– Amputations in the Diabetic Patient – Above the Knee Amputation: – AKA prosthetics – Basic Science: – Below Knee Amputation: – amputation following fractures of the tibia – pediatric BKA: – BKA prosthetics – prosthetic feet – Foot and Ankle Amputation – Syme’s Amputation – Transmetatarsal Amputation – Chopart Amputations – Pediatric Amputations – … Read more
– See: – Pediatric Lateral Condyle Frx – Discussion: – frxs of lateral condyle that involve capitulum alone or extend medially to involve the lateral portion of trochlea; – see capitellum fracture – Lateral approach – typically the plate is positioned posteriorly, and can be placed if needed as far as … Read more
– Fractures Subtypes: – capitellar and coronal shear frx – distal humeral frx – lateral condyle frx – medial condyle frx – Muller’s Classfication: – type A: extra-articular fracture; – type B: uni-condylar fracture; – type C: bi-condylar fracture; … Read more
– Discussion: – anesthesia: insist on general anesthesia rather than regional anesthesia for the following reasons: – it is essential that the patient not move during delicate portions of the case; – it is often helpful to paralyze the patient during the fracture … Read more
– Technique: – it is helpful to have the patient paralyzed during the reduction (requires general anesthesia); – anatomic reduction of the condyles is performed first; – remember that the common factor in fixation failure in these fractures is comminution and/or osteoporosis; – best-fit method: … Read more
– Discussion: – refers to a condition in which the shoulder capsule becomes contracted and thickened; – patients note a dramatic decrease in shoulder ROM; – in many cases there is spontaneous resolution after 1-3 years and motion is re-gained; – associated disorders: … Read more
– See: Pseudoachondroplasia – Discussion: – autosomal dominant disorder; – arises due to a point mutation for the gene encoding a fibroblast growth factor (Fibroblast growth factor receptor 3) – over 80% of all persons with this disorder are born to parents who are not achondroplastic, & such parents rarely … Read more
IMP Ciproflox AP Pen Ceftaz S/S: symptoms vary depending on site of infection, are similar to infections caused by other opportunistic gram negative bacteria; Rarely, if ever cause infections in healthy individuals; Nosocomial septicemias associated with indwelling IV catheters; Urinary tract infections due to indwelling bladder catheters Source: Soil, water; Skin: Groin, axilla, antecubital fossa; … Read more
– Normal Hip Development: (limb development and pediatric anteversion); – at 4 to 6 gestational weeks, the hip joint develops from the cartilaginous anlage; – by 7 weeks a cleft develops between precartilagenous cells which are programmed to form the femoral head and acetabulum; – by 11 weeks, the hip … Read more
– See Rotator cuff; – origin: infraspinatus fossa of scapula – insertion: posterior aspect of greater tuberosity of humerus, capsule of shoulder joint; – demensions: infraspinatus has been shown to average 29 mm wide, with a mean medial-to-lateral width of 19 mm – action: extension, horizontal extension and lateral rotation of humerus at the shoulder … Read more