– See: TKR Infection Menu – debridement w/o component removal: – see debridement and washout of infected THR – IV antibiotic therapy has limited success in treatment of infected TKR; managed with wound debridement, polyethyene exchange, application of temporary antibiotic beads, and IV antibiotics; – acute hematogenous infection: – early acute hematogenous infection … Read more
– Discussion: – first performed by Darrach in 1911 in New York City. – Indications: – for relief of pain following distal RU disruption and/or RU arthritis; – for symptomatic malunion of Colle’s frx in elderly patients, especially when stiffness is present; – procedure is generally performed … Read more
Longterm cyclosporine therapy in rheumatoid arthritis.
Co-Authors: Milford H. Marchant Jr., M.D.; Thomas P. Vail, M.D.; Steven A. Olson, M.D. July 2006 Femoroacetabular Impingement (FAI) – Descriptive Diagnosis characterized by a combination of clinical signs, symptoms, and pathology that may be responsible for the progression of degenerative changes in patients with osteoarthritis of the hip – … Read more
– See: Anatomy of Carpal Tunnel – Anesthesia: – Bier Block: – proponents note that regional anesthesia allows a less rushed operation along w/ a synovectomy, if needed; – median nerve block at elbow; – w/ elbow extended brachial … Read more
– See: – Kinematics – Dynamic Instability – Ligaments of the Wrist – Perilunate Dislocations – Instability Patterns: – ulnar translocation: carpus shifts ulnarward (frequently seen in rheumatoid wrist); – dorsal intercalated segment instability; – present when lunate has rotated into dorsiflexion, as seen on lateral x-rays; – capitate displaces dorsal to long axis of … Read more
– See: – Radial Ulnar Joints – Rheumatoid Arthritis – Discussion: – ulnar caput syndrome results from synovitis stretching ulnar carpal ligaments; – there is dorsal dislocation of distal ulna, supination of carpus on hand, volar subluxation of the ECU; – left untreated, ulnar translocation … Read more
– Discussion: – may be secondary to degeneration; – symptoms include pain, tenderness, and erythema; – treatment includes heat, rest, injections/aspirations, and surgery for larger deposits; – calcinosis circumscripta occurs in SLE, RA, and scleroderma, usually in fingers, & may be assoc w/ Raynaud’s phenomenon; – Calcification in a … Read more
– Discussion: – type of tarsal coalition: – calcaneonavicular bar is most common, followed by middle facet of the talocalcaneal joint; – ossification occurs between 8 and 12 years; – coalition between calcaneus & navicular is usually seen in pts between 8-12 years of age when cartilaginous … Read more
– See: – Septic Knee: – Synovium of the Knee: – Anatomy: – four bursae around knee are susecptible to and inflammatory response from direct or indirect trauma; – prepatellar bursae is most commonly affected area (housemaids knee); – may show significant degree of … Read more