Amputation of the Finger and Hand
– See: – Phalangeal Menu: – finger tip injuries – replantation of the digits – soft tissue replacement in the hand and forearm: – upper extremity amputations: … Read more
Hand
American Rheumatism Association Diagnostic Criteria for RA
– RA criteria: (if 5 out of following are present for > 6 weeks); – morning stiffness; – pain on motion, or tenderness in at least one joint; – swelling (soft tissue thickening or fluid, not bony overgrowth alone) in at least one joint; – swelling of at … Read more
Allografts
– see bone graft menu – Discussion of Allografts: – see autograft menu and bone healing: – allografts are most indicated when bone grafting is required along with need for mechanical structural support; – morselized bone graft: – structural bone grafts: – fresh allografts – generally … Read more
Adult Both Bone Forearm Fracture
– See – Pediatric Both Bone Frx – Deforming Forces – Discussion of Blount Fractures – Implants for Fractures of the Radius and Ulna – Plating Techniques – Indications for Operative Treatment: – all displaced, unstable fractures of the radius and ulna in adults; – radial shaft fractures: all displaced fractures of the radius with … Read more
Adult Humeral Inter-condylar Fractures: Preparation and Positioning
– Discussion: – anesthesia: insist on general anesthesia rather than regional anesthesia for the following reasons: – it is essential that the patient not move during delicate portions of the case; – it is often helpful to paralyze the patient during the fracture … Read more
Adductor Pollicis
– Discussion: – adductor pollicis consists of 2 parts, one of which is transverse & other oblique; – transverse head attaches to the volar crest of the 3rd metacarpal; – oblique head attaches to ligaments around capitate, trapezium, and covering of the FCR; – heads … Read more
Acyclovir/Zoviraz
– See: Herpes Simplex Finger Infection – Discussion: – adult w/ initial Herpes simplex infecction infection: – 200mg PO q4h while awake (5 caps/day) for 10 days; – or 5mg/kg IV over 1hr q8hr x 5days, or 1gm/day in 5 divided … Read more
Adamantinoma
– See: Bone Tumor Menu – Discussion: – rare tumor of unknown origin; – occurs primarily in young males between 10 – 30 years of age (most common after skeletal maturity); – pts present w/ firm, slowly enlarging mass that produces minimal disability; … Read more
Addition of Antibiotics to Cement
– See: Infection Menu and Wound Management: and Local Antibiotic Delivery for Septic Joints – Discussion: – basic science: – useful in treating biofilm; – references: – In vitro characteristics of tobramycin-PMMA beads: compressive strength and leaching. – Antibiotic bone cement in THA. An in vivo comparison of the elution properties of … Read more
Acromioclavicular Joint
Discussion AC joint is situated between the clavicle and acromion; acromion has two ossification centers which fuse at age 22 yrs; it permits motion in three planes: AP gliding of acromion during protraction & retraction of scapula; tilting of acromion during abduction & adduction of arm; rotation of the clavicle; rotation occurs during abduction & … Read more