– Discussion: – permits the guided insertion of a cannulated blade thru the nail and into the femoral head,at one of three angles to accommodate anatomic or fracture variations; – angle options: – key onto proximal nail end, adapting the nail slot to accept the spiral blade … Read more
– See: – Arteriography – Foot Reconstuctive Surgery – Microanastomosis – Pharmocological Agents in Vascular Surgery – Initial Wound Care of Open Tibia Fractures – Soft Tissue Coverage Following Tibial Frx: (Tibia Frx) – STSG; – split thickness skin grafts require a … Read more
(see also: Osteomyelitis in Sickle Cell Patient) Discussion affects 1% of blacks – is more severe but less common than sickle cell trait (8% prevalence); two main genotypes include Hb S and Hb C forms of disease; crises usually begin at age 2-3 years and may lead to bone infarctions; Sequelae of Sickle Cell growth … Read more
Assistance provided by Nanni Allington MD. – Discussion: – a membrane lined cavity containing a clear yellow fluid. – occurrs most often in children 4-10 years of age; – lesions remain asymptomatic unless complicated by fracture. – they enlarge during skeletal growth and become inactive, or latent, … Read more
(see also: Physical Exam; Radiographic Studies for the Shoulder) Abductors of the Shoulder Acromioclavicular Joint / Acromioclavicular Joint Separation Acromioplasty Adhesive Capsulitis Anterior Inferior Glenohumeral Ligament Anterior Instability Anterior Shoulder Reconstruction Arteries of the Upper Limb Arthroscopy of the Shoulder Arthodesis of the Shoulder Arthroplasty of the Shoulder Bankart Lesion Blood Supply to the Humerus Biceps Tendonopathy … Read more
– See: – Diff Dx of Shoulder Pain: – Shoulder Examination Tests (from shoulderdoc.co.uk) – History: (questions for modified Simple Shoulder Test); – C-Spine: – r/o radiculopathy as well as axillary nerve hypaesthesia; – Spurling’s manuever: – mechanical stress, such as excessive vertebral motion, may exacerbate … Read more
– Discussion: – see discussion shoulder arthroplasty and technical considerations with fracture – operative considerations: hemiarthroplasty vs total shoulder arthroplasty – considered in young pt w/ OA, posttraumatic dz (w/ no have glenoid involvement nor erosion), AVN, or massive RTC tear; – approximate survival rate at 10 years is about 80%; … Read more
– Associated Injuries: – Bankart lesion – up to 90% of first time dislocators will have this lesion; – fracture dislocation: – fracture of humeral head, neck, or greater tuberosity; – associated greater tuberosity frx may actually have less … Read more
– History: (questions for modified Simple Shoulder Test); – Can patient… – comfortably place are at side? – sleep on side? – eat with utensil – dress … Read more
– Discussion: – impingement syndrome describes pain in subacromial space when the humerus is elevated or internally rotated; – during humeral flexion, the supraspinatus tendon and bursa become entrapped between the anteroinferior corner of the acromion (and CA ligament) and the greater tuberosity; – this syndrome is thought to precipitate attritional changes in the rotator … Read more