Data Trace Editor – 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
When should prophylaxis be initiated? in the review article by Salvati, et al., the authors point out that timing of heparin administration may be critcal for DVT prophylaxis they point out that thrombogenesis begins during the preparation of the femur and is most pronounced with implantation of femoral components with cement rather than without cement … 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
– 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: – 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
– 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
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
– 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
– 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
– Discussion: – theory of tension band wiring: – modified anterior tension band technique is indicated for both transverse and comminuted fractures of the patella; – for maximal strength, wires are placed on tension surface of bone (anterior surface), as compared to circumferential cerclage wiring; … Read more