The Hip - book

Hand

Electromyography

– See:      – Nerve Injury:      – Nerve Menu      – outside links:              – The Expert Electromyographer              – EMG Table of Contents – EMG Findings in Specific Conditions:     – Normal Study:             … Read more

Elbow in RA Patient

– Discussion:     – RA manifests itself in many  ways in elbow joint, including nodules and bursae, synovitis, progressive joint destruction, antecubital cysts, & ulnar or, rarely posterior interosseous palsy;     – note that involvement of the RA elbow is infrequently an isolated and therefore it is important to consider possible involvement in the wrist … Read more

Eikenella Corrodens

– Discussion:     – facultative anaerobic gram negative rod – seen in human bite infections     – staphylococcus aureus and streptococci remain the most common pathogens isolated from human bite wounds.     – requires a special medium for growth in culture; – Sensitivities:     – it is sensitive to penicillin, 2nd … Read more

Ehlers-Danlos Syndrome

(see also: Marfan’s Syndrome) Discussion autosomal dominant disorder characterized by hyperextensibility of “cigarette paper” skin joint hypermobility and dislocation, soft tissue/bony fragility, and soft tissue calcification; joint effusions and arthralgias are common, and children are often misdiagnosed with forms of arthritis; all forms the disease may cause skin fragility, bruising, scarring, joint discomfort and osteoarthritis; … Read more

EBI External Fixators

PreOp Prepartion – Drill and Screw Sizes:     – 6.0/5.0 mm cortical screws require 4.8 mm drill (110 mm long and 30-50 mm thread);     – 6.0/5.0 mm cancellous screws require 3.2 mm drill (100-130 length, 40-60 mm thread);     – 4.5/3.5 mm cortical screws require 3.2 mm drill; (80-100 length, 30-40 mm thread);     … Read more

Dwarfism and Dysplasias

Deformities of the Limbs Achondroplasia Chondrodysplasia Punctata: Chondroectodermal Dysplasia: Cleidocranial Dysplasia Diastrophic Dwarfism: Hypophosphatemic Vitamin D-resistant rickets Kniest Dysplasia Marfan’s Syndrome Metaphyseal Chondrodysplasia Metatrophic Dysplasia: Morquio’s Syndrome: Mucopolysaccharidoses Multiple Cartilaginous Exostoses Multiple Enchodromatosis (Ollier’s Disease) Multiple Epiphyseal Dysplasia Proximal Femoral Focal Deficiency Osteogenesis Imperfecta Spondyloepiphyseal Dysplasia Congenita: – Short Trunk Dwarfism: – Kniest syndrome – … Read more

Dynamic Instability

– See: Kinematics         Carpal Instability – Discussion:     – pts w/ dynamic instability can actively subluxate wrist w/ forearm pronated & wrist in or out of ulnar deviation;     – dynamic forms of dorsal or volar intercalated-segment instability are secondary to loss of support across ulnar half of mid-carpal … Read more

Dupuytren’s Contracture: Transverse Palmar Incision

– Discussion:     – for pts who have severe involvement, w/MP & PIP Joint contractures as well as fixation of palmar skin & involvement of multiple rays;     – often transverse incisions are left open (McCash (1964) or are covered w/ a full thickness skin graft;     – transverse incision across palm beginning at … Read more

Dupuytren’s Contracture

– See: Surgical Treatment of Dupuytren’s: – Discussion: – originally described by Baron Guillaume Dupuytren in 1831; – ref: Guillaume Dupuytren: His Life and Surgical Contributions – usually appears between age 40 to 60 years; – disease occurs more often and is more severe in males or persons of Northern European Origin; – may be … Read more