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
(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
– 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
– 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
– Exam: – skin abrasion and contussions from direct blows; – r/o compartment syndrome; – ligamentous instability – peroneal nerve function; – Radiographs: – Indications for treatment: – Open Plateau Frx or Frx w/ compartment syndrome; – Articular Surface … Read more
– 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
– See: brachial plexus – Discussion: – hx: persistant pain > 6 months: (poor prognosis); – diff dx: – breast cancer (lower plexus and painful) – radiation therapy (upper plexus and painless) – … Read more
– Trauma – Toxic Synovitis – Reflex neurovascular dystrophy – Hemophilia – Slipped Capital Femoral Epiphysis – Pigmented Villonodular Synovitis
– 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
– See: Compartment Syndrome – Discussion: – type of forearm ischemic contracture resulting from brachial artery injury usually associated w/ supracondylar frx of humerus; – may see loss of motor & sensory function, however, classic involvment is w/ anterior interosseous branch of median nerve; – pathology: … Read more