– Discussion: – broad range of forces acts upon the hip joint; – muscles that cross hip joint generate most of the load that it bears; – femoral neck fracture: – distance between the head and shaft of the femur determines the moment arm … Read more
– See: Flexor muscles of the Forearm: – Superficial muscles arise from a common tendon attached to the lateral epicondyle of the humerus, and divide into lateral and medial groups; – Lateral three of these muscles: Brachioradialis Extensor … Read more
– Diabetic Foot – Treatment Considerations – Syme’s Amputation – Ankle-level amputation. – Chopart Amputations: – The Modified Chopart’s Amputation. – Resurrection of the amputations of Lisfranc and Chopart for diabetic gangrene. – Congenital Chopart amputation. A functional assessment. – Pirogoff: – Pirogoff Amputation for Foot Trauma: An Unusual Amputation Level A … Read more
– See Lovenox – Discussion: – synthetically manufactured pentasaccharide anticoagulant; – inhibitor of antithrombin (see coagulation cascade); – in contrast to heparins (which inactivate factor Xa and thrombin), fondaparinux only inhibits antithrombin; – dosage: 2.5 mg SQ q24 Effect of low molecular weight heparin (dalteparin) and fondaparinux … Read more
– See: Spinal Shock – Discussion: – fluid resuscitation should be conducted with the knowledge that excessive replacement may cause cerebral edema; – expanded intravascular volume in absence of abnormality in serum Na does not predispose to brain swelling, and hence, fluid restriction is not indicated in the head … Read more
– See: Plantar Muscles of the Foot: – Origin: posterior surface of middle 3/5 of tibia; – Insertion: branches into 4 tendons that insert the plantar surface of base of distal phalanx of the 4 lesser toes. – Action: – flexes phalanges at all phalangeal and metatarsophalangeal articulations of 2nd … Read more
– Anatomy: – origin: distal 2/3 of posterior fibula, interosseous membrane and adjacent intermuscular septum; (see deep posterior compartment) – tendon passes through posterior aspect of fibro-osseous tunnel, plantar midfoot (knot of Henry); – insertion: – plantar surface of base of distal phalanx … Read more
– See: Forearm Flexors – Discussion: – origin: medial epicondyle of humerus; – anatomy at the wrist: – when pt flexes wrist & radially deviates his hand, tendon becomes prominent next to the palmaris longus; – FCR lies radial to the … Read more
– Discussion: – results from arthrodesis w/ distraction involving lower lumbar spine; – young patients can compensate via flexion of hips & knees; – adults > 40 years loss ability to compensate & go on to develop fatigue-like pain along w/ a stooped posture; – Prevention: – operations … Read more
– Discussion: – most thoroughly analyzed joint in cerebral palsy has been knee; – most common deformity of the knee involves flexion contractures and decreased range of motion; – early changes: – short stride gait and reduced popliteal angle; … Read more