– See: – blood supply for femoral head; – external rotators of the hip – Discussion: – MFCA supplies majority of blood supply to femoral head; – branches of MFCA enter capsule of hip joint near its distal insertion and couse proximally along femoral neck toward … Read more
– Discussion: – medial malleolar frx result from direct impact of talus or from tension as talus rotates or moves laterally following fibula; – in children medial malleolus frx may represent supination inversion frx; – injury patterns: – deep deltoid ligament may be torn, leaving malleolus intact; – anterior colliculus may be avulsed by superficial … Read more
– Anatomy: – humeral origin of MCL lies posterior to axis of elbow flexion, creating cam effect; – hence, anterior fibers are stressed in extension & posterior fibers are stressed in flexion; – anterior oblique, posterior oblique ligament, & small transverse ligament are 3 major portions of the … Read more
– Discussion: – optimal age for the medial approach: – is of more value in the child younger than 18 months but older than 7 months; – when this procedure is used in infants younger than 7 months, there may be a higher risk of AVN, but some authors feel that the risk of AVN … Read more
– Discussion: – mechanical axis refers to the angle formed by a line drawn from the center of the femoral head to the medial tibial spine and a line drawn from the medial tibial spine and the center of the ankle joint; – this should not be confused w/ the wt … Read more
Discussion older names include dolichostenomelia (Greek for long, narrow limbs) and dystrophia mesodermalis congenital, typus Marfanis; inherited as an autosomal dominant trait with variable expressivity. characterized by long, thin limbs and by laxity of ligaments; Pathophysiology dz of collagen synthesis (possibly the alpha subunit) may have abnormal production of collagen type I (and ? type … Read more
– ABG – Bronchospasm – Clinical Conditions – Criteria for Intubation – Criteria for Extubation – COPD – Fat Embolism Syndrome – Inverse … Read more
– See: – Exam for Spinal Cord Injury – Head Injury – Neuro Exam Menu – C-spine (initial care): – ensure that patient has adequate C-spine immobilization; – a standard backboard is unsuitable in children since it places the head into extension (pediatric … Read more
– See: – deep venous thrombosis / respiratory failure – Discussion: – time range of diagnosis of PE following discharge: 14-68 days (JR Lieberman et al); – ref: Early pulmonary embolism after injury: A different clinical entity? – in the report by Lawton RL and Morrey BF (1999), the authors advise that patients … Read more
– Outside Link: – An Approach to the Head Injured Patient by Paul Marik, MD – Trauma Menu: – Spine / C-spine – Orders for the Spine Injured Patient: Anesthesia in the Spinal Cord Injured Patient: Fluids in the Head Injured Pt: Hyperventilation Glasgow Coma Scale Head … Read more