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Total Knee Replacement – Day 1

           blood draw: A blood drawing technician will draw your blood at 6 AM (will test for your red blood cell level          – hematocrit – and possibly chemitry level).  Ask your nurse about your hematocrit (should be above 30 and if          the hematocrit is below 26 we may recommend a transfusion)          vitals … Read more

Wrist Menu

(see also: Hand Menu; Physical Exam; Radiographs) – Arthroscopy – Arthrography – Aspiration – Arthrodesis – Capitate – Carpal Instability – Carpal Tunnel Syndrome – CarpoMetaCarpal Fracture – CMC Arthritis – CMC Instability in the Thumb – CMC Instability in the Metacarpals – Darrach’s Procedure – DeQuervain’s Disease – Distal Radial Fractures – Dorsal Intercalated … Read more

Zone II Flexor Injuries

    – Discussion: – see flexor tendon repair     – see FDP lacerations: FDS and FDP     – almost all tendon injuries in zone 2 are due to lacerations; – this is where 2 tendons enter fibro-osseuous tunnel at mid-palm level; – once the FDS and FDP tendons enter flexor tendon sheath, the FDS separates into 2 … Read more

Wrist Arthroscopy

– Positioning and Preparation: – joint is distended w/ finger traps (to index and long fingers) w/ about 10 lbs, using a pulley system; – counter traction is applied to the arm w/ use of a second 10 lb pulley – this allows the elbow to be flexed 90 deg; – gravity assistant inflow; – initially … Read more

Work Up and Treatment of Acetabular Frx

– See: Trauma Menu – Discussion:     – note that with acetabular fracture associated with major trauma that there will be 50% chance of            at least one other major injury;            – neuro and head injury (see Glasgow)            – abdominal and chest injury (pulmonary … Read more

Wallerian Degeneration

– Discussion:     – arises from severe nerve injury (axonotmesis or neurotmesis)     – characterized by axonal enlargement into an amorphorous mass, breakdown of the axons, and schwann cell ingestion of fragmented              myelin to provide clean endoneural tubes for advancement of regenerating axons;             – axonal sprouting … Read more

Waddel Criteria

– Discussion:     – Waddel determined 5 findings on PE which correlated w/ non organic LBP known as the 5 Waddell criteria;     – he noted that most patients w/ documented organic LBP had one or none of Waddell criteria, and that patients who had 3/5 Waddell           criteria were much more likely have non organic LBP; … Read more