The entire site can be found directly or indirectly by using the alphabetical listing of topics below. You can also use the clickable image skeleton to the right, the topical Tabs along the top and the Search Site by Word box. Click the letter below to display all entries starting with that letter. A B C … Read more
– Full Thickness Skin Grafts: – skin can be taken from the hypothenar area or from the instep of the foot, but forthese grafts to provide truly critical sensibility, they must be full thickness grafts; – full thickness grafts will transfer Meissner’s corpuscles (required for … Read more
– See: Complex Dislocations of the MP Joint – Discussion: – two types of dorsal dislocation occur in MP joint: simple & complex; – simple dislocations: may be reduced by closed reduction, – complex dislocations: usually cannot be reduced primarily; – results from hyperextension injury; … Read more
(see also: Osteomyelitis in Sickle Cell Patient) Discussion affects 1% of blacks – is more severe but less common than sickle cell trait (8% prevalence); two main genotypes include Hb S and Hb C forms of disease; crises usually begin at age 2-3 years and may lead to bone infarctions; Sequelae of Sickle Cell growth … Read more
– See: – Diff Dx of Shoulder Pain: – Shoulder Examination Tests (from shoulderdoc.co.uk) – History: (questions for modified Simple Shoulder Test); – C-Spine: – r/o radiculopathy as well as axillary nerve hypaesthesia; – Spurling’s manuever: – mechanical stress, such as excessive vertebral motion, may exacerbate … Read more
– Discussion: – indicated for SI joint disruptions and for some sacral fractures; – Operative Technique: – radiographs: – surgical stratedgy: – if anterior pelvic injury: – note that the biggest … Read more
– Rotator Interval Capsule: – rotator interval is a triangular portion of shoulder capsule which lies between the supraspinatus and subscapularis tendons; – capsular anatomy: (Static Stabilizers / Capsule of the Shoulder) – interval capsule is reinforced by the superior glenohumeral and coracohumeral ligaments; – references: – Capsular ligaments … Read more
– History: (questions for modified Simple Shoulder Test); – Can patient… – comfortably place are at side? – sleep on side? – eat with utensil – dress … Read more
– Discussion: – impingement syndrome describes pain in subacromial space when the humerus is elevated or internally rotated; – during humeral flexion, the supraspinatus tendon and bursa become entrapped between the anteroinferior corner of the acromion (and CA ligament) and the greater tuberosity; – this syndrome is thought to precipitate … Read more
– Classic Neer Impingment Sign: (see impingement syndrome) – is tested by having the patient place his hand on the unaffected shoulder and gradually forward flexing the shoulder; – impingement sign is elicited w/ pt seated and the examiner standing; – scapular rotation is prevented w/ one hand while … Read more