The Hip - book

Orthopaedic Disaster Preparedness and Trauma Care Resource Library

Journal of Surgical Orthopaedic Advances  Editor: L. Andrew Koman, MD (The articles presented in the issues below were written by members of SOMOS and are exclusively devoted to disaster preparedness and trauma care.) Volume 21, Number 1 Special Issue Editor: Jonathan A. Forsberg, MD Combat Orthopaedics for the Civilian Provider, With Special Emphasis on the Dismounted … Read more

I. Combat/Disaster Injuries

Tom Large, MD Ben Kam, MD   A. Define the spectrum of injury   I. Mechanisms             A. Combat/disaster injuries often via high energy mechanisms and of magnitude not frequently seen in everyday civilian sector                         1. improvised explosive devices (IEDs)                         2. land mines                         3. rockets or rocket-propelled grenades (RPGs)                         4. mortars                         … Read more

Disaster Injuries (continued)

Tom Large, MD Ben Kam, MD C. Demonstrate knowledge of the indications for and ability to implement emergent orthopedic interventions (tourniquet, etc.)   I. Tourniquets             A. Prehospital tourniquet use shown to have significant beneficial effect on blood loss, shock, and mortality without increased risk for amputation or conversion to higher amputation levels1, 2             B. Application … Read more


B. Define and demonstrate debridement   I. Introduction             A. Debridement derived from French verb “débrider”             B. Initially used to denote action of “cutting certain parts which—like a bridle—constrict or strangulate the organs which they cover”2,3             C. Goal of surgical debridement                         1. save lives                         2. preserve function                         3. remove contaminants … Read more

SOMOS Core Curriculum and Critical Skills List

The Society of Military Orthopaedic Surgeons (SOMOS) teaches the “Combat Extremity Surgical Course” (CESC) to military surgeons prior to deployment. The SOMOS Core Curriculum and Critical Skills List are derived from the CESC objectives and are presented as part of the Orthopaedic Disaster Preparedness and Trauma Care Tool Box initiative. Core Curriculum I. Combat/Disaster Injuries             A. Define … Read more

II. Battlefield/Austere Environment Trauma Systems

Dr. Brandon Horne and Dr. Benjamin Kam, Lt Col, AF     A. Define levels of casualty care from point of injury to definitive care   I. Introduction             A. Best example of levels of casualty care shown through military medical doctrine                         1. levels established on system of echelons ranging from I (self and buddy care) … Read more

Flexor Pollicis Longus

– See:       – Forearm Flexors       – FPL Rupture:       – Thumb Tendon Injuries: – Anatomy:      – origin:             – anterior surface of middle 1/2 of radius; adjacent interosseous membrane and a slip from coronoid process of the ulna or medial epicondyle of … Read more

Flexor Digitorum Profundus

  – See:        – FDP Lacerations:        – Rupture of FDP        – Forearm Flexors        – Quadriga – Anatomy:     – origin:            – upper 3/4 of anterior & medial surfaces of ulna, interosseous membrane and deep fascia of the forearm;            – FDP is dorsal to … Read more

Extensor Indicis

    – Discussion:     – along w/ EDC forms tunnel IV; – Anatomy:     – origin: dorsal surface of distal half of ulna;     – insertion:  index finger and EDC tendon at MCP level;     – action: extension of all phalanges of index finger;     – nerve: deep radial, C6, C7, C8; … Read more