Data Trace Editor – 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
– 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
– alpha blocker, decreases sympathetic tone; – side effects include hypotension and tachycardia; – Adult Dose: 10 mg PO tid
– 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
– 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: – 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
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
– 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: – tendon transfers are never indicated in the initial treatment of club foot, but they may be of benefit in special circumstances; – even though the major deformities have been corrected satisfactorily, flexible fore part of the foot may tend to supinate during the swing phase of gait; – … 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