– Dicussion: – a thickened and wafer shaped lateral meniscus varient; – discoid meniscus may range from complete disc to a ring shaped meniscus; – occurs in upto 5% of population (but only a % of these are symptomatic) (prevalence may be higher in orientals (15%)); – … Read more
– See: Puncture of the Knee Joint – Discussion: – non-bloody effusion suggests an irrative synovitis that may be caused by degenerative meniscusor a chronic process with no super imposed acute injury; – absence of hemarthrosis is not indication of less severe ligament injury, since severe disruptions often cause only minimal joint … Read more
– shin splints: – osteoid osteoma – chronic sclerosing osteomyelitis: – osteomalacia – metastasis – osteogenic sarcoma – Ewing’s tumor
– Systemic conditions: (may mimic ulnar entrapment syndrome at elbow) – Syringomyelia – Amyotrophic Lateral Sclerosis – Entrapment of the ulnar nerve distally at the wrist (Guyon’s canal) – Snapping Elbow Syndrome: – syndrome which has yet to be fully described, in which … Read more
– see carpal tunnel syndrome – Overuse Syndromes: – include muscle pain, tendinitis, fibrositis, epicondylitis, & psychological conditions that may contribute to disability; – Vascular Pathology – Anatomic Diff Dx: – Cervical Root Impingement – combination of nerve entrapment & radiculopathy (C6-C7) is not uncommon … Read more
– Skull – Humerus/Scapula – Hand/Wrist – Spine – Pelvis – Ribs – Proximal Femur – Distal Femur – Proximal Tibia – Distal Tibia – Fibula – Foot – patella: … Read more
– Legg-Calve’-Perthes disease; Findings in M.E.D. not seen in Perthes: short, stunted metacarpals/metatarsals; irregular femoral heads which is bilateral & symmetric, is not assoc w/ metaphyseal cysts, & commonly has early acetabular changes; early hip arthritis is common; bilateral Legg-Calve’-Perthes disease is uncommon; abnormal normal ossification (tibial “slant sign” flattened femoral condyles; T12/L1 notching and deformed … Read more
– See: – Diabetic Foot Menu – Osteomyelitis in the Diabetic Patient – Amputations in the Diabetic Patient – Discussion: – several abnormalities of cutaneous circulatory anatomy & hemodynamics exist in pts with diabetes; – increased incidence of atherosclerosis, calcification of tunica media, & thickening of tunica … Read more
Clinical signs Clinical signs are unreliable but should not be ignored Calf tenderness, swelling, fever, and increased pulse rate may be present Work up for DVT arterial blood gas/pulse oximetry coagulation labs (for HCT & platelet count) prothrombin time (PT)/partial thromboplastin time (PTT) fibrinogen CBC EKG and CXR (if PE is suspected) D-dimer level below … Read more
patello-femoral function: – significant forces are generated across the patellofemoral articulation on flexion and extension of the knee; – these forces progressively increase as flexion angle of knee increase; – contact area between the femur and the … Read more