– Discussion: – may lessen the distraction of the medial arch at the superomedial portion of spring ligament (lessens ligament tension); – may make the achilles tendon a better invertor and less of an evertor of the subtalar joint during walking; – compensates for talo-calcaneal valgus, and may … Read more
Discussion older names include dolichostenomelia (Greek for long, narrow limbs) and dystrophia mesodermalis congenital, typus Marfanis; inherited as an autosomal dominant trait with variable expressivity. characterized by long, thin limbs and by laxity of ligaments; Pathophysiology dz of collagen synthesis (possibly the alpha subunit) may have abnormal production of collagen type I (and ? type … Read more
– Discussion: – motor nerve may cross over from the median to ulnar nerve in the forearm; (motor connections but not sensory connections); – it occurs in two patterns: – from median nerve in proximal forearm to ulnar nerve in middle to distal third of forearm, & from AIN to … Read more
– Discussion: – indicated for chronic ingrown toe nails or for any condition in which the nail shape is thickened and distorted; – Surgical Matriectomy: – excision of matrix w/ scapel may be used but has high complication rate; – for adequate exposure of the entire germinal matrix, two oblique … Read more
– See: – Arteriography – Arterial Trauma – Compartment Syndrome – Knee Dislocation – Popliteal Artery – Reperfusion Injury – Discussion: – note that the worst error to make is to underestimate the need to … Read more
– Cardiovascular: – dysrhythmia – EKG Changes – digoxin sensitivity – hypertension; – Gastro Intestinal: – anorexia – nausea / vomiting; – constipation – abdominal pain, – pancreatitis … Read more
– See: – Exam for Spinal Cord Injury – Head Injury – Neuro Exam Menu – C-spine (initial care): – ensure that patient has adequate C-spine immobilization; – a standard backboard is unsuitable in children since it places the head into extension (pediatric … Read more
– See: – Digit Reimplantation – Moberg Flap; – Tendon Injuries of the Thumb: – Second Toe Transfer: – Skin Grafts: for hand defects; – Management of Acute Injuries: – amputations: – replantation: … Read more
– Discussion: – by definition, invovles RTC tears of more than 5 cm and involves more than than one tendon; – further, massive tears cannot be repaired w/o excessive tension after lysis cuff adhesions and release of the coracohumeral ligament; (see cuff mobilization) – Management: … Read more
– See: – meniscal injury – anterior cruciate ligament: – evaluation of ACL injuries: – bone patellar bone reconstruction: – hamstring reconstruction: – allograft reconstruction: – Discussion: … Read more