– See: – Herniated Disc in the Child: – Intervertebral Discs: – Anatomy: – disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration; – disc containment: – w/ a contained disc herniation, the … Read more
– Dicussion: – a thickened and wafer shaped lateral meniscus varient; – discoid meniscus may range from complete disc to a ring shaped meniscus; – occurs in upto 5% of population (but only a % of these are symptomatic) (prevalence may be higher in orientals (15%)); – … Read more
– See: Puncture of the Knee Joint – Discussion: – non-bloody effusion suggests an irrative synovitis that may be caused by degenerative meniscusor a chronic process with no super imposed acute injury; – absence of hemarthrosis is not indication of less severe ligament injury, since severe disruptions often cause only minimal joint … Read more
– Definition of V tach: – by definition, 4 or more PVCs in a Row; – appears as wide QRS usually with Left B.B.B. pattern (as opposed to a narrow complex seen with SVT); – may occurs short paroxysm or as sustained run w/ rate between 120-250 BPM; – SVT vs VT – aberrant conduction … Read more
– Discussion: – also known as Forestier’s disease; – disease involves non-marginal syndesmophytes present at at three successful vertebral levels; – commonly there will be no disc & joint narrowing & nor osteoarthritis; – differentiated from AS, w/ marginal syndesmophytes; … Read more
– See: – Amputation of the Finger and Hand: – Pharmocological Agents in Vascular Surgery: – Second Toe Transfer: – Thumb Defects: – Indications for Replantation: – Thumb amputation – Multiple digit amputations – Metacarpal amputation … Read more
– Discussion: – glenohumeral arthritis; – look for the characteristic osteophyte at the inferior aspect of the humeral head; – nerve palsy: – w/ atrophy of both the supraspinatus and infraspinatus, consider obtaining an MRI of the shoulder, to evaluate for space … Read more
– Differential Diagnosis: – vascular lesions: – location of ulcerations/lesions may be helpful in determining etiology of the lesions; – gangrene secondary to ischemia/arterial insufficiency will usually start at the most distal part of the extremity; – neuropathic lesions tend to … Read more
– Differential Dx: – Brachial Plexus Injury – Brachial Neuritis – Instability – anterior – posterior – multidirectional – Biceps Tendonitis – Avascular Necrosis of the Humeral Head – Degenerative Osteoarthrosis … Read more
– Systemic conditions: (may mimic ulnar entrapment syndrome at elbow) – Syringomyelia – Amyotrophic Lateral Sclerosis – Entrapment of the ulnar nerve distally at the wrist (Guyon’s canal) – Snapping Elbow Syndrome: – syndrome which has yet to be fully described, in which … Read more