– See: Flexor Pollicis Longus: – Discussion: – rupture of the flexor pollicis longus tendon is common in RA; – etiology: – rupture of FPL occrus as result of attrition over scaphoid (osteophyte), which had eroded through volar wrist capsule; – arises from … Read more
– See: Forearm Flexors – Discussion: – origin: medial epicondyle of humerus; – anatomy at the wrist: – when pt flexes wrist & radially deviates his hand, tendon becomes prominent next to the palmaris longus; – FCR lies radial to the … Read more
– See: Forearm Flexors – Anatomy: – origin: 2 heads from medial epicondyle of humerus & medial border of olecranon; – insertion: palmar surface of pisiform, hamate, and bases of 5th metacarpal; – action: flexes and adducts the hand at the wrist; – synergists: flexor carpi radialis; … Read more
– See: – Finger Tip Injuries – Brunner Type Incisions: – The zig-zag volar-digital incision for flexor tendon surgery. – Midaxial Incision: – indications: septic arthritis of IP joints and MP joint of thumb; – site for placing midaxial incision is performed by flexing finger & marking the … Read more
– Finkelstein’s test: – ask patient to make a fist over his thumb, and ulnarly deviating wrist – sharp pain at this site is produced by active extension and abduction of the thumb against resistance; – Differential Diagnosis: – DeQuervain’s tenosynovitis must be differentiated from degenerative arthritis & trapeziometacarpal joint; … Read more
Stage Clinical Features Radiographs Early 0 Preclinical 0 0 … Read more
– Presentation: – shortened first toe is characteristic in fibrodysplasia ossificans progressiva; – recognition of this consistent foot deformity can help in the early diagnosis; – torticollis is common; – Radiographs: – see ossification of soft tissue: – ossification, which occurs in the fascia and … Read more
– See: TKR Menu / Supracondylar Femur Frx – Discussion: – known risk factors include notching of the femur, osteoporosis, and excessive polyethylene wear (w/ subsequent osteolytic defect) – other risk factors include osteonecrosis of the femur; – ref: Morphologic analysis of periprosthetic fractures after hip resurfacing arthroplasty. – Radiographs: – often oblique radiographs are needs … Read more
– Discussion: – NSAIA (propionic acid group); – for Rheumatoid and Osteoarthritis, mild to moderate pain; – Arthritis: 300-600mg PO tid/qid (maximum daily dose is 3 gm) – Tab: 600mg, Cap: 200, 300mg; – Note may cause increased LFT’s; – No adjustment is … Read more
– Discussion: – for iron defficiency anemia; – adult: 300mg PO qd/tid with meals; – will turn stools and urine dark; can cause GI upset; con-stipation; – sulfate form contains more elemental iron per dosage unit than gluconate (some tolerate gluconate better); – peds: prophylaxis: … Read more