The Hip book

Arthroscopy

Neiserria Gonnorhea

– Discussion:     – most common form of septic arthritis in young adults;     – women are affected two to four times as often as men;             – disseminated infection may occur more frequently in women because gonorrhea in women is often asymptomatic, allowing                       for dissemination before symptoms … Read more

Myobacterium marinum

– See: Myobacterium tuberculosis      – Discussion:     – causes chronic granuloma of the hand or a sub acute inflammation, which may be difficult to distinguish from chronic tenosynovitis or chronic inflammation of the fingers or the hand;           – can be confused w/ rheumatoid hand and will temporarily respond to steroid injection; … Read more

Musculoskeletal Considerations in Pregancy and Post Pregnancy

– Use of Medications in Pregnancy: – calcium supplementation – intra-articular steroids – note that intra-articular steroids may interfere w/ lactation in nursing mothers; – ref: The use of antirheumatic medication during pregnancy and in the puerperium. – Surgical Considerations: – positioning: – avoid supine positioning because of hypotensive effects from aortocaval compression by the … Read more

Multidirectional Instability

– Discussion:     – multidirectional instability implies three-way subluxations or dislocations either anteriorly, posteriorly, or inferiorly;     – these patients usually have no true Bankart lesion and incontrast patients have a capacious axillary pouch;             – ref: The Effect of Variation in Definition on the Diagnosis of Multidirectional Instability of the Shoulder.      – … Read more

Morton’s Neuroma: Interdigital Perineural Fibrosis

– Discussion:     – it is not a neuroma but a perineural fibrosis and it was not first accurately described by Morton but by Durlacher,          a chiropodist in 1845;  both Thomas G. Morton (1876) and Thomas K. Morton (1892) mistook it for a painful          affection of the fourth MTP articulation      – it is … Read more

Mosaicplasty and Cartilage Transplants for Chondral Injuries of the Knee

– Mosaicplasty:     – refers to the technique of harvesting small circular (4-8 mm) autogenous grafts from the knee from non wt bearing regions of the knee, and transplanting the grafts in a mosaic pattern until the osteochondral defect is filled;              – typically the grafts are harvested from the … Read more