(see also: Neuropathic Shoulder) Diabetes mellitus (diabetic charcot foot and ankle) Tabes dorsalis Syringomelia Septic Elbow in the Setting of Neuropathic Joint as the Initial Presentation of a Cervical Syrinx Meningomyelocele Leprosy Tumors of the spinal cord Degenerative spinal disease with nerve root compression Subacute combined degeneration of the spinal cord Amyloid neuropathy Giantism w/ … Read more
DESCRIPTION OF PROCEDURE: After induction of satisfactory axillary block anesthesia, patient’s left upper extremity was prepped and draped in the usual sterile fashion. After exsanguination of the draped in the usual sterile fashion. After exsanguination of the left upper extremity with Esmarch, pneumatic tourniquet was placed at 300 mmHg. Longitudinal incision was made over the volar radial aspect of the … Read more
– neurological exam for the neuropathic charcot foot: – in exam of the diabetic foot note the neurologic findings are usually distal, symmetrical, and sensory; – absent or diminished tendon reflexes are characteristic findings; – ankle jerk is mainly affected and is absent 4 times > knee jerk; – diminution or … Read more
– Discussion: – this branch is one of the major communications between deep and superficial femoral systems of the leg; – descending branch may arise separately from either femoral or profunda artery passes downward beneath Rectus Femoris; – provides branches to Vastus Lateralis & intermedius, accompanied by branches of Femoral Nerve, & … Read more
– Discussion: Stimulus for Contraction: – stimulus for muscle contraction is an electrical impulse from motor nerve at the motor end-plate or neuromuscular junction; – when sarcolemma is stimulated by an incoming impulse, sodium, potassium, and chloride ions move about w/in transverse tubules to spread impulse and depolarize membranes; … Read more
– See: – Anatomic Snuff Box – First Compartment – Discussion: – a stenosing tenosynovitis of APL & EPB tendons (first compartment) at the styloid process of the radius; – inflammation causes thickening & stenosis of synovial sheath of first compartment & pain w/ tendon movement; – most common in women between 30 and 50 … Read more
– See: Shoulder Abductors – Discussion: – major function of the deltoid muscle is to abduct arm; – it performs this action after scapula[scapula has been fixed by its stabilizing muscles and the humeral head has been snubbed to glenoid by the rotator cuff; … Read more
– See: Anterior Approach to the Shoulder and Total Shoulder Arthroplasty – Incision: – deltopectoral internval separates plane between axillary innervation (deltoid) and lateral and medial pectoral innervation to pectoralis major (incision should stay just lateral to the axillary skin crease); – ensure that the shoulder is position in neutral rotation and slight … Read more
See also: Laeral Compartment Anterior Compartment Superfical Posterior Compartment Discussion contains tibialis posterior, FDL, & FHL; originates primarily from posterior tibia, fibula, & interosseous membrane in proximal 2/3 of leg, these structures are involved in plantar flexion of foot & toes & inversion of foot thru tibialis posterior msucle function; major neurologic structure is posterior tibial … Read more
– Discussion: – first performed by Darrach in 1911 in New York City. – Indications: – for relief of pain following distal RU disruption and/or RU arthritis; – for symptomatic malunion of Colle’s frx in elderly patients, especially when stiffness is present; – procedure is generally performed … Read more