– See: rheumatoid arthritis – Discussion: – rheumatoid cervical spine: – ensure that anesthesia is prepared for possible need for bronchoscopic intubation; – total hip arthroplasty in rheumatoid arthritis: (see total hip replacement); – protrusio acetabuli is common and is often … Read more
Hip Arthroscopy (see also hip joint and hip capsule) Indications evaluation of hip pain – candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. gadolinium enhanced MRI demonstrated a … Read more
– Discussion: – hip fusions acn occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone). – they also occur spontaneously due to ankylosing spondylitis; – surgical fusions are performed for young adults with advanced arthritis; – indications: … Read more
– See: TKR following HTO: – Discussion: – indications for HTO: – associated conditions: – posterolateral corner deficiency – osteoarthritis of the knee: – motivation for procedure: – narrowed medial cartilaginous space may regenerate (and associated degenerative features may reverse) if weight bearing stresses are partially shifted from the medial to the lateral side of the … Read more
(see also: coag pathway) Discussion disease is most crippling when repeated bleeding into joint produces arthritis; left untreated most severe hemophiliacs will suffer crippling arthritis in one or more joints by early adolescence; after joint bleed, or hemarthrosis, synovium must absorb degradation products of the blood; repeated hemarthroses will cause synovial hypertrophy and inflammation; some hemophiliacs develop … Read more
– Discussion: – a vasculitis of unknown etilogy; – mean age of onset is 6 years; – small vessel vasculitis involving: – skin: – rash is typically from the waist down; – rash begins w/ urticaria but quickly turns … Read more
– Discussion: – general features: – pediatric bone circulation – age of patient: – osteomyelitis in the newborn – in infants below the ages of 1 year, some metaphyseal vessels may transverse … Read more
– See: – Bower’s Procedure – Discussion: – invovles resection of ulnar articular head, leaving shaft and styloid relationship intact; – interpositional anchovy of tendon is placed in cavity to limit contact of radial & ulnar shafts which may migrate to each other after this procedure; … Read more