Ortho Oracle - orthopaedic operative atlas

Amyotrophic Lateral Sclerosis

– See: – El Escorial Revisited: Revised Criteria for the Diagnosis of Amyotrophic Lateral Sclerosis – Disorders of Nerves: – Anterior Horn Cell Disorders: – ALS Society Homepage – Discussion: – amyotrophic lateral sclerosis is a syndrome characterized by both upper and lower motor neuron disease; – destruction of anterior horn cells & descending corticospinal tracts; … Read more

Amoxicillin/K+ & Clavulic acid/Augmentin

(see also: penicillin family) Discussion combination of clavulanic acid and amoxicillin (augmentin – 250 or 500 mg of amoxicillin plus 125 mg of clavulanic acid) provides oral preparation with enhanced activity against beta-lactamase-producing strains of Staph, Branhamella catarrhalis, H. influenza, N gonorrhoeae, and bacteroides; oral administration of amoxicillin and clavulanic acid (every 8 hours) is effective … Read more

Aldolase: 1.5 -12.0 micro / lit

requires about 5 ml of venous blood, pt NPO for AM blood draw. Increased: Dermatomyositis, Polymyositis, Limb girdle muscular dystrophy Chronic hepatitis, Portal cirrhosis, Obstructive jaundice (See bilirubin) Gangrene, Prostate tumors (PSA), Trichinosis, Liver mets, blood dyscrasias, delirium tremens, Burns, 20% of cancer pts. – Normal Values – Poliomyelitis, Myasthenia gravis, Multiple sclerosis, Neurogenic musclee … Read more

Tibio-Talar-Calcaneus Arthrodesis

– Discussion:     – surgical indications include diabetic neuropathy, osteoarthritis, posttraumatic injury, talar AVN, and RA involving            ankle and subtalar joints;     – position for pantalar arthrodesis:            – 0-5 deg of calcaneus (not equinus) and 5 deg of valgus;     – in the report by Chou, et al, the authors … Read more

Internet Driven Form Generator for Brief Op note, Orders, Prescriptions, and Patient Education Sheet.

Problem:  1) The busy surgeon is faced with a mounting amount of documentation challenges which interferes with already hardpressed time constraints. (Any surgeon that disputes the increasing amount of documentation is probably not aware of current CMS guidelines).  Most surgeons are probably not aware of what CMS requires and does not require (and has not felt … Read more

Tumors of Hand and Distal radius

– Adamantinoma – Basal Cell Carcinoma: – Calcinosis – Chondrosarcoma: – the most common bony malignancy in the hand; – CMC Boss: bony growth at bases of second and third metacarpals; – special radiographs can demonstrate the osteophytes, which may be resected if symptoms warrent; – associated with ganglia at least 30% of the time, … Read more

Tunnel of Guyon

– Discussion: – Guyon (French Urologist) described this space in 1861; – Guyon’s canal is approximately 4 cm long beginning at the proximal extent of transverse carpal ligament and ends at the aponeurotic arch of hypothenar muscles; – depression between pisiform & hook of hamate is converted into fibrosseous tunnel, the tunnel of Guyon, by pisohamate … Read more

TKR – Posterior Cruciate Ligament Retaining Prosthesis

– See: – TKR Menu – Joint Line Position: – Posterior Stabilized Prosthesis: – Function of Posterior Cruciate Ligament: (see PCL) – as the knee flexes, eccentric postion of the PCL femoral orgin prodecues a tensile force in the ligament; – because of nonconforming low friction articlation, this tensile force is converted into a translatory … Read more