Ortho Oracle - orthopaedic operative atlas

Proximal Biceps Tendon Rupture

– See:      – Biceps Tendonitis      – SLAP Lesions – Discussion:     – this tendon may have some role as a depressor of humeral head, preventing superior migration of humeral head;     – approx 50% of all ruptures occur thru the tendon of the long head;     – rupture is … Read more

Protein Polysaccharides

– Discussion:     – protein polysaccharides account for approx 4.4% of organic components of bone and may be defined as compounds of carbohydrate and           protein in which carbohydrate is a polysaccharide attached to a protein by covalent bonds;     – principle polysaccharide (mucopolysaccharide) of bone is chondroitin-4-sulfate (chondroitin sulfate A);          – … Read more

Primary Spinal Cord Neoplasia

– Intrameduallary tumors:     – infiltrate or compress the spinal cord so gradually that they may grow to considerable size before detection;          – are glial in origin (except for the rare hemangioblastoma)     – ependymomas:          – commonly arises in the conus medullaris       … Read more

Primary Subtalar Fusion for Calcaneal Fracture

– See: sub-talar arthrodesis – Primary Fusion:     – indicated for fractures w/ more than 3 parts;     – restores length of gastrocnemius-soleus complex     – corrects flat foot     – relieves the narrow peroneal space;     – in the presentation by AF Infante et al (15th Annual Meeting of … Read more

Prevertebral Soft Tissues

– Discussion:     – soft tissue swelling is indirect indicator of significant trauma, esp when the soft tissue swelling is above the epiglottis;     – retropharyngeal soft tissue swelling should not exceed:          – anterior to C3 should not exceed 3 mm.          – if > than 5 … Read more

PreOp Planning for TKR

– See: TKR Menu – Checklist: – surgical risk assessment – preop cardiology, dental, GI, and urological consults – risk factors for infection: are taken into consideration; – tranexamic acid – anesthesia consult and posting – Pulmonary embolism prophylaxis in more than 30,000 total knee arthroplasty patients: is there a best choice? – autologous blood / … Read more