The Hip - book

Approach to Distal 1/3 of Radius through an Anterolateral Incision

– See:     – Plating Techniques – Technique:     – incision begins in front of radial styloid process, extending proximally in straight line along anteromedial border of the brachioradialis;     – brachioradialis is reflected laterally to expose superficial radial nerve in proximal portion;            – avoid injury this nerve as … Read more

Approach to Thoracolumbar Spine

– Positioning:  – foley and appropriate IV access established;  – place patient into left lateral decubitus position (L side up)  – break table in the middle;  – Incision and Exposure:  – incision is made along 10th rib which then curves along anterior abdomen as appropriate (based on size of patient);  – 10th rib is identified, … Read more

AP of Spine

– See:       – Pillar View – Discussion:     – this view demonstrates C3 thru C7 vertebral bodies, spinous processes and lateral masses; – Evaluates:     – lateral mass fractures     – sagittal plane frxs (also called vertical compression frx) may be visualized on the anteroposterior view;     – this view … Read more

AP View of Pelvis

See also: X-rays for THR X-rays for Femoral Neck Fractures Discussion this view should demonstrate the iliac bone, sacrum, pubis, ischium, femoral heads and necks, and greater or lesser trochanters; arcuate, iliopubic, ilioischial, and acetabular teardrop lines, sacral foramina, & SI joint should be scrutinized carefully and identified in a systematic manner; patient is supine with the … Read more

AP View of the Wrist

– See: – PA View – Radial Inclination – Discussion: – AP has the dorsum of the hand touching the film, with the x-ray beam passing palmar to dorsal, whereas in a PA film, the palmar surface lies flat on the film and the x-ray beam passes from the dorsal to palmar surface; – palmar … Read more

AO/ASIF Femoral Distractor

Indications allows unobstructed view of articular surface of acetabulum; Technique proximal bolt is inserted in the iliac wing in its superior portion, just distal to thickened crest; proximal bolt must pass through portion of ilium in continuity w/ sacrum (or frx proximal to this point must be stabilized) prior to application of a distraction force; distal bolt … Read more

Anti-Fungal Agents

Amphotericin B/Fungizone Clotrimazole/Lotrimin Econazole/Spectazole Griseofulvin Fluconazole Ketoconazole/Nizoral Miconazole/Monistat Nystatin/Mycostatin Pyogenic and fungal vertebral osteomyelitis with paralysis. A randomized trial comparing fluconazole with amphotericin B for the treatment of candidemia in patients without neutropenia. Candidemia Study Group and the National Institute.

Classification of Anterior Posterior Compression Injuries

– Seee: Anterior Pelvic Injuries – Discussion:     – symphyseal diastasis and/or longitudinal rami fractures;     – these injuries result from relatively anterior or posterior forces applied to the anterior or posterior superior iliac spine areas;     – this gives rise to forces that tend to disrupt anterior pelvis, either by fracturing … Read more

Anterior Subluxation (Hyperflexion Sprain) & Wedge Frx

– See: Hyperflexion Injuries – Discussion:     – partial or complete tear of posterior ligaments w/ varying degrees in widening of the interspinous and interlaminar spaces, as well as           subluxation, but not dislocation of Facet Joint;     – hyperflexion sprain injury may include mild anterior subluxation of involved vertebral body;     – this subluxation … Read more