– See: – Phalangeal Injury – Congenital Trigger Thumb – Rheumatoid Trigger Finger – Discussion: – results from localized tenosynovitis of superficial and deep flexor tendons adjacent to A1 pulley at a metacarpal head; – inflammation … Read more
– Discussion: – relatively short lived acute inflammatory process; – usually seen in boys aged 2 to 10 years; – frequently follows an upper respiratory tract infection; – most common cause of painful hips in childhood; – is a diagnosis of exclusion; – … Read more
– See: – Safe Zone of Pin Insertion Wires Insertion Techniques – Wire Characteristics: – in general 1.5 to 1.8 mm wires need no incision or drill sheath, but larger, 2.0 wires may be inserted w/ sheath through incision; – larger diameter wires will increase … Read more
– Exposure of the Subscapularis: – the upper portion of the subscapularis tendon is exposed by partial release of the CA ligament off the coracoid, by placement of a Homan retractor directly above the coracoid, and by abduction and external rotation of the arm; – the upper portion of the … Read more
– Discussion: – operative considerations: hemiarthroplasty vs total shoulder arthroplasty – anatomy: – normal population, glenoid version: from 5 deg of anteversion to 15° of retroversion, with an avg preop retroversion range from 1 deg to 6 deg; – surgical goal of resurfacing is to place the glenoid in 0° … Read more
– Synovial Fluid Exam – Systemic JRA – Septic Arthritis – Leukemia – Systemic Lupus Erythematosus – Reiter’s Syndrome – Reactive Arthritis – Sickle Cell Anemia – Serum Sickness – Acute Rheumatic Fever – Vasculitis: (H.S.P. / Kawasaki’s) – Inflammatory Bowel Disease
– Discussion: – synovial fluid should be cultured if there is any suggestion of infection. – normal synovial fluid: – contains < 60 to 180 cells per ml, most of which should be mononuclear; – fluid is considered to be “noninflammatory” if it … Read more
– Discussion: – up to 80 % of patients w/ traumatic DJD may expect a good to excellent result at 5 years; – up to 30 % of patients will sustain a major complication over 5 years, which often will require and additional operation; – indications: … Read more
– See – Total Hip Arthroplasty Anterior Approach – Surgical Technique: (posterolateral approach) – Hip and Knee Infiltration Technique – Local Analgesia Infiltration Techniques – Hip and Knee Arthroplasty – pre op planning: … Read more