Data Trace Editor – See: Avascular Necrosis of the Scaphoid – Discussion: – often result from undiagnosed or undertreated non displaced scaphoid fractures, especially when associated w/ carpal instability; – even when found as late as 6 mo after the injury, frx of scaphoid, esp at the waist and distal location, may go on to heal; … Read more
– Discussion: – scapholunate advanced collapse (SLAC) refers to a specific pattern of osteoarthritis and subluxation which results from untreated chronic scapholunate dissociation or from chronic scaphoid non-union; – degenerative changes occur most often in areas of abnormal loading; – radial-scaphoid joint is involved initially, followed by … Read more
– Work Up for Scaphoid Fracture: (w/ discussion) – clinical differential diagnosis: – distal radius frx – transscaphoid perilunate dislocation: – scaphoid impaction syndrome – radiographs and determination of stability (CT scan) – non diagnostic radiograph (bone scan) – tubercle frx – transverse waist frx – proximal pole frx – treatment: … Read more
origin: posterior tubercles of transverse processes of 4th, 5th, and 6th cervicals; insertion: lateral superior surfaces of 2nd rib behind attachment of Serratus Anterior; action: acting unilaterally, flexes and rotates cervical vertebrae; when acting bilaterally, flexes the neck and raises 2nd rib; nerve supply: posterior branches of C5 , C6 , C7, … Read more
– See: Non-Displaced Scaphoid Frx – Discussion: – in up to 25% of cases, initial ER radiographs will fail to demonstrate a frx; – Management Options: – immobilization and repeat radiographs: – w/ positive exam findings and negative radiographs, immobilize wrist in a thumb-spica cast for … Read more
origin: anterior tubercles of the transverse process of the 2nd to 6th cervical vertebrae; insertion: scalene tubercles on anterior superior surface of the 1st rib; action: – acting unilaterally, flexes and rotates cervicals and raises first rib; – when acting bilaterally, flexes the neck; nerve supply: anterior branches, C5, … Read more
– Discussion: – indicated for arthritic RU Joint w/ limitation of motion; – may be useful for rheumatoid patients w/ ulnar translocation, as well as the caput ulna syndrome; – procedure involves resection of a portion of distal ulna shaft and fusion of the ulnar head to the radius; … Read more
origin: posterior tubercles of the transverse process of 2nd to 7th cervical vertebrae; insertion: superior surface of the 1st rib behind subclavian groove; action: acting unilaterally, flexes and rotates cervical vertebrae; raises first rib; when acting bilaterally, flexes the neck; nerve supply: posterior branches of anterior primary rami of C3, C4; lateral muscular … Read more
– Clinical Manifestations: – may have fevers, rash, & iritis, which can resemble symptoms of JRA. – pulmonary dz, erythema nodosum, abdominal pain, liver enlargement, and perihilar adenopathy may also be present. – labs: elevated ACE serum level is considered to be the activity marker of the disease – … Read more