: medial lip of bicipital groove of humerus; medial to latissimus dorsi tendon; Action: adducts and medially rotates humerus at the shoulder; extends the shoulder joint; Reversed origin insertion action: … Read more
– Discussion: – for bronchial Asthma and reversible bronchospasm; – contraindicated w/ diabetes, HTN, hyperthyroidism, cardiac dz, – Adult Dosing: – 2.5 – 5 mg PO qid or 0.25mg SQ; – may repeat once in15-30 min; – maximum: 5mg in 4 hr; – metered dose inhaler: q4-6hr; metereddose inhaler= 200mg/dose; Peds: – Peds <12: 0.05-0.15 … Read more