Medial Approach to Hip
– Discussion: – optimal age for the medial approach: – is of more value in the child younger than 18 months but older than 7 months; – when this procedure is used in infants younger than 7 months, there may be … Read more
Hand
McMurray Test: (Br.J. Surg. 1942. 407)
– 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
Marfan’s Syndrome
Discussion older names include dolichostenomelia (Greek for long, narrow limbs) and dystrophia mesodermalis congenital, typus Marfanis; inherited as an autosomal dominant trait with variable expressivity. characterized by long, thin limbs and by laxity of ligaments; Pathophysiology dz of collagen synthesis (possibly the alpha subunit) may have abnormal production of collagen type I (and ? type … Read more
Martin Gruber Anastomosis
– Discussion: – motor nerve may cross over from the median to ulnar nerve in the forearm; (motor connections but not sensory connections); – it occurs in two patterns: – from median nerve in proximal forearm to ulnar nerve in middle to distal third of forearm, & from AIN to … Read more
Management of the Spine Injured Patient
– See: – Exam for Spinal Cord Injury – Head Injury – Neuro Exam Menu – C-spine (initial care): – ensure that patient has adequate C-spine immobilization; – a standard backboard is unsuitable in children since it places the head into extension (pediatric … Read more
Management of Thumb Soft Tissue Defects / Amputations
– See: – Digit Reimplantation – Moberg Flap; – Tendon Injuries of the Thumb: – Second Toe Transfer: – Skin Grafts: for hand defects; – Management of Acute Injuries: – amputations: – replantation: … Read more
Management of Meniscal Tears w/ ACL Deficiency
– See: – meniscal injury – anterior cruciate ligament: – evaluation of ACL injuries: – bone patellar bone reconstruction: – hamstring reconstruction: – allograft reconstruction: – Discussion: … Read more
Management of Head Injury
– Outside Link: – An Approach to the Head Injured Patient by Paul Marik, MD – Trauma Menu: – Spine / C-spine – Orders for the Spine Injured Patient: Anesthesia in the Spinal Cord Injured Patient: Fluids in the Head Injured Pt: Hyperventilation Glasgow Coma Scale Head … Read more
Management of Hypocalcemia
– Discussion: – physical properties – state in body fluids – physiologic roles of calcium are well established; – abnormally low concentrations of Ca permit spontaneous discharges of both sensory & motor fibers in peripheral nerves, leading to tetany; – w/ elevated levels, … Read more
Management of Burns
– See: – Burns of the Hand – Chemical Burns – Electrical Burns – Frost Bite – Initial Management: – trauma management: – patients require a generalized trauma assessment w/ all clothing removed; – determine nature of the burn (flame, chemical, electrical); … Read more