Arthroscopic Surgery Archives : Wheeless' Textbook of Orthopaedics

AC Joint Arthrosis / Open Distal Clavicle Excision

Discussion general discussion: clinical and radiographic findings Surgical Technique Subacromial Decrompression Arthroscopic Distal Clavicle Excision: Open Clavicle Excision: Surgical Technique: Modified Weaver Dunn Procedure: Complications lateral elevation of the clavicle: lateral elevation is often associated w/ pain; ref: Sequential Resection of the Distal Clavicle and Its Effects on Horizontal Acromioclavicular Joint Translation references: Complications after … Read more

Abductor Pollicis Longus

Anatomy extensor tunnel I: origin: small facet of ulnar side of the radius near its middle; on lateral side of dorsal surface on body of the ulna just below the insertion of anconeus & interosseous membrane; tunnel: travels thru the first extensor compartment; insertion: most often this tendon inserts onto the APB muscle or it … Read more

Hemophilia

Discussion classic disease results from deficiency of factor VIII clotting activity; hemophilia A is not caused by an absolute deficiency of factor VIII, but from an abnormal molecule making up part of the VIII clotting factor; hemophilic arthropathy: pathologic changes (coag pathway / coag labs); inheritance pattern: sex-linked recessive; affected male will have normal sons … Read more

Gout

(see also: Therapeutic Principles & Anti-Gout Meds Discussion gout refers to articular dz of MSU deposits (tophi) in soft tissues. it is caused by deposition of monosodium urate crystals in poorly perfused tissues, as well as bursae, ligaments, articular cartilage, and synovial membranes; on average, a family history of gout can be obtained in less … Read more

Psoriatic Arthritis

(see also: Spondyloarthropathies) Discussion psoriasis affects 1-2 % of U.S. population & typically presents w/ well-defined erythematous scaly plaques; only a minority of pts with psoriasis develop arthritis; when arthritis develops, it most often is an asymmetrical oligoarthritis, which at times may be quite destructive; some patients may develop spondylitis (usually will have HLA-B27 antigen); … Read more

Juvenile Rheumatoid Arthritis

Discussion JRA is a persistent non infectious arthritis lasting more than 6 wks to 3 months after other possible etiologies have bee ruled out; most common chronic childhood rheumatoid dz; affects girls more than boys; synovial proliferation leads to joint destruction (chondrolysis) & soft tissue destruction; severe joint destruction is seen in only 5% of … Read more