– See: – Caput Ulnae Syndrome – Rheumatoid Hand – Wrist Arthrodesis – Discussion: – wrist involvement w/ RA is common; – findings inlude peri-articular osteoporosis, destructive osteolysis, arthritis of distal RU joint, and carpal arthrosis; – final pattern is … Read more
– Discussion: – may be indicated for: – combined fractures of the femoral neck and shaft and for distal femoral fractures; – multi-trauma patient (procedure can be performed in supine position on regular flouro table); – obese patients (starting hole is not a problem); – advantages: – avoids damage to the blood supply to the … Read more
– See: Humeral Frx – Main Menu – humeral shaft fractures – Retrograde IM Nailing: – main advantage over antegrade nailing, is that violation of the rotator cuff is not necessary (and therefore shoulder motion is not affected); – retrograde nailing is also preferred over antegrade nailing for distal shaft fractures; – main disadvantage is … Read more
– See: – Kocher Approach: – Elbow Flexion Contracture: – Discussion: – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule; – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture); … Read more
– Definition: – “RSD” is an imprecisely used term; has been used to describe changes in soft tissue and bone; – RSD may not involve the sympathetic nervous system and may not be the consequence of a reflex; – 1995: IASP Consensus Conference: “Complex regional pain … Read more
Advances in The Federal Republic of Germany–Symposium: Recent Advances in the Surgical Treatment of Rheumatoid Arthritis. Newest Knowledge of Rheumatoid Arthritis–Symposium: Advances in Imaging of Rheumatoid Arthritis. Newest Knowledge of Rheumatoid Arthritis–Symposium: Diagnosis of Rheumatoid Arthritis: Medical and Laboratory Aspects. Rheumatoid Arthritis — Pathophysiology and Implications for Therapy. Long-term results of synovectomy in rheumatoid patients. Synovectomy of the rheumatoid … Read more
– See: – Baumann’s Angle – Cubitus Varus – Discussion: – in general a varus reduction cannot be accepted whereas a slight valgus reduction can be accepted; – the true amount of varus cannot be determined until arm is fully extended which is not performed … Read more
– Parvin’s Method of Closed Reduction: – pt lies prone on stretcher, & physician applies gentle downward traction on the wrist for a few minutes; – as olecranon begins to slip distally, MD lifts up gently on arm; – alternatively MD may guide reduction of olecranon w/ opposite hand; … Read more
– Discussion: – From Hippocrates to the Eskimo – a history of techniques used to reduce anterior dislocation of the shoulder. – w/ a witnessed dislocation, consider immediate relocation on field; – this consists of initial slight abduction and internal derotation of affected arm; – this can be done … Read more
– See: – Proximal Frx – Distal Frx – Rotational Alignment – Deforming Forces: – muscular forces deform the femur after fracture; – abductor muscles: – abducts proximal femur following subtrochanteric & high proximal shaft fractures; – psoas: – proximal 1/3 frx of shaft are also … Read more