Terazosin / Hytrin
– alpha blocker, decreases sympathetic tone; – side effects include hypotension and tachycardia; – Adult Dose: 10 mg PO tid
– alpha blocker, decreases sympathetic tone; – side effects include hypotension and tachycardia; – Adult Dose: 10 mg PO tid
– See: Iliotibial Band Syndrome – General Anatomy: – origin: – anterior iliac crest outer lip, anterior border of the ilium, outer surface of anterior superior iliac spine; – insertion: – iliotibial band of fascia lata on lateroanterior aspect of thigh, … 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
– Discussion: – interfragmentary screw fixation can be easily and securely combined w/ the use of an anterior tension band which provides resistance to fracture displacement from anterior distraction when knee is in extension as well as resistance to displacement as the knee moves into flexion; – this method is most appropriate … Read more
– See: Technique of Free Tendon Grafting – Discussion: – indications for tenolysis include failure to improve ROM after 3 months; – if patient has had previous flexor tendon repair, surgery should be delayed until 6 months post op (inorder to avoid tendon rupture); – consider using a wrist block … Read more
Discussion overuse syndrome or tendinosis involving the region of the lateral humeral epicondyle; most often the origin of the ECRB displays an abnormal vascular proliferation and focal hyaline degeneration; ref: Anatomic Factors Related to the Cause of Tennis Elbow EDC may also be involved in some cases; ref: The role of the extensor digitorum communis … Read more
– Discussion: – tendons have limited blood supply; – each tendon receives its vascular supply from segmental vessels arising from surrounding peritenon & extending from forearm to midportion of the proximal phalanx; – in digits, however, blood supply reaches flexor tendons thru vincula; – these are folds of mesotenon … Read more
– See: tendon excursion – Discussion: – FCR to EDC transfer; – this transfer is also well suited for finger extension; – advantages: – uses same incision as for the pronator and … Read more
– Discussion: – there are many surgical options for restoring digital extension in radial nerve palsy; – as w/ all tendon transfers, consider not only synergistic muscle activity, but also amplitude as well as muscle power and tendon excursion; – if surgery must be delayed, … Read more
– See: – combined injuries of the median and ulnar nerves: – nerve repair – median nerve repair at the wrist – Discussion: – patient’s ability to oppose is weak, and the FPL provides most of the strength in flexion; – loss of the radial … Read more