– Adult: 50-150mg PO/IM/SQ q3-4hr prn Pain; (75mg IM Demerol =10mg Morphine) 1-2 mg/kg/dose PO/IM/IV (including Peds q 6 hr) – PO: peak effect at 2 hrs; – IM/IV: onset at 2-5 min; Peak at 1 hr; lasts 2-3 hrs. – IV administration must be slow in diluted solution; – Peds: 1 mg/kg/dose IV/IM q2-4hr; 1.0-1.5 mg/kg/dose … Read more
– Discussion: – for evaluation of both the patella and trochlea surfaces of femur; – disadvantages: – this view does not necessarily predict which patients will show functional improvements w/ surgical realignment; – as pointed out by O’Neil (1997) some patients … Read more
– Discussion: – semilunar cartilages are extensions of tibial articulation of knee; – w/o menisci, tibial articulation is incongruous with the femur; – microscopic features – vascular anatomy – anatomy: – medial meniscus – bucket handle meniscus tear – posterior horn tears of medial meniscus – lateral meniscus – discoid meniscus – ref: A Quantitative … Read more
Frx Treatment Methods: Casting of Tibial Fractures External Fixators Plating of Tibial Fractures: Intramedullary Nails for Tibial Fracture: Amputation following Fractures of the Tibia Blood Supply Blounts Disease Bone Grafting for Tibial Fracture Bowing of Tibia: Anterolateral Bowing: Posteromedial Tibial Bowing: Casting of Tibial Fractures Classification of Open Tibial Fractures: Compartment Syndrome following Tibial … Read more
– Discussion: – medial suprapatellar plica lies above the patella and medial synovial shelf; – size of plica may vary from partial plica to a complete suprapatellar membrane dividing the joint into two distinct compartments; – Clinical Manifestation: – symptoms from this plica are considered rare unless the plica is … Read more
– See: – Bicondylar Fractures and Type V Fractures: – Split Fractures: – Surgical Approach: Medial Compartment: – Type IV Fractures: – Total Depression Fracture: – X-ray: – if knee is unstable (greater > 5 deg instability), stress … Read more
– Anatomy and Function: (see medial compartment of knee / patellar subluxation); – medial patellofemoral ligament, a distinct condensation of capsular fibers in coronal plane which originates at the medial epicondyle (adductor tubercle and adductor tendon) as well as the MCL; – deep fascia and aponeurotic edge of the VMO fuses with the superior border … Read more
– See: – Medial Tibial Plateua Fractures: – Discussion: – on medial side, plate is applied to anteromedial face of proximal metaphysis deep to pes anserinus & anterior fibers of MCL; – Incision: – incision begins over medial femoral condyle, continues anterodistally then crosses the joint line near the … Read more
– Discussion: – most common form of plica; – located over the medial femoral condyle; – vulnerable to direct trauma when the knee is flexed; – repeated trauma or irritation may lead to inflammation and fibrosis of the plica; – fibrotic plica has decreased elasticity which causes … Read more
– Anteromedial Portal: – for visualization of the lateral compartment, and instrumentation of the the medial compartment; – this portal is located in a manner similar to the anterolateral portal, that is, 1 cm above the medial joint line and 1 cm medial to the edge of the patellar tendon; … Read more