Journal of Surgical Orthopaedic Advances Editor: L. Andrew Koman, MD (The articles presented in the issues below were written by members of SOMOS and are exclusively devoted to disaster preparedness and trauma care.) Volume 21, Number 1 Special Issue Editor: Jonathan A. Forsberg, MD Combat Orthopaedics for the Civilian Provider, With Special Emphasis on the Dismounted … Read more
– Anatomy: – subarachnoid space is prolonged in a duralarachnoid sheath around each dorsal and ventral root, roughly to level of union of roots; – because the cord is shorter than vertebral column, nerves slope inferiorly from their levels of origin to appropriate intervertebral foramina, and the angle becomes more acute from … Read more
– Indication for Closed Treatment: – indications — These are based on “personality” of the fracture as described by Nicoll EA (1964) – he listed factors favoring union: – displacement: if the fracture fragments on are or can be opposed to 25% in a transverse fracture, casting or bracing is permissible – more than 50% initial frx … Read more
– See: Metacarpal Extra-articular Base Frx – Discussion: – relatively mobile ring and little CMC joints are more susecptible to dislocation than the immobile index and long rays; – fifth CMC is the most frequently injured; – pertinent anatomy: – ring and little metacarpals articulate w/ … Read more
Review Articles: Current Concepts: Entrapment Neuropathies of the Upper Extremities. Carpal tunnel syndrome in patients who are receiving long-term renal hemodialysis. The carpal tunnel syndrome. A study of carpal canal pressures. Spontaneous rupture of the flexor carpi radialis tendon. Deep postoperative wound infection after carpal tunnel release. Symptomatic restrictive thumb-index flexor tenosynovitis: incidence of musculotendinous … Read more
– Dosing: – contraindicated w/ clinical allergy, must periodically examine urine sediment with chronic use; – for symptomatic Paget’s Disease of bone, hypercalcemia, post-menopausal osteoporosis (in addition to supplemental calcium, adequate vitamin D intake, and adequate diet); – osteoporosis: – may be … Read more
– See: Alkaline Phosphatase – Discussion: – disease of unknown etiology affecting skeleton & adjacent tissues; – characterized by fever, rirritability, swelling of soft tissues, & cortical bone thickening; – thickening of jaw & forearm are the most common sites, but occassionally lesion is diffuse; … Read more
– Nerves: – Median nerne C5 C6 C7 C8 T1 – Radial Nerve C5 C6 C7 C8 T1 … Read more
– Discussion: – fall from a height, landing on one’s feet, is typical of this fracture; – burst frx involve only compressive failure of vertebral body both anteriorly & posteriorly, w/ failure of both anterior & middle columns; – axial loading applied to intravertebral disc results in increased nuclear pressure and … Read more
– See: – Burn Management: – Chemical Burns: – Electrical Burns: – Frost Bite: – Burn Depth: – first degree: – typical “sun burn” injury; – injury is limited to the … Read more