– Discussion: – index finger is most commonly involved, often found in older pts w/degenerative arthritis; – Etiology: – muscular contracture or trauma; – collateral ligament or volar plate tethering on prominent MP head or osteophyte (on either side or volar aspect of metacarpal head); – torn palmar … Read more
– Discussion: – adult: – 0.1-0.3 mg/kg/dose IM/IV/SC – 8-20mg PO q4hr, 30mg (MS Contin) PO q8-12 hr / 5-15 mg SQ/IM q4hr – IM/SC: Max. analgesic effect at 45-60 min; duration 3-4 hrs; t/2: 2-3 hr; … Read more
– Discussion: – for evaluation of both the patella and trochlea surfaces of femur; – disadvantages: – this view does not necessarily predict which patients will show functional improvements w/ surgical realignment; – as pointed out by O’Neil (1997) some patients … Read more
– Discussion: – most common form of plica; – located over the medial femoral condyle; – vulnerable to direct trauma when the knee is flexed; – repeated trauma or irritation may lead to inflammation and fibrosis of the plica; – fibrotic plica has decreased elasticity which causes … Read more
– Anteromedial Portal: – for visualization of the lateral compartment, and instrumentation of the the medial compartment; – this portal is located in a manner similar to the anterolateral portal, that is, 1 cm above the medial joint line and 1 cm medial to the edge of the patellar tendon; … Read more
– See: Meniscal Menu: – Discussion: – medial meniscus is “C shaped”, whereas lateral meniscus is is “O shaped” and is more sharply curved; – medial meniscus is crescentric in structure, but its anterior & posterior extensions have a wider separation on the lateral articular … Read more
– Discussion: – pts knee is acutely and forcibly flexed; – to check the medial meniscus examiner palpates posteromedial margin of joint with one hand while grasping the foot w/ other hand; – keeping the knee completely flexed, the leg is externally rotated as far as possible and then the knee … Read more
– Discussion: – by definition, invovles RTC tears of more than 5 cm and involves more than than one tendon; – further, massive tears cannot be repaired w/o excessive tension after lysis cuff adhesions and release of the coracohumeral ligament; (see cuff mobilization) – Management: … Read more
– See: – meniscal injury – anterior cruciate ligament: – evaluation of ACL injuries: – bone patellar bone reconstruction: – hamstring reconstruction: – allograft reconstruction: – Discussion: … Read more