– Discussion: – historically has yeilded good results in relieving pain; – disadvantages: – thumb shortening and subsidence, weakness of pinch, and decreased ability to adduct the thumb; – Operative Technique: – dorsal longitudinal incision centered over CMC joint; – incision is curved volarly at the base of thenar eminence; – superficial branches of the … Read more
– See: – CMC Joint Instability – Trapezium – Ligament Reconstruction Tendon Interposition – Anatomy of CMC – Arthritis of CMC Joint: – most commonly involved arthritic joint in the hand; – more common in women (upto 1/3 of women over age 40, will have x-ray changes); – may exist in a localized form or … Read more
– See: CMT Menu: – Discussion: – autosomal dominant inheritance; – type-I and III disorders are due to demyelination of peripheral nerves; – clinical presentation is most common during the second decade of life; – due to defect in the gene coding for peripheral myelin protein-22 on chromosome … Read more
– See: CMT Menu: – Discussion: – includes the hypertrophic neuropathy of infancy (Dejerine-Scottas); – autosomal recessive trait; – begins in infancy; – EMG in demyelinating neuropathies: – marked slowing in nerve conduction velocity which is more extensive than those seen in … Read more
Discussion pseudomembranous colitis & diarrhea are complications of antimicrobial therapy that have been recognized for many years; over past decade many cases of these disorders have been found to be attributable to toxin-producing strains of C. difficile; although clindamycin continues to be linked to diarrhea & pseudo-membranous colitis, beta-lactam antibiotics have overtaken it as the … Read more
– Discussion: – posteromedial release may not fully correct a resistant deformity; – w/ severe deformity, consider osteotomy of the distal part of calcaneus combined with a plantar fasciotomy in addition to the posteromedial release; – medial opening-wedge osteotomy of calcaneus and the insertion of … Read more
– Positioning: – sterile tourniquet; – supine position, hip bump; – foot bump to hold the knee in hyperflexion; – Incision: – inverted L shaped incision; – transverse limb: – is made … Read more
– See Clostridium Dificile – Tetanus Prone Wounds – (see tetanus prophylaxis) – greater than 8-24 hrs from injury to treatment – barnyard contamination (bite wounds are considered moderate risk); – devitalized tissue; – Clostridium perfringes: – is a non-motile gram positive, anaerobic bacillus without … Read more
– Discussion: – Pavlik harness is seldom effective after 6 months of age; – in children between 6 months and 1 year of age, treatment consists of closed reduction w/ GEA following a period of skin traction & (w/ or w/o) adductor tenotomy (to reduce AVN); … Read more
– See: – Impediments to Reduction in DDH – Traction – Discussion: – Pavlik harness is seldom effective after 6 months of age; – in children between 6 months and 1 year of age, treatment consists of closed reduction w/ GEA following a period of skin traction & adductor tenotomy … Read more