– See: – Nail Bed Injuries – Finger Tip Injuries: – Discussion: – may be used for finger tip amputations which have more dorsal soft tissue loss than palmar loss); – advancement flaps from same finger provide advantage of rapid healing, limited morbidity, and critical sensibility … Read more
– Urinary Injuries: – see: renal / urogenital trauma – frx patterns at risk: – Malgaigne frx: rupture of bladder & urethra occurs in 20 % of patients; – pubic rami frx: (especially from straddle injuries); … Read more
– UTI in the Spine Injured Patient Management: – Rx with ATB’s, pending urine culture – Consider single dose therapy for symptomatic non-pregnant women with no known anatomic abnormalities; – Follow up culture in 7 to 14 days; – Prolonged therapy (7-10 days) is for symptomatic men, pregnant women or patients with … Read more
– Tendon Transfers for Specific Palsies: – Brachial Plexus Palsy – High Ulnar Nerve Palsy – Low Ulnar Nerve Palsy – High Median Nerve Palsy – Low Median Nerve Palsy – Radial Nerve Palsy – Prerequisites: – full passive joint mobility; … Read more
– Tensioning the Graft: – as a muscle is tensioned to mid stretch, most of the potential energy generated results from passive tension of elastic recoil; – note that the tenodesis effect can effectively increase tendon excursion by 2-3 cm; – Mayer’s Rule: – … Read more
– See: – Amputation of the Finger and Hand: – Above-Elbow Amputation – Below-Elbow Amputation – Upper Extremity Prosthetics: – Wrist Disarticulations – General Considerations: – Disability: – loss of one upper extremity … Read more
– Discussion: – it is important that the injection site be at distance proximal to site of injury; – if this cannot be performed w/ ease, retrograde axillosubclavian technique should be utilized; – insertion of needle into brachial artery is facilitated by immobilizing artery against humerus; … Read more
– Wrist: – exam: flexed & ulnarly deviated – synovectomy: – synovectomy is most indicates before joint changes occur; – flexion deformity: – 30 deg wrist flexion deformity can be treated by serial splinting & casting; … Read more
– Discussion: – length & alignment are restored by use of femoral distractor in saggital plane, w/o need for fracture table; – this permits hip and knee to be flexed on the table during nailing; – the distractor may be particularly suited to poly trauma patients; – disadvantage … Read more
– Criteria for Unstable Frx: – Neurologic deficit; – Posterior Element Injuries; – Loss of more than 50% of anterior vertebral body height; – Greater than 25 to 35 deg of kyphosis; – Thoracolumbar burst frx: – angulation of thoracolumbar … Read more