– See: – PE of C-Spine: – Neuro Exam – Inspection: (scoliosis, thoracic kyphosis, lumbar lordosis, zoster ect.) – ROM: – extension: Phalen’s test (lumbar stenosis) – flexion: – frequently assessed by patient’s ability to touch the floor; … Read more
– See: – Carpal Instability: – scapholunate advanced collapse – scapholunate instability – Discussion: – scapholunate and lunate injuries cause tenderness just distal to Lister’s tubercle; – marked prominence of the entire carpus dorsally may indicate … Read more
– See: – Brachial Plexus – Neuro Exam – Management of Spinal Cord Injury: – Assess for Spinal Shock & Sacral Sparing – bulbocavernosus – anal sphincter S-3 – bladder sphincter S-2 – FHL S-1 – level of a spinal cord … Read more
– See: THR Main Menu: – Discussion: – evaluation of painful THR: – when previously pain free hip becomes painful, suspect loosening; – where as acetabular loosening tends to cause groin pain, femoral loosening tends to cause thigh pain; – increased limp and shortening are signs of … Read more
– Chronic Injury: – flexion deformity of PIP & an extension deformity at DIP joint; – MCP hyperextension deformity; – after the central slip has been disrupted for some time, there will be volar migration of lateral bands, and contracture of oblique retaincular lig. – after the lateral bands … Read more
– See: Bone Tumor Menu – Discussion: – prevalence: – it represents approx 7% of all primary bone malignancies; – second most common primary malignant bone tumor (behind osteosarcoma) (2.1 per 1 million children) – Ewing’s sarcoma is more common in males and is rare in blacks; – … Read more
– Discussion: – epithelioid sarcoma is the most common soft-tissue sarcoma in the hand and most commonly occurs in young adults; – slow growing malignant soft tissue tumor, usually occuring in adults; – these are usually minimally symptomatic. – “pseudocapsule” or poorly circumscribed mass often attached to tendons, tendon sheath, or joint capsule; … Read more
– See: ankle equinus: cerebral palsy – Discussion: – more common in spastic hemiplegia, and is caused by overpull of of the tibialis posterior and/or anterior tibial tendons; – try to determine which of these muscles is more pathologically involved; … Read more
– See: – Obstetrical Paralysis: – Upper Trunk Brachial Plexus Injuries in Adults; – Discussion: – most common birth related neuropraxia (about 48%); – lesion of C5 & C6 roots are usually produced by widening of the head shoulder interval (in some cases C7 is involved as … Read more
– Discussion: – implantation of epithelioid tissues into deeper areas as a result of penetrating trauma; – often the inciting trauma occurs well into the past (patients may or may not remember); – mass is often mildly painful but is non tender, most often lies on … Read more