The Hip book

Inflammatory Bowel Disease

– See: Spondyloarthropathies – Discussion:     – associated with a peripheral arthritis, which reflects activity of bowel disease;     – frequently associated with erythema nodosum;     – large joint oligoarthritis occurs in 10 to 20 % of pts, usually during flares of the bowel disease;     – fevers, synovitis, & vesiculopustular … Read more

Risk Factors for Infection in TKR:

– Discussion:           – methods to prevent infection           – report by by Peersman G, et al .                   – comorbidities that were statistically significant in increasing the risk of infection were prior open surgical                               procedures, immunosuppressive therapy, poor nutrition, hypokalemia, diabetes mellitus, obesity, and                               a history of smoking.           – prevalence of infection after … Read more

Infections of the Hand

– See: Work Up and Treatment:      – Bacteriology of Hand infections      – Bite Wounds      – Clenched Fist Injury      – Collar Button Abscess      – Felon      – High Pressure Injection Injuries      – Infectious Flexor Tenosynovitis      – Lumbrical Muscle Sheaths      – Mid palmar space      – Kanavel’s signs   … Read more

Infectious Tenosynovitis: Closed Drainage

  – Technique:  – goal is to establish closed continuous drainage thru flexor sheath;  – tourniquet should be used;  – incision & drainage of flexor tendon sheaths are performed from both proximal and distal ends;  – palmar incision:  – transverse incision is made just proximal to distal palmar crease, over the infected tendon;  – spread … Read more

Index: P, Q, R, S

Index P:  Pagets Disease  Panner’s Disease Parsonage-Turner Syndrome  Parosteal Osteosarcoma Patella Infera  Pathologic Fracture: Diff dx Pauciarticular JRA  Pediatric Spine  Peripheral Neuropathies Perthes Disease  Periosteal Osteosarcoma  Peripheral Neuropathies PeriLunate Instability  Periosteal Chondroma  Pes anserinus  Pes Cavus Pigmented Villonodular synovitis  Planovalgus Plates Poliomyelitis  Polyarticular JRA Polydactyly of Hand  Polydactyly of Foot  Polyethylene  Polymyalgia Rhematica  Polymyositis and Dermatomyositis  … Read more

Index: G

Gait Gamekeeper’s thumb Ganglion cyst Gaucher’s Disease Genu Varum Giant Cell Tumor of Bone Glasgow Coma Scale Glomus Tumor Glycosaminoglycan Gout Grafts, bone Greenstick Fracture Grice Arthrodesis Gustilo Classification Guyon’s Tunnel Gun Shot Wounds Index: H Halo Collar Hallux Valgus Hallux Rigidus Hammer Toes Hand Menu Head Injury Hemangioma Hemarthrosis of Knee Hemiarthroplasty Hemochromatosis Henoch … Read more

Histology of Chondroblastoma

– Discussion:     – shows characteristic “cobblestone” pattern;     – areas of round, plump chondroblasts (stones), enmeshed in chondroid matrix;     – nodular areas of a chondroid tissue are prominent;     – cartilagenous matrix may have small foci of calcification between between chondroblasts (chicken wire calcification) around islands of cartilage;     … Read more

Hip Joint Effusions

– Diff Dx:     – Intracapsular Fractures     – Toxic Synovitis of the Hip     – Septic Arthritis     – Osteomyelitis     – Legg Perthes disease in children. – Clinical Features:     – person suffering from a painful Hip Joint effusion is most comfortable when seated with the painful thigh … Read more