– See Human Bite – Bacteria Sensitive to Augmentin / Unasyn – staph aureus – along w/ streptococcus is the most common inciting organism in hand infections; – streptococcal Gr A beta hemolytic – shows cellulitis, lymphangitis, lymphadenopathy, fever, and a … Read more
– is an aerobic spore forming organism found in sheep, cattle, horses, and swine; – there may be a gangrenous ulcer on the hand, secondary lymphadenitis, septicemia, and further complications; – penicillin is the agent of choice Images in clinical medicine. Cutaneous anthrax.
– Indications: – most often used for anterior shoulder reconstructions – Positioning: – beach chair w/ full access to posterior aspect of shoulder; – holding shoulder in flexion, will relax shoulder & facilitate exposure; – consider the Mconnel Shoulder Positioner; – references: … Read more
– See: Arteries of the Upper Limb – Discussion: – the axillary artery begins at the first rib as a direct continuation of the subclavian artery and becomes the brachial artery at the lower border of the teres major – artery passes behind pectoralis minor in its course thru axilla & is conveniently described as having 3 … Read more
– Discuussion: – axillary nerve (C5, C6) originates from and passes backward from posterior cord of brachial plexus – at level of axilla; – it arises immediately posterior to the coracoid process and conjoined tendon; – it crosses the inferolateral surface of the subscapularis, 3-5 mm medial to the musculotendinous border; – sweeping a finger … Read more
– See: – Scaphoid Reconstruction for Nonunion – Vascular Anatomy of Scaphoid: – Discussion: – may be associated w/ longstanding nonunion of proximal pole fractures, especially when associated w/ previous surgery; – AVN of scaphoid is often difficult to diagnose radiographically and therefore it … Read more
– See: – Avascular Necrosis of Femoral Head – IM Nailing of Pediatric Femur Fractures – Discussion: – AVN may not appear for one year or more after IM Nailing of the femoral shaft; – more common in young adolescents undergoing IM nailing of femoral shaft frx, … Read more
– Post Op Care: – following surgery, the wrist is splinted in neutral or slight extension; – this avoids anterior displacement of median nerve w/ entrapment between divided margins of the TCL; – some believe early motion (with in days … Read more
– See: Nerve Entrapment – Discussion: – cubital tunnel serves as major contraint for the ulnar nerve as it passes behind elbow; – the syndrome occurs most commonly between 30 to 60 years, and is exceptionally uncommon in children under 15 years; – inciting events: – symptoms may appear several years after trauma (hence tardy … Read more
– Discussion: – note carrying angle of the elbow (for cubitus valgus); – r/o subluxation: – palpate the nerve in the cubital tunnel and note its mobility; – it is essential to know whether ulnar nerve subluxation is present; – motor … Read more