The Hip - book

Superomedial Portal

– Discusison:     – traditionally used for the inflow cannula;     – note that with modern pump equipment, the inflow canula is generally no necessary; – technique:     – place this cannula under direct visualization so that the cannula will not be placed under a plicae or into a thick wad of … Read more

Supinated Oblique View

    – used to image the pisiform and pisotriquetral joint     – technique:           – hand rests on its ulnar border and tilts 30 to 35 deg dorsally;           – thumb is slightly abducted;           – central beam is directed to the … Read more

Superior Gluteal Artery

  (See also: inferior gluteal artery) Discussion major blood supply to gluteus medius and minimus; superior gluteal artery and nerve leave the pelvis above piriformis; emerges above piriformis, after passing thru greater sciatic foramen; once pass the notch, it divides into: superficial branch supplying maximus; deep branch enters deep surface of medius in intermuscular plane … Read more

Superior Glenoid Labrum Lesions: (SLAP)

– See: proximal biceps tendonopathy – Discussion: – refers to a detachment lesion of the superior aspect of glenoid labrum, which serves as the insertion of  long head of biceps; – relatively common injury in throwing atheletes, but may most commonly occur in patients who have fallen or who have received a blow on the shoulder; – references: – Kinetics … Read more

Sulindac/Clinoril

– for rheumatoid and osteoarthritis, and anlkylosing spondylitis; – Acute gouty arthritis; – Acute bursitis/subacromial buritis or tendinitis/supraspinatus tendinitis; – NSAIA; Dose:150-200mg PO bid with food; – increase as needed to maximum 400mg/day; – Should be administered with food; – Contraindicated with: patients w/ h/o asthma, urticaria, or rhinitis precipitated by ASA or NSAIA; – Contra … Read more

Succinylcholine

– Precautions:  – because succinylcholine causes an increase in intra gastric pressure that may lead to gastric aspiration, crycothyroid pressure should be applied; – also causes increase in intraocular pressure and in relatively contra- indicated with injuries in an open globe;  – increases intracranial pressure;  – Precautions w/ Spinal Cord Injury:  – w/ possible cervical … Read more

Sulfamylon: Mafenide Acetate

– Discussion:     – often this agent is used on recipient autograft sites or on partial-thickness burn wounds;     – its bacteriostatic properties against both gram-positive and gram- negative organisms (especially pseudomonas aeruginosa) and some anaerobes make it an especially useful agent;     – this agent has the broadest spectrum of activity … Read more