– See: TKR Menu: (Function and Activity after TKR) – Natural History of Painful TKR: – references: – Pain and Depression Influence Outcome 5 Years after Knee Replacement Surgery. – Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty – Potential Causes of TKR failure: – early failures: … Read more
– Discussion: – tap pins through soft tissues until they meet bone, and once the wire emerges from the far cortex, it is driven through the soft tissues w/ a mallet; – periarticular insertion – avoid impaling synovium; – in the knee, insert the wire 1 cm below articular surface … Read more
– see wrist menu Amputation of the Finger and Hand Bennett’s Fracture Blood Supply to the Wrist Boutonnere Injuries Bouvier’s Test Burns of the hand Carpal Tunnel Syndrome Cerebral Palsy Claw Hand Clenched Fist Injuries Congenital Deformities of the Hands Compartment Syndromes of the Hand and Forearm CMC Arthritis DeQuervain’s Disease Digit Reimplantation Distal Phalangeal … Read more
MRSA The silent epidemic: CA-MRSA and HA-MRSA DVT/PE Rivaroxaban versus Enoxaparin for Thromboprophylaxis after Hip Arthroplasty Rivaroxaban versus Enoxaparin for Thromboprophylaxis after Total Knee Arthroplasty New Anticoagulants — The Path from Discovery to Clinical Practice Concussion: Sports Activity After a Concussion Slows Recovery Patient Education: Prevention of Heat Stroke Lecture Non Operative Treatment of … Read more
– 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
– 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
pH Specific Gravity Blood Glucose Ketones Nitrite/Leukocyte Esterase Protein Pyuria Spot/Random Urine Chem Urine culture Perioperative factors associated with septic arthritis after arthroplasty. Prospective multicenter study of 362 knee and 2,651 hip operations. – prospectively evaluated perioperative factors associated with septic arthritis after 362 knee and 2,651 hip arthroplasties; – preoperative urinary tract … Read more
– Wrist: – exam: flexed & ulnarly deviated – synovectomy: – synovectomy is most indicates before joint changes occur; – flexion deformity: – 30 deg wrist flexion deformity can be treated by serial splinting & casting; … Read more
– Discussion: – distal radioulnar subluxation/dislocation (see TFC Injury) – tear of the lunotriquetral – ulnocarpal impingement syndromes – pisotriquetral osteoarthritis – pisotriquetral loose bodies – subluxation/dislocation of the pisiform – fractures (ulnar styloid Process) – chondromalacia – calcific tendinitis – medial carpal instability – radioulnar arthritis – subluxation of the ECU The ulnar impaction … Read more
– Discussion: – most frequent radiocarpal instability; – the lunate is translocated ulnarly, and therefore is not supported by the radius; – ulnar translationn is also commonly seen in disease such as RA or in Madelung’s deformity; – in RA, may occur along … Read more