The Hip - book

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

TFCC: Examination

– 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

Tetracycline

– 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

Tethered Cord Syndrome

– 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

Tetanus Prophylaxis

– 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

Testimonials

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

Teres Minor

  – 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

Terrible Triad of the Elbow

– 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

Terazosin / Hytrin

– alpha blocker, decreases sympathetic tone;  – side effects include hypotension and tachycardia;  – Adult Dose: 10 mg PO tid