The Hip - book

Elbow Arthroscopy

(see also: Elbow Arthritis) Equipement 30 deg, 4 mm arthroscope; arthroscopic pump; Positioning patient is usually prone with sandbag placed under antecubital fossa; TV monitor is positioned opposite of the patient; ulnar nerve is palpated to pinpoint its location and to ensure that it does not subluxate with elbow flexion instill fluid into the joint … Read more

Ehlers-Danlos Syndrome

(see also: Marfan’s Syndrome) Discussion autosomal dominant disorder characterized by hyperextensibility of “cigarette paper” skin joint hypermobility and dislocation, soft tissue/bony fragility, and soft tissue calcification; joint effusions and arthralgias are common, and children are often misdiagnosed with forms of arthritis; all forms the disease may cause skin fragility, bruising, scarring, joint discomfort and osteoarthritis; … Read more

Dysplastic Spondylolisthesis

– Discussion:     – involves a congenital insufficiency of facet joints (of S1 or L5) & disk complex, resulting           in displacement w/o a defect or elongation of pars interarticularis;           – there is gradual attenuation of the pars interarticularis, but  no gap or defect in … Read more

DVT/PE Ref

Current Concepts Review. Prevention of Venous Thromboembolism after Total Hip and Knee Arthroplasty. Current Concepts Review.  Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Original Articles: Deep-Vein Thrombosis And The Incidence Of Subsequent Symptomatic Cancer. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three … Read more

Dural Membrane of the Spine

– Discussion:     – spinal dura is separated from inner surface of bones forming vertebral canal by epidural space containing fat and a rich plexus of veins;     – dural sac continues inferiorly to about middle of 2nd sacral vertebra;     – pia mater:             – closely attached … Read more

Dual Photon Absorptiometry

– Discussion:     – this technology allows subtraction of soft tissue density from bone density of bone mass of the hip, pelvis, and spine;     – dual-photon absorptiometry uses transmission scanning w/ isotope source that emits two photoelectric peaks;           – it allows(bone density to be measured independently of … Read more

Dual X-ray Absorptiometry

– Discussion:     – is the newest and the most precise technique for evaluating osteoporosis, and has emerged as the successor to DPA; – anatomic sites for DXA measurement include: – lumbar spine, proximal femur, forearm and calcaneus; – advantages of an x-ray system over a DPA radionuclide system include: – shortened examination time … Read more

Double Major Curves

– See: Scoliosis Menu: – Discussion:     – frequently double curves balance out & do not produce cosmetic deformity;     – they do not tend to progress unless > 60 deg at skeletal maturity;     – operative indications:            – marked progression of curves;     – disadvantages … Read more