– See: – Growth Deformities of Limbs – Growth Plate Arrest – Discussion: – anatomy of distal femoral physis: – account for approx 5% of all physeal frx; – displacement in sagittal plane is assoc w/ N/V injury in popliteal fossa and instability on closed reduction; – … Read more
– See: Pediatric Elbow Injuries – Discussion: – most frx involving total distal humeral physis occur before age 6 or 7; – in an infant less than one year of age, whose elbow is swollen 2nd to trauma or suspected trauma, frx involving the entire distal humeral physis should always be … Read more
– Discussion: – distal biceps may rupture off the radial tuberosity; – presents w/ painful swollen elbow usually in a 50-60 yo active male, most often in the dominant side (uncommon in women); – incidence of distal biceps rupture is 1.2 per 100,000 persons per year; – single traumatic event involving flexion against resistance, w/ … Read more
– Discussion: – degenerative valgus deformity of knee is less common than varus deformity; – genu valgum is more common in pts w/ history of trauma, RA, renal osteodystrophy, rickets, or infantile poliomyelitis; – Treatment Options: – goal of is to correct the angle between anatomic … Read more
– See: Bennet’s Fracture CMC Joint Instability Thumb DIP Joint Dislocation of Finger MP Joints – Mechanism (dorsal dislocation) – thumb MP joint is vulnerable to ligamentous abduction & extension injuries; – dorsal dislocation is … Read more
– natural history: – young patient: – when the patient’s proximal humeral growth plate is open, there is upto 100% rate of redislocation; – in young adults, the rate of … Read more
CarpoMetaCarpal Elbow Hand and Fingers: CMC Instability in the Metacarpals: MP joint dislocation: PIP dislocation:: Thumb CMC Joint: Thumb MP Joint: Hip Knee Patellar Dislocation:; Perilunate Dislocation; Radial … Read more
– shunt fraction, normally < 5%, represents the mismatch of ventilation to perfusion; – it is ratio to non-ventilated alveoli to perfused pulmonary capillaries; – alteration in the ventilation to perfusion ratio results from either relative obstruction of ventilation or relative obstruction of perfusion; – rising shunt fraction is usually associatted with progressive respiratory failure … Read more
– References – Lab studies – TPN formula compositions; – will vary w/ Renal, Hepatic, or Cardiac failure; – Lipids in the TPN patient – TPN Complications – Discussion: – ensure that catheter is in the SVC and NOT in Rt Atrium or Subclavian; – begin infusion at 30-50 … Read more
– See: – Limb Lengthening Fixators – Distraction Histiogenesis – Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) – Discussion: – growth deformities of the limbs – it is important to distinguish between limbs with good potential for lengthening … Read more