Ortho Oracle - orthopaedic operative atlas

Bacteriology of Orthopaedic Infections in Neonates

– See:       – Osteomyelitis in New Born       – Septic Hip – Bacteriology:     – in hospital-acquired cases, staphylococci are the predominant isolates (about 60%), followed by Group B streptococcus, candida & gram-negative bacilli;           – these infections often stem from invasive procedures such as … Read more

Baker’s Cyst / Popliteal Cysts

– Discussion:     – a type of cyst which results from egress of fluid through a normal communication of a bursa (semimembranosus or medial             gastrocnemius bursa) or may be caused by herniation of the synovial membrane through the joint capsule;     – symptoms develope most often in bursa beneath the medial head of gastrocnemius … Read more

Axonal Neuropathies

– Discussion:     – axonal neuropathies involve axonal degeneration and are characterized by reduced sensory and motor amplitudes with only mild slowing of          conduction velocities and latencies;     – diabetes and ETOH abuse are the most common etiologies

Axillary Approach to the Shoulder

– Indications:     – most often used for anterior shoulder reconstructions – Positioning:     – beach chair w/ full access to posterior aspect of shoulder;     – holding shoulder in flexion, will relax shoulder & facilitate exposure;     – consider the Mconnel Shoulder Positioner;     – references:       … Read more

Axillary Artery

– See: Arteries of the Upper Limb – Discussion:     – the axillary artery begins at the first rib as a direct continuation of the subclavian artery and becomes the brachial artery at the lower border of the teres major     – artery passes behind pectoralis minor in its course thru axilla & is conveniently described as having 3 … Read more

Axillary nerve

– Discuussion: – axillary nerve (C5, C6) originates from and passes backward from posterior cord of brachial plexus  – at level of axilla; – it arises immediately posterior to the coracoid process and conjoined tendon; – it crosses the inferolateral surface of the subscapularis, 3-5 mm medial to the musculotendinous border; – sweeping a finger … Read more