– See: – Bower’s Procedure – Discussion: – invovles resection of ulnar articular head, leaving shaft and styloid relationship intact; – interpositional anchovy of tendon is placed in cavity to limit contact of radial & ulnar shafts which may migrate to each other after this procedure; … Read more
– See: Bipolar Arthroplasty: – Discussion: – indications: indicated for patients w/ a femoral neck frx who meet the following criteria: – poor general health thay would prevent a second operation; – pathologic hip fractures: – parkinson’s disease, hemiplegia, or other neurological disease; – physiologic age > 70 yrs; – severe osteoporosis w/ loss of primary … Read more
– See: – pRBCs – Transfusion Therapy Male 40-54%; Female 37-47%; Decreased: – Megaloblastic Anemia, – Fe Deficient Anemia, – HbS Anemia, Acute or Chronic Blood Loss – Hemolysis, – Dilutional, ETOH, Meds; Increased: Polycythemia Vera, Secondary Polycythemia: Reduced Fluid Intake or Excess Fluid Loss, Congenital and Aquired Heart dz, Lung dz, High Altitudes, Heavy … Read more
– See: – adolescent bunion – bunionette – Discussion: – pathophysiology – blood supply of MCP joint – windlass mechanism – diff dx: – gout – hallux rigidus (cheilectomy); – references: – Anatomic variations in the first ray: Part I. Anatomic aspects related to bunion surgery. – Muscle in hallux valgus. – Kinematics of the … Read more
– Discussion: – firearms tutorial – missile characteristics: – NRA website – Weapons Effects and Parachute Injuries – Shooting Soldiers: Civil War Medical Images, Memory, and Identity in America – General Management: – most important issue is to get the correct diagnosis (no viceral injury, no compartment syndrome, no … Read more
Co-authors: Milford H. Marchant Jr., M.D., Allston Stubbs, M.D., Carl J. Basamania, M.D. March 15, 2005 – Background: – Definition: In situ death of bone within the humeral head due to disruption of blood supply – Other Names: Avascular … Read more
– See: Pediatric BKA: – Overgrowth Phenomena: – occurs as a result of appositional growth (not physeal growth); – in order of frequency it occurs in the: humerus, fibula, tibia, and femur; – AKA: – hemiatrophy of pelvis associated with coxa valga and elongation of lesser trochanter; femur … Read more
– See: Green Stick Frx – Discussion: – occurs most often in children less than 8 yrs of age as a result of a fall on an outstretched hand; – anatomically the frx tends to occur just distal to insertion of pronator teres, and therefore distal fragment is supinated as compared … Read more
– See: – Bigelow’s Maneuver: for Posterior Hip Dislocation – Closed Reduction – Discussion: – described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method; – believed to be least traumatic; – pt is in prone position w/ lower limbs hanging from end of table; – assistant immobilizes the … Read more
– See: Total Hip Replacement Menu: – Discussion: – indications for osteotomy: – considerations for wire re-attachment: – wires can theoretically undergo gavanic corrosion if they are close to or touch the metal implant; – this is usually of little significance even if the wires … Read more