– Discussion: – often patients will note pain weeks to months after the cast is removed; – w/ excessive dorsal tilt, will often develop a symptomatic ulnar mid-carpal instability (or carpus adaptive DISI); – in the report by Taleisnik and Watson (1984), the average amount … Read more
– Open Resection: – short transverse incision directly over the mass; – dorsal ganglions are often located between the EPL and EDC tendons; – retinaculum is incised between the 2nd and 4th extensor compartments (EPL tendon sheath need not be incised); – main cyst and its pedicle … Read more
Clinical Cardiology: Diagnosis, Treatment, and Prevention of Pulmonary Embolism: Report of the WHO/International Society and Federation of Cardiology Task Force. Subcutaneous low-molecular-weight heparin compared with continuous intravenous heparin in the treatment of proximal-vein thrombosis. Heparin for 5 days as compared with 10 days in the initial treatment of proximal venous thrombosis. Is anticoagulation indicated for asymptomatic postoperative … Read more
– Bone Patellar Bone Repair: – Femoral Tunnel: – Tibial Tunnel: – Tendon Graft: – according to Noyes et. al., strength of 14 mm-wide graft of patellar tendon is approximately 175% the strength of normal Anterior Cruciate Ligament; – semitendinosus graft is approx 75%, gracilis tendon is approx 25%, … Read more
– See: Surgical Approach – Treatment Options: – No Reduction – elevation, compression, early ROM (ROWE) – Closed Reduction – Bohler: distraction/M-L – compression – Open Reduction – Palmer: lateral approach (1948) – Goals of Open Reduction: … Read more
– Non Operative Treatment: – Operative Considerations: – surgical indications: – when deformity has not been treated successfully w/ proper manipulation & serial application of casts, supported by limited operative intervention; – operative timing: – surgical goals: – goal for surgical procedures is concentric reduction of the talonavicular and calcaneocuboid joints; – deformities of the … Read more
– Discussion: – mechanism of injury: – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries); – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more
Indications for treatment proximal DVT proximal propagation of a distal DVT some authors advocate that isolated asymptomatic distal DVT can be followed on serial Duplex Ultra-sound, and does not require treatment distal DVT will propagate proximally in less than 10-20% of cases, and has a low risk of PE serial ultrasound can be performed on … Read more
– See: Lisfranc’s Frx – Anatomy of the Midfoot – Radiographs: – w/ questionable injury, consider wt bearing AP view to assess 1-2 interval; – if standing AP is unacceptable to the patient then consider CT scan; – abudction stress AP: … Read more
– Discussion: – trapezius and serratius anterior stabilize scapular base from which the arm operates; – trapezius, which arises from spinous processes of cervical and thoracic vertebrae & inserts on spine of scapula and acromion, is innervated by spinal accessory nerve and branches from third … Read more