Symptomatic treatment of acute gouty arthritis; rheumatoid spondylitis; musculoskeletal disorders (peritendinitis, bursitis); acute perivascular inflamation; NSAIA; dosage: 300-600 mg/day in 3-4 divided doses; should reduce maintenance dose to minimum effective dose (maximum 400mg/day) Note: erythematous maculopapular rash; Note: use w/ caution in pts over 40 yrs; ocular and otic reactions may occur; Hematologic toxicity may … Read more
– Amputation of the Finger and Hand – Arthrodesis of the MP joint and Finger Joints – Boutonnere Injuries – Characteristics of Phalangeal and Metacarpal Fractures – Compression Screws – Condylar Frx – Crossed Finger Flap – Dislocations of PIP – Digit Reimplantation – Dislocations: … Read more
– Anatomy: – lateral compartment – plantar muscles of the foot: – origin: – lateral condyle of tibia, head and proximal 2/3 of lateral surface of fibula, intermuscular septa and adjacent fascia; – course: – peroneus longus … Read more
– See: DDH: – Indications for Treatment: – age: pelvic osteotomies are usually performed between ages 3-8 years; – in children > 3 years, open reduction, femoral shortening, & acetabular redirection will provide concentric reduction, will reduce AVN, & will achieve a functional range of motion; – some will even consider pelvic osteotomy in children as … Read more
– See: – Pediatric Both Bone Forearm Fractures – Monteggia’s Fracture – Green Stick Frx – Distal Ulnar Physeal Fractures – Discussion: – pediatric ulnar frx often occur along w/ pediatric both bone forearm frx – … Read more
(see: juvenile RA menu) Discussion definition: < 4 involved joints. most frequently encoutered subgroup, accouting for 30-40% of JRA; peak age is 2-4 years more common in girls (4x) differential dx Clinical Presentation> begins w/ incidious onset which can be painless swelling, warmth, and restriction of motion are common sx; knee, ankle, and elbow (& … Read more
– See: – Rheumatoid Boutonniere – Thumb Boutonnere Injuries – Mechanism of Injury: – rupture of central slip directly from its bony insertion commonly results from closed blunt trauma (w/ or w/o fracture); – rheumatoid Arthritis – volar PIP dislocation – … Read more
– Bipartite Patella – Bursitis – Chondromalacia – Malalignment syndromes – Multipartite Patellae: – Osteochondritis Dissecans – Patella Overload Syndrome – Patella Alta – Synovial Plica – Subluxation Pathomechanics of the femoropatellar joint following total knee arthroplasty. A systematic approach to reconstruction of neglected tears of the patellar tendon. A case report. Modified technique for tibial … Read more
– See: General Discussion – Hyperparathyroidism – incidence of hip frx is about 10%; – in younger pts with good bone stock, consider ORIF; – in elderly pts consider primary THR; – note, however, when when hyperparathyroidism occurs as a consequence of renal … Read more
– Discussion: – osteoarthritis represents a gradual processes of destruction & regeneration; – early in dz, articular cartilage loses its glistening appearance; – later on surface layers flake off while deeper layers develop longitudinal fissures, process termed fibrillation; – cartilage becomes thin and sometimes denuded; – … Read more