The Hip - book

Singh Index for Osteoporosis

– See: Osteoporosis and Hip Fractures – Bony Trabeculae of the Proximal Femur:      – Ward’s Triangle      – Greater Trochanteric Group      – Secondary Compressive Group      – Secondary Tensile Group      – Principal Tensile Group      – Principal Compressive Group              Changes in trabecular pattern of the upper end of … Read more

Single Limb Stance

– See: Stance Phase: – Discussion:     – single limb stance comprimises 38% of gait cycle;     – during single limb stance, the ankle begins to dorsiflex by motion of tibia over the fixed foot;     – early phase:            – subtalar joint is pronated inorder to absorbe … Read more

Single Photon Absorptiometry

– Discussion:     – may be used as a screening test since it is simple and inexpensive;     – will predict future forearm, calcaneus, & most appendicular frx;     – in appendicular skeleton, single-photon absorptiometry has good reproducibility (1-3 %);     – of note, bone density of the radius reflects total body … Read more

Silver Nitrate

– Silver nitrate is applied as a 0.5% solution in saturated multilayered dressings; – although the solution is painless, the dressings may be uncomfortable and will decrease patient mobility;     – it is usually applied as multilayered soaks; – silver nitrate solution has a broad antibacterial spectrum; – it precipitates on contact with tissues … Read more

Silver Procedure: Resection of Medial Eminence

– Discussion:       – Silver procedure involves simple exostectomy;       – it is typically performed along w/ other hallux valgus reconstructive procedures such as chevron, Mcbride, or proximal osteotomy;              – in the case of a proximal osteotomy, the bone graft resected from the medial eminence may … Read more

Silver Sulfadiazine (Silvadene)

– Discussion: (see silvadene.com)     – silvadene burn cream is a 1% suspension of silver sulfadiazine in a water soluble base;     – for prevention and treatment of wound sepsis in patients with second and third degree burns;     – topical bactercidal agent effective against many gran negative and positive bacteria as well as yeast, … Read more

Simple Bone Cyst (Unicameral)

                                                                                                                             Assistance provided by Nanni Allington MD. – Discussion:     – a membrane lined cavity containing a clear yellow fluid.     – occurrs most often in children 4-10 years of age;     – lesions remain asymptomatic unless complicated by fracture.     – they enlarge during skeletal growth and become inactive, or latent, … Read more

Shoulder: Physical Exam

– See:         – Diff Dx of Shoulder Pain:          – Shoulder Examination Tests (from shoulderdoc.co.uk) – History: (questions for modified Simple Shoulder Test); – C-Spine:     – r/o radiculopathy as well as axillary nerve hypaesthesia;     – Spurling’s manuever:            – mechanical stress, such as excessive vertebral motion, may exacerbate … Read more