– See: Tibia Fracture Menu and Gustilo Classification – Discussion: – is frx in which there has been extensive stripping of soft tissues and periosteum from bone & where devitalization or loss of soft tissues usually requires plastic reconstructive procedures for closure; – extensive soft tissue loss with periosteal … Read more
Background: By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later half of 2007 at Franklin Regional Medical Center. This procedure involves harvesting the gracilis and semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone anchors. The drill holes for the bone anchors serve as a source for hematopoetic … Read more
– Anatomy: – origin: posterior gluteal line of the ilium, tendon of sacrospinalis, – dorsal surface of sacrum, coccyx and sacrotuberous ligament; – insertion: gluteal tuberosity of femur and iliotibial tract of fascia lata – it inserts partly into the … Read more
– Anatomy: – origin: – outer surface of ilium from iliac crest and posterior gluteal line above to the anterior gluteal line below, gluteal aponeurosis; – note that posterior border of the gluteus medius is almost in line w/ femoral shaft; the anterior border fans anteriorly; … Read more
– origin: – outer surface of ilium between anterior and inferior gluteal lines and margin of greater sciatic notch; – insertion: anterior border of greater trochanter; – action: – abducts femur at the hip and rotates it medially; – lateral pelvic stabilizer; … Read more
– See: Shoulder Menu: – Anatomy: – GHJ has a greater ROM than any other joint; – Bony Anatomy: – its shallow, & is more akin to a grapefruit in saucer than ball in socket. – lack of bony stability & wide ROM … Read more
– See: Aminoglycocides – Discussion: – indicated for serious Gm Neg infections caused by suseptable Pseudomonas, Proteus, E. coli, Klebsiella, Enterobacter sp., Serratia, and Gm Neg Sepsis; – as with all aminoglycocides, gentamicin binds to bacterial ribosomes and inhibits protein synthesis; – tobramycin is more active than gentamicin against Pseudomonas, including … Read more
Discussion – in 1882, Gaucher described idiopathic hypertrophy of spleen w/o leukemia; – results from autosomal recessive deficiency of lysosomal enzyme glucocerebrosidase (b-glucosidase), which ordinarily destoys the lipid material; – it is the most common genetic lysosomal storage disorder; – results in accumulation of of glucocerebroside in retinuloendothelia cells; – bone involvement is … Read more
– See: external rotators of the hip: Origin: the outer surface of the spine of the ischium Insertion: the posterior medial surface of the greater trochanter on the femur; Action: external rotation of the femur at the hip; Nerve Supply: sacral plexus, L5, S1, S2; (see innervation) Synergists: piriformis, obturator externus, obturator internus, quadratus femoris, … Read more