Ortho Oracle - orthopaedic operative atlas

Nerve Injuries in THR

– See: Total Hip Replacement Menu:             – arterial injuries: in THR              – nerve injury              – nerve palsy from TKR – Discussion:     – incidence of sciatic (tibial and/or peroneal) &/or femoral palsies after THR ranges from 1-3%;     – incidence of nerve palsy is 1-2% of primary … Read more

Naproxen / Naprosyn / Anaprox

– Discussion:      – NSAIA (member of the arylacetic acid group);      – for symptomatic RA, bone pain;      – primary dysmenorrhea, acute tendinitis and bursitis, mild to moderate pain: – Adult:      – typical dose: 250 mg PO bid or 500 mg PO bid (500-1250 mg/24hr PO divided bid);   … Read more

Natural History of AVN

 Co-authored by Edward Harvey M.D. – Discussion:     – symptomatic hip almost uniformly progresses to further collapse without treatment;     – collapse rates approach greater than 85% in the symptomatic hips, even if first seen in the earliest stages;      – treatment plan for the asymptomatic AVN is controversial;     – approx … Read more

Natural History of DDH

    – See: DDH – Main Discussion – Discussion:       – 95-98% of DDH cases are possibly reversible;     – 2% of DDH cases may have teratologic dislocation which is generally not reversible;     – less than 2% of infants will have a positive Barlow’s test (dislocatable hip);     … Read more

Myelodysplasia

– Discussion:     – disorder of spinal cord development/closure or secondary rupture of developing cord secondary to hydrocephalus;     – term myelodysplasia includes:           – spina bifida occulta           – meningocele: sac without neural elements protruding through defect;           – myelomeningocele; … Read more

Musculoskeletal Considerations in Pregancy and Post Pregnancy

– Use of Medications in Pregnancy: – calcium supplementation – intra-articular steroids – note that intra-articular steroids may interfere w/ lactation in nursing mothers; – ref: The use of antirheumatic medication during pregnancy and in the puerperium. – Surgical Considerations: – positioning: – avoid supine positioning because of hypotensive effects from aortocaval compression by the … Read more

Musculocutaneous Nerve

– Discussion:     – derives from lateral cord (C5, C6):     – musculocutaneous nerve passes through coracobrachialis; between biceps &  brachialis, & becomes lateral antebrachial cutaneous nerve at elbow;     – it has only muscular branches above elbow & only sensory branches below;     – lesion of this nerve produces weakness of … Read more

Muscles and Tendons Menu

Section Editor Dean Taylor, MD – See: Muscle Anatomy, Histology, & Physiology; A Abductor Digiti Minimi Brevis Abductor Digiti Minimi (hand) Abductor Hallucis Abductor Pollicis Brevis Abductor Pollicis Longus Anconeus Adductor Brevis Adductor Hallucis Adductor Longus Adductor Magnus Adductor Pollicis B Biceps Brachii Biceps Femoris Brachialis Brachioradialis C Coracobrachialis D Deltoid Dorsal Interossei of Feet … Read more

Multiple Cartilaginous Exostoses (Hereditary Exostosis)

– See: Bone Tumor Menu – Discussion:     – an osteochondroma that results from a dysplasia of peripheral growth plate;            – as its name implies, multiple hereditary exostosis is an inherited condition which produces multiple exostoses;     – occurs in 1 out of 50,000 people;     – … Read more

Multiple Epiphyseal Dysplasia

Discussion multiple epiphyseal dysplasia (a common type of osteochondrodysplasia) is characterized by disturbance of normal ossification w/ in epiphysis; pathologic abnormality is a disturbance in enchondral ossification of epiphyses and physes; is inherited as an autosomal dominant trait with variable expressivity; disorder is manifested as multiple areas of abnormal growth and ossification of the epiphysis; … Read more