– See: Green Stick Frx – Discussion: – greenstick frx of the distal radius may occur along ulnar frx at same level; – Acceptable reduction: – infants: upto 30 deg angulation can be accepted; – children: upto 15 deg can be accepted; – Management: – these do … Read more
– Discussion: – extra-articular arthrodesis which is useful in blocking subtalar motion in those patients who have no gross skeletal deformities but have instability of the hindfoot; – this arthrodesis is particularlly applicable in children, since there is little interference with future growth of the foot; – spastic pes … Read more
– See: – Bigelow’s Maneuver: for Posterior Hip Dislocation – Closed Reduction – Discussion: – described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method; – believed to be least traumatic; – pt is in prone position w/ lower limbs hanging from end of table; – assistant immobilizes the … Read more
– See: Fracture Dislocation – Discussion: – isolated displaced greater tuberosity fractures are thought to occur in less than 2% of proximal humeral frx; – greater tuberosity fragments w/ its attached rotator cuff will characteristically have a longitudinal tear in the cuff between the supraspinatus and subscapularis tendons; … Read more
– See: Tibia Fracture Menu and Gustilo Classification – Discussion: – is frx in which there has been extensive stripping of soft tissues and periosteum from bone & where devitalization or loss of soft tissues usually requires plastic reconstructive procedures for closure; – extensive soft tissue loss with periosteal … Read more
– See: Gustilo Classification – Discussion: – wound less than 10 cm w/ crushed tissue and contamination; – soft tissue coverage of bone is usually possible; – w/ IM nailing, average time to union is 30-35 weeks; – is frx in which there is limited stripping of the periosteum and soft tissues from bone, and bone … Read more
– See: Shoulder Menu: – Anatomy: – GHJ has a greater ROM than any other joint; – Bony Anatomy: – its shallow, & is more akin to a grapefruit in saucer than ball in socket. – lack of bony stability & wide ROM … Read more
Eye Opening Spontaneous 4 To Voice 3 To Pain 2 None 1 Verbal Oriented 5 Confused 4 Inappropriate Words 3 Incomprehensible Words 2 None 1 Motor Obeys Command 6 Localizes Pain 5 Withdraw (pain) 4 Flexion (pain) 3 Extension (pain) … Read more
– See: Aminoglycocides – Discussion: – indicated for serious Gm Neg infections caused by suseptable Pseudomonas, Proteus, E. coli, Klebsiella, Enterobacter sp., Serratia, and Gm Neg Sepsis; – as with all aminoglycocides, gentamicin binds to bacterial ribosomes and inhibits protein synthesis; – tobramycin is more active than gentamicin against Pseudomonas, including … Read more
– See: – Radiographic Features: – Histologic Features: – Painful Tumors: – clinical features associated with bone tumors include pain, deformity, and impairment of function; – pain is feature common to almost all malignant tumors of bone, but may or may not be present in … Read more