– Dicussion: – may occur in the fingers as a pustule that becomes larger and spreads peripherally; – the center heals, leaving a central scar with a spreading perimeter; – if osseus lesions occur in the digits, they may be secondary to to pulmonary disease; – treatment … Read more
– Discussion: (see: necrotizing fascitis ) – human bite wounds – snake bite: – Bacteriology of rattlesnake venom and implications for therapy. – cat bite: (see cat scratch disease) – consider pasteurella multocida; note P. multocida infection develops within 24hrs; – with bites on the finger observe for osteomyelitis; … Read more
– See: – Closed Reduction – Gravity Method of Stimson – Discussion: – pt lies supine, & assistant applies countertraction by downward pressure on the ASIS; – surgeon grasps affected limb at ankle w/ one hand, places opposite forearm behind the knee, and applies longitudinal traction in line of deformity; – adducted & internally rotated … Read more
– Anatomy: – origin: – long head: supraglenoid tuberosity of the scapula – short head: apex of coracoid process of scapula; – synergists: brachialis, brachioradialis, supinator; – innervation: musculocutaneous, C5 > C6; – … Read more
– Discussion: – indicated for fractures of the forearm, wrist, and hand; – bier block is not appropriate for fractures about the elbow, and may not be appropriate in patients with excessive obesity (w/ a large fatty arm); – Precautions: – prior to performing the Bier block, be sure that … Read more
– See: – BKA Prosthesis – Amputations in the Diabetic Patient – Pediatric BKA: – Discussion: – length considerations: – ideal bone length is between 12 to 17 cm as measured from the medial joint line; – in … Read more
– See: – Rolando’s fracture – Thumb Fractures/Dislocations – X-ray Studies – Discussion: – most frequent of all thumb frx; – described in 1882 by Dr. Edward Bennet; – it is a frx dislocation, intra-articular frx at base of … Read more
– Discussion: – Rare in upper extremity – Ulcerated skin lesion – cyst formation – pigmentation – elevated edge may appear pearly – may be subungual – Location: – … Read more
– See: Complex MP Joint Dislocations; – Discussion: – marginal fractures of the base of the base of the proximal phalanx involving MP joint usually represent avulsion fractures of collateral ligament; – often there is a significant sized palmar-ulnar or palmar radial fragment; – Non Operative Treatment: – nondisplaced … Read more
– Discussion: – a type of cyst which results from egress of fluid through a normal communication of a bursa (semimembranosus or medial gastrocnemius bursa) or may be caused by herniation of the synovial membrane through the joint capsule; – symptoms develope most often in bursa beneath the medial head of gastrocnemius … Read more