– See: – Humeral Fracture Non Union – Tibial Non Unions – Femoral Shaft Non Union – Discussion: – see bone healing and bone blood supply – definition: fracture that lacks potential to heal without further intervention – frx of shaft of long bone should not be considered nonunion until at … Read more
– See: – Charcot Changes in the Diabetic Patient – Diabetic Foot Menu – Pathophysiology: – effects of neuropathy are simply those of the insensate foot; – in the last century the commonest cause of the insensate foot was syphilis, whereas it is now diabetes; … Read more
– See: Nerve Injury – Discussion: – always consider an occult compartment syndrome before a neurpraxia; – median nerve: – most common neural injury is to anterior-interosseous branch; – in type III frx, upto 50% of pts may show median … Read more
– Exam for Spinal Cord Injury: – Management of the Spine Injured Patient: – Exam of C Spine: – Anterior Cord Syndrome – Amyotrophic Lateral Sclerosis – Autonomic Dysfunction: – Back Pain: – Brachial Plexus – Neuro Exam … Read more
– See: Innervation: – Discussion: – paresthesias in buttocks are an important sign of possible cord dysfunction; – since segments S3, S4, S5 are the lowest and most peripheral segments in the spinal cord, an extramedullary lesion at any level may first compress these fibers and … Read more
– See: Images kindly provided … Read more
Ilioinguinal : L1 Iliohypogastric : L1 Quadratus Lumborum : T12, L1, L2, L3 – Pearls: – trauma at this level may cause cauda equina syndrome ; – myelomenigocele: – 100% of pts who … Read more
– See: EMG – Nerve Injury Discussion: – remember that in any case of presumed nerve injury, always consider whether an isolated compartment syndrome had occured; – neuropraxia: – least severe injury, is characterized by a conduction block (focal conduction block); – conduction across the zone of nerve injury is inhibited, however, conduction within the nerve both proximal and … Read more
– Discussion: – necrotizing fascitits is any necrotizing soft tissue infection spreading along fascial planes, with or without overlying cellulitis; – rapidly progressive inflammation and necrosis of subQ tissues and deep layer of superficial fascia with sparing of deep fascia and muscle; – also called Meleney ulcer, NF is severe manifestation of … Read more