Ortho Oracle - orthopaedic operative atlas

DVT/PE Ref

Current Concepts Review. Prevention of Venous Thromboembolism after Total Hip and Knee Arthroplasty. Current Concepts Review.  Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Original Articles: Deep-Vein Thrombosis And The Incidence Of Subsequent Symptomatic Cancer. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three … Read more

DVT & PE arising from Trauma, Pelvic Fractures, and Extremity Fractures

– See: DVT Discussion: – Discussion:     – 30-50 % occurance of DVT in trauma pts w/ lower extremity fractures;     – preexisting conditions such as heart disease, obesity, carcinoma, diabetes, and hypertension could theoretically push the numbers even             higher;     – mortality for pulmonary embolism may approach 10%;     – ref: … Read more

Dural Membrane of the Spine

– Discussion:     – spinal dura is separated from inner surface of bones forming vertebral canal by epidural space containing fat and a rich plexus of veins;     – dural sac continues inferiorly to about middle of 2nd sacral vertebra;     – pia mater:             – closely attached … Read more

DVT: Intermittent Compression Stockings

– Discussion:     – advantages include relatively low cost, efficacy when worn properly, and safety;     – disadvantages: compliance is not guaranteed;     – if possible, patients should be placed in the intermittent compression stockings, prior to the operative procedure Pneumatic sequential-compression boots compared with aspirin prophylaxis of deep-vein thrombosis after total … Read more

Dupuytren’s Contracture

– See: Surgical Treatment of Dupuytren’s: – Discussion: – originally described by Baron Guillaume Dupuytren in 1831; – ref: Guillaume Dupuytren: His Life and Surgical Contributions – usually appears between age 40 to 60 years; – disease occurs more often and is more severe in males or persons of Northern European Origin; – may be … Read more

Down’s Syndrome: Orthopaedic Considerations

– Associated Conditions:     – ligament laxity     – hypotonia     – mental impairment     – heart disease (50%)     – endocrine disorders (hypothyroidism and diabetes)     – premature aging     – spinal abnormalities:            – atlantoaxial rotatory subluxation in Down’s syndrome                  – evaluated … Read more

Dorsal Interossei

    – See: Intrinsic Muscles of the Hand; – Origin: each from the 2 metacarpal bones between which it inserts; – Insertion:     – superficial belly:          – inserts onto the lateral tubercle at the base of the proximal phalanx (proximal phalanges of 2nd, 3rd, and 4th digits)                  to function as … Read more

Dorsal Interossei of Feet

– See: Plantar Muscles of the Foot:  Origin: there are 4 dorsal interossei which arise by double pennate fibers from the bases and sides of the bodies of adjacent bones.  Insertion: base of the proximal phalanx and aponeurosis of the tendons of the Extensor digitorum longus.  The first dorsal interosseus              (arising from the 1st an … Read more

Dorsal Wrist Pain

Diff Dx Ganglionic cyst probably the most common cause of dorsal wrist pain (when obvious causes such as frx or SLD have been ruled out); in the study by Steinberg and Kleinman (1999), 18 out of 21 patients with dorsal wrist pain had an occult scapholunate ganglion; result from cystic degeneration within scapholunate ligament and … Read more