– Diff Dx: – SLE – Psoriatic Arthritis – Ankylosing Spondylitis – Mixed Connenctive Tissue Diseases – Reiter’s Syndrome – Polymyalgia – Sjogren’s syndrome – Crystal deposition disease – Septic Arthritis – Tuberculous Arthritis (“monoarticular … Read more
Acromegaly: Ankylosing Spondylitis: Avascular Necrosis: Gaucher’s Disease: Hemochromatosis: Hemophilia Hypermobility Syndrome: this is an arthropathy associated with joint laxity; it is autosomal dominant associated with joint laxity; some of these are associated w/ DDH, but others present no particular surgical problems other than the fact that the surgical scar tends to spread and become broad; associated … Read more
– see carpal tunnel syndrome – Overuse Syndromes: – include muscle pain, tendinitis, fibrositis, epicondylitis, & psychological conditions that may contribute to disability; – Vascular Pathology – Anatomic Diff Dx: – Cervical Root Impingement – combination of nerve entrapment & radiculopathy (C6-C7) is not uncommon … Read more
– Landmarks: – one can palpate proximally in the snuff box radial styloid and, in mid third, the waist and distal third of the scaphoid; – at the distal end of the snuff box the STT joint is identified; – elliptical bony prominence at base of thenar muscles, consisting … Read more
– Age: – Back Pain in the Child: – Younger Adults: – ankylosing spondylitis (see spondyloarthropathies) – disc disease: – spondylothisthesis – metabolic bone disease – indicated by … Read more
– Legg-Calve’-Perthes disease; Findings in M.E.D. not seen in Perthes: short, stunted metacarpals/metatarsals; irregular femoral heads which is bilateral & symmetric, is not assoc w/ metaphyseal cysts, & commonly has early acetabular changes; early hip arthritis is common; bilateral Legg-Calve’-Perthes disease is uncommon; abnormal normal ossification (tibial “slant sign” flattened femoral condyles; T12/L1 notching and deformed … Read more
– See: Synovial F. Exam – ewing’s sarcoma – neuroblastoma – rheumatoid flare – monarticular JRA – knee is less painful, and ROM is > than expected w/ large effusion; – … Read more
– Discussion: – DDH involves displacement of the femoral head from the acetabulum (during the perinatal period) which disrupts the normal development of the hip joint; – DDH is estimated to occur in 1 – 1.5 cases per 1000 live births; – when an agressive screening system is in place (including routine use … Read more
– See: – Anatomic Snuff Box – First Compartment – Discussion: – a stenosing tenosynovitis of APL & EPB tendons (first compartment) at the styloid process of the radius; – inflammation causes thickening & stenosis of synovial sheath of first compartment & pain w/ tendon movement; – most common in women between 30 and 50 … Read more
– See: Anterior Approach to the Shoulder and Total Shoulder Arthroplasty – Incision: – deltopectoral internval separates plane between axillary innervation (deltoid) and lateral and medial pectoral innervation to pectoralis major (incision should stay just lateral to the axillary skin crease); – ensure that the shoulder is position in neutral rotation and slight … Read more