The Hip

Internet Driven Form Generator for Brief Op note, Orders, Prescriptions, and Patient Education Sheet.

Problem:  1) The busy surgeon is faced with a mounting amount of documentation challenges which interferes with already hardpressed time constraints. (Any surgeon that disputes the increasing amount of documentation is probably not aware of current CMS guidelines).  Most surgeons are probably not aware of what CMS requires and does not require (and has not felt … Read more

Zero Rotation Views

– Discussion:      – used to show ulnar variance;      – technique:            – shoulder is abducted 90 deg, the elbow flexed 90 deg, and forearm is held in neutral rotation;      – AP View:             – patient places the forearm flat on … Read more

Zanca View (AC Joint View)

– Discussion:     – used to better visualized the acromio-clavicular joint by eliminating overlying structures; – Technique:     – AP view w/ beam is directed at the a-c joint with 10 deg cephalic tilt;     – use 1/3 to 1/2 the voltage used for the AP shoulder view (soft tissue technique)

Wrist Arthrodesis

– Indications:     – painful or unstable wrist joint w/ advanced destruction due to OA, RA, post traumatic arthritis, SLAC wrist, spastic flexion               contracture, degenerative scaphoid non-union, unsuccessful wrist arthroplasty, and Keinbock’s dz;     – this procedure is more beneficial for young, active pts or middle aged pts, but not for elderly pts; … Read more

Wrist Arthrography

– Discussion:     – arthrography may be used in diagnosis of carpal instability because it is technically easy & is only minimally invasive;     – normally there should be no communication between the radiocarpal, mid-carpal, and distal radial-ulnar joints;     – it is noteworthy that in normal wrists there may be communications … Read more

West Point Axillary View

– Discussion:     – useful in identifying anterior glenoid abnormalities (Bankart Lesion) in pts w/ hx indicating traumatic instability of the shoulder; – Technique:     – pt is placed prone on x-ray table w/ involved shoulder on a pad raised 7.5 cm from the top of the table;     – head & … Read more