The Hip book

Rectus Capitis Posterior Major

origin: from the lateral process of the axis; insertion: the lateral part of the inferior nuchal line of the occipital bone and the surface of the bone immediately inferior to the line; action: extends the head and rotates it to the same side; nerve supply: a branch of the dorsal ramus of the suboccipital nerve; synergists: Rectus Capitis … Read more

PreOp Evaluation

– Frx – Menu (See: Post Op Orders)  – Axial Skeleton  – C-spine  – Spine  – Pelvis  – Upper Extremity  – Shoulder  – Humerus  – Elbow  – Wrist  – Hand  – Lower Extremity  – Hip  – Femur  – Knee  – Tibia  – Ankle  – Foot  – Systems  – Neuro  – Cranio-Maxillo-Facial  – Spine  – Cardiac  … Read more

Piroxicam / Feldene

– Discussion:     – NSAIA;     – Rheumatoid and osteoarthritis, ankylosing spondylitis;     – Dosage: 10-20mg PO qd (has an extended half life);     – therapeutic response should only be assessed after two weeks or more of continuous treatment;     – may cause diarrhea;     – Contraindicated in patients … Read more

Pagets Disease

 – Discussion: – a chronic progressive disease osteoblasts and osteoclasts which results in abnormal bone remodeling; – etiology, staging, and pathogenesis – prevalence: – uncommon in pts under age of 55 yrs but relatively common in later life, occurring in 3-4% of persons over 55 yrs & occurs in 10% in pts over age 80; – reference: – … Read more

Osteoporosis

– Discussion:                                                                                                               – most common metabolic bone dz;      – definition:            – what appears to be a characteristic of osteoporosis is an uncoupling of the osteoblastic and osteoclastic processes;            – WHO definition: a bone mineral density that is 2.5 SD below the mean peak value … Read more

Osteoclasts

– See:       – osteoblasts       – osteocytes – Discussion:     – osteoclast is a large multinucleated cell that plays an active role in bone resorption;     – monocytes from the marrow or the blood serve as precursors of osteoclasts;     – osteoclasts are found in notches or … Read more

Osteoma

– See: Bone Tumor Menu – Discussion:     – osteoma is a rare benign tumor of bone;     – occurs most often in adolescents;     – skull, mandible, & middle third of tibia are most common involved sites;     – osteoma may produce no pain but will produce a visible and … Read more

Orthopaedic Anesthesia

– See:         – Anesthesia and Timing for Femoral Neck Fractures:         – Anesthesia in the Spinal Cord Injured Patient:         – Cardiac Orders / Meds:         – Malignant Hyperthermia:         – Risk Assessment:          – Anesthetic Agents:                – Lidocaine:               … Read more