– Discussion: – implantation of epithelioid tissues into deeper areas as a result of penetrating trauma; – often the inciting trauma occurs well into the past (patients may or may not remember); – mass is often mildly painful but is non tender, most often lies on … Read more
Images kindly provided by Donald Serafin M.D., Duke University Medical Center – Discussion: – epineural repair is currently the gold standard for repair, as no prospective studies have indicated than fasicular repair is superior; – it is probably most indicated w/ pure sensory or pure motor nerves; – Technique: … Read more
– Discussion: – type of gram positive bacteria; – term enterococcus derives from French (enterocoque) describing its enertic origin; – enterococci include: Strep faecalis, faicium, and durans; – strep faecalis inhabits the human intestinal tract and is a nonhemolytic strain of generally low pathogenicity; – … Read more
– See: Anterior Interosseous Nerve Sydrome: – Site of Proximal Forearm Compression; – supracondylar process of the humerus and struther’s ligament: – median nerve may be compressed as it passes under the bondy spur – pt c/o of weak hand grip and in pronating, … Read more
– Femoral Exposure: – femur is exposed by placing a medium Homan retractor under femoral neck & 2nd under quad. femoris & levering down on fascia lata; – leg is held in adduction, flexion and internal rotation such that tibia is vertical; – remove any remaining … Read more
– See: – Bone Tumor Menu: – Eosinophilic Granuloma of Spine: – Discussion: – includes a group of disorders characterized by a variety of tumor like lesions, which arise from from clonal proliferation of Langerhans- type histiocytes; – most common in children less than 12 … Read more
– See: Bone Tumor Menu / Multiple Enchodromatosis (Ollier’s Disease) – Discussion: – benign and asymptomatic cartilaginous tumor of bone which most often occurs in adolescents or young adults; – it is an intramedullary cartilage lesion located in central metaphysis; – intramedullary tumor develops in adjacent metaphysis and may … Read more
– Discussion: – indicated when there is vessel size discrepancy or when sacrifice of donor vessel in free tissue transfer is not desirable; – end to side anastomosis preserves blood flow to distal part of the limb; – end-to-side anastomosis is more difficult technically; – esp making … Read more
– See: Burn Management: – Discussion: – these burns are always much worse than they appear, and the big mistake is to underestimate their severity; – deeper tissues receive more damage and burn injury than superficial tissues; – consider using arteriography to help … Read more