– See: EMG Menu: – Discussion: – normally there is no activity at resting muscle; – denervated muscle fibers become spontaneously active, producing fibrillation potentials & positive sharp waves approx 10-20 days after nerve injury; – this test assists in differentiating neuropathic muscle atrophy from myopathic atrophy
– See: Compartment Syndrome – Discussion: – traumatic rhabdomyolysis, or crush syndrome, is consequence of prolonged continuous pressure on the limbs; – it reflects disintegration of muscle tissue & influx of myoglobin, potassium, and phosphorus into the circulation; – syndrome is characterized by hypovolemic shock and hyperkalemia; … Read more
– See: – Rupture of FDP – Flexor Tendon Repair – Staged Tendon Reconstruction: – Tendon Repair Technique: – Zone I Injuries … Read more
– Rotator Cuff Tear – Discussion: – arthroscopic repair techniques – clinical outcomes of repair – indications for RTC tear: – shoulder pain (especially night pain); – symptoms which cause loss of function or quality of life; – failure of NSAIDS and formal physical therapy; – failure of series of marcaine / steroid injections; – full passive ROM pre-op is necessary … Read more
– Meniscal Anatomy and Physiology: – medial meniscus – bucket handle meniscus tear – posterior horn tears of medial meniscus – lateral meniscus – discoid meniscus – indications for repair: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area … Read more
– See: Lateral Meniscus / General Discussion of Meniscal Repair – Indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery is considered avascular; (see vascularity of … Read more
– See: medial meniscus – Discussion: – indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery is considered avascular; (see vascularity of … Read more
– See: – Kocher Approach: – Elbow Flexion Contracture: – Discussion: – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule; – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture); … Read more
– See: – Calcitriol – Hyperparathyroidism – Renal Failure: (Orders for the CRF Patient) – Renal Spondyloarthropathy – Vit D – Effects on Adult Bone: – abnormalities of renal function can produce profound bone disease; … Read more
– See: Renal Osteodystrophy – Discussion: – seen in hemodialysis patients with chronic renal failure and typically invovles three adjacent vertebrae with intervening discs; – changes include subluxation, degeneration, and narrowing of disc ht; – although the process may resemble infection, it probably represents crystal or amyloid deposition; – … Read more