– Discussion: – RF is term used to describe group of autoantibodies w/ anti-IgG activity; – about 80-90% of RA pts have antibodies to the Fc region of IgG; – this antibody, called rheumatoid factor (anti-IgG), will also occur in bacterial endocarditis, schistosomiasis, leprosy, osteomyelitis, and other chronic infections; … Read more
– See: – FDP rupture – FPL rupture – Teno-synovectomy – Discussion: – when flexor tendon ruptures occur, there are two usual causes: – attrition or direct invasion by tenosynovitis; – these occur in carpal canal due to invasion or attrition; – scaphoid bone … Read more
– Assistance provided by Michael Berend MD. … Read more
– Discussion: – Ascending Cervical Branches travel proximally under the hip capsule and continue proximally along neck deep to synovial membrane toward the femoral head; – these arteries are known as retinacular arteries; – as cervical arteries traverse superficial surface of femoral neck, they send many … Read more
Discussion: Quantitative gait analysis in patients with medial patellar instability following lateral retinacular release. The diagnosis and treatment of medial subluxation of the patella after lateral retinacular release. Medial subluxation of the patella as a complication of lateral retinacular release Hemarthrosis as a major complication after arthroscopic subcutaneous lateral retinacular release: a prospective study. [Prevention … Read more
– Rotator Cuff Tear – Discussion: – arthroscopic repair techniques – clinical outcomes of repair – indications for RTC tear: – shoulder pain (especially night pain); – symptoms which cause loss of function or quality of life; – failure of NSAIDS and formal physical therapy; – failure of series of marcaine / steroid injections; – full passive ROM pre-op is necessary … Read more
– See: – Kocher Approach: – Elbow Flexion Contracture: – Discussion: – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule; – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture); … Read more
– PreOp Planning: – Proximal Exposure: – if there is extreme difficulty in dislocating the hip, attempt to perform a wide capsulotomy or perform a trochanteric osteotomy; – it is essential to avoid a proximal femoral frx while extracting the stem; – before attempting prosthesis removal, remove granulation tissue … Read more
– See: Renal Osteodystrophy – Discussion: – seen in hemodialysis patients with chronic renal failure and typically invovles three adjacent vertebrae with intervening discs; – changes include subluxation, degeneration, and narrowing of disc ht; – although the process may resemble infection, it probably represents crystal or amyloid deposition; – … Read more
Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. Acute fractures and dislocations of the cervical spine in children and adolescents.