– See: – Carpal Instability: – scapholunate advanced collapse – scapholunate instability – Discussion: – scapholunate and lunate injuries cause tenderness just distal to Lister’s tubercle; – marked prominence of the entire carpus dorsally may indicate … Read more
– See: – Brachial Plexus – Neuro Exam – Management of Spinal Cord Injury: – Assess for Spinal Shock & Sacral Sparing – bulbocavernosus – anal sphincter S-3 – bladder sphincter S-2 – FHL S-1 – level of a spinal cord … Read more
– See: THR Main Menu: – Discussion: – evaluation of painful THR: – when previously pain free hip becomes painful, suspect loosening; – where as acetabular loosening tends to cause groin pain, femoral loosening tends to cause thigh pain; – increased limp and shortening are signs of … Read more
– Chronic Injury: – flexion deformity of PIP & an extension deformity at DIP joint; – MCP hyperextension deformity; – after the central slip has been disrupted for some time, there will be volar migration of lateral bands, and contracture of oblique retaincular lig. – after the lateral bands … Read more
– Discussion: – produces swine erysipelas, surviving on decomposing fish, shell fish, meat; – organism penetrates the skin thru a small abrasion or wound and causes infection in fish handlers; – suppuration ordinarily does not occur, but the condition is accompanied by lymphangitis, lymphadenitis, swelling, and a tense, shiny appearance to the … Read more
– Discussion: – radial head frx plus dislocation of distal RU joint (& interosseous membrane disruption); – mechanism: fall from height; – in this type of frx, radius will also migrate proximally if radial head is excised; – if injury is not found when it is acute, pt may develop severe wrist pain from radial migration … Read more
– See: – Obstetrical Paralysis: – Upper Trunk Brachial Plexus Injuries in Adults; – Discussion: – most common birth related neuropraxia (about 48%); – lesion of C5 & C6 roots are usually produced by widening of the head shoulder interval (in some cases C7 is involved as … Read more
– produces swine erysipelas, surviving on decomposing fish, shell fish, meat – the organism penetrates the skin thru a small abrasion or wound and causes infection in fish handlers; – suppuration ordinarily does not occur, but the condition is accompanied by lymphangitis, lymphadenitis, swelling, and a tense, shiny appearance to the digit; – … Read more
– Discussion: – epithelioid sarcoma is the most common soft-tissue sarcoma in the hand and most commonly occurs in young adults; – slow growing malignant soft tissue tumor, usually occuring in adults; – these are usually minimally symptomatic. – “pseudocapsule” or poorly circumscribed mass often attached to tendons, tendon sheath, or joint capsule; … Read more
– Discussion: – implantation of epithelioid tissues into deeper areas as a result of penetrating trauma; – often the inciting trauma occurs well into the past (patients may or may not remember); – mass is often mildly painful but is non tender, most often lies on … Read more