Data Trace Editor – Discussion: – a complex syndrome characterized by exercise induced pain in mid leg; – contributing factors include varus hindfoot, excessive forefoot pronation, genu valgum, excessive femoral anteversion, & external tibial torsion; – may encompasses a wide spectrum of disorders including periostitis near origin of soleus & FDL muscle … Read more
– Discussion: – most often occur in adolescents and pre-adolescents; – most often occurs in proximal phalanx due to anatomy of ligamentous insertions; – in middle phalanx, SH III frx arise from tendinous avulsions at insertion of the central slip or the volar plate; – Treatment – volar avulsion: … Read more
– Discussion: – Component Characteristics: – cylindrical reamers: 6.5, 9, 12, 15 mm; – angle of inclination: – 125, 130, 135, 140 deg options; – if inclination is between sizes choose the smaller size; – humeral retroversion: … Read more
– Discussion: – type of serotonin uptake inhibitor; – initial dose is 25 mg PO qd, but this is generally increased up to 50 mg PO qd; – maximum dose is 200 mg PO qd; – dose reductions should be carried out in patients with renal or … Read more
– Discussion: – anatomy: – there is no direct connection between sesamoids & flexor hallucis longus tendon that runs between them; – tibial and fibular sesamoids are located within tendons of FHB and forms portion of the plantar plate; … Read more
– Discussion: – inflammation and swelling around the sesamoid (tibial > fibular) and FHB can be secondary to trauma, infection, AVN, stress fractures, or a systemic disorder; – sesamoiditis may also be precipitated by a cavus foot w/ excessive wt bearing under the first metatarsal; … Read more
– See: Sesamoid Bones of Foot – Discussion: – type of fatigue frx which usually involves tibial sesamoid; – tibial sesamoid is more likely to fracture because normally it receives most of the wt transmitted by the first metatarsal; – fracture is usually transverse or … Read more
– Discussion: – serratus anterior arises from upper eight ribs, inserts on vertebral border of scapula, is innervated by long thoracic nerve, and functions to draw scapula forward in sports such as a jab in boxing; – paralysis produces characteristic prominence (“medial winging”) of vertebral border of the scapula; … Read more
* Arrhythmia: * Consider Sinus Tach due to CHF/Pain/Anxiety * Rx of Cardiogenic Shock * Syncope * Stroke * Rx CHF / SOB – may develop in > 50% of pts, many will resolve within 48 hrs; – this is an acute process, normal heart size, little retention of NaCl/H2O; – CHF is due to … Read more
– See: – Bursae of the Knee – Septic Arthritis – Diff Dx: – referred pain from the hip – osteochondritis dissecans – traumatic internal derangement – distal femoral or proximal tibial osteomyelitis – septic bursitis: – … Read more