– Discussion: – results from supination-adduction fracture (Weber A) – adduction forces result in a vertical fracture of the medial malleolus at the junction of the plafond and malleolus; – transverse fibular frx or tear of lat collat occurs concomitantly; – medial … Read more
– Discussion: – gram-negative facultative coccobacillus – vibrios are among the most common organisms found in waters in US and around the world; – in the US these infections occur mainly on the gulf coast and southern atlantic seaboard; – these organisms tend … Read more
– See: Venous Repair – Discussion: – veins accompany the arteries of the lower limb, and those that parallel the large arteries of leg are paired; – five major venous structures of leg are greater and lesser saphenous veins, posterior & anterior tibial veins, & peroneal veins; – Greater Saphenous Vein: … Read more
– See: AV malformations – Discussion: – venous malformations, although present at birth, often are not noticed until 1 year of age. They engorge when dependent, decompress when elevated, and enlarge with trauma, puberty, pregnancy, or use of oral contraceptives; – frequently confused with hemangiomas – present at birth – … Read more
– Venous Anastomosis: – Discussion: – thickest layer in the vein is the adventitia and cannot be stripped away from vessel as it can in the artery & therefore need to use gentle technique in teasing away the excess adventia and trimming it with scissors; – vessel walls are not as self supporting … Read more
– See: – Burns of the Hand – Thrombolytic Therapy – Ischemia of the Hand: – History: – infection, cold intolerance, pain, tenderness, of mass, cyanosis – Treatment of digital ischemia with liposomal bupivacaine. – Diff dx: – Aneurysms of the Upper Extremity … Read more
– Discussion: – use of temporary shunt has been advocated in pts w/ long ischemia times being treated with initial orthopedic stabilization prior to vascular repair A temporary arteriovenous shunt (Scribner) in the management of traumatic venous injuries of the lower extremity. Intravascular shunts in complex lower limb trauma.
– See: – Valgus Stress Test: – Lateral Collateral Ligament: – Torn Collateral Tested in Flexion: – when tested in flexion which relaxes posterior capsule, same ligamentous laxity will result in a much greater degree of instability; – at 30 deg flexion, the cruciates are in … Read more
– See: – Vascular Trauma Associated w/ Fractures (main dissucssion); – Technique of Microanatomosis: – Discusion: – anterior tibial artery occlusion: – most common site of vascular injury; – occlusion occurs as anterior tibial artery passes … Read more
– Discussion: – pelvic fracture menu / arterial anatomy of lower limbs – massive retroperitoneal hemorrhage may result from bony fragments and lacerated blood vessels, leading to coagulopathy and exsanguination; – associated injuries: – up to 40% of pts who have a pelvic fracture will … Read more