– See: – Electromyography – Nerve Entrapment – Discussion: – it is difficult to determine which patients require preoperative EMG/NCS prior to carpal tunnel release; – consider applying this study in any patient involved in litigation, who falls under worker’s compensation, … Read more
– See: – Nerve Injury: – Nerve Menu – outside links: – The Expert Electromyographer – EMG Table of Contents – EMG Findings in Specific Conditions: – Normal Study: … Read more
– Discussion: – RA manifests itself in many ways in elbow joint, including nodules and bursae, synovitis, progressive joint destruction, antecubital cysts, & ulnar or, rarely posterior interosseous palsy; – note that involvement of the RA elbow is infrequently an isolated and therefore it is important to consider possible involvement in the wrist … Read more
– See: Elbow Dislocations in Adults: – Discussion: – elbow dislocations in children are a relatively uncommon; – peak incidence occurs in adolescence between 11-15 years. – posterior dislocations are most common type; – posterior dislocation usually results from fall on outstretched hand w/ forarm supinated & … Read more
(see also: Marfan’s Syndrome) Discussion – autosomal dominant disorder characterized by hyperextensibility of “cigarette paper” skin joint hypermobility and dislocation, soft tissue/bony fragility, and soft tissue calcification; – joint effusions and arthralgias are common, and children are often misdiagnosed with forms of arthritis; – all forms the disease may cause skin fragility, bruising, scarring, joint discomfort and osteoarthritis; … Read more
– Discussion: – facultative anaerobic gram negative rod – seen in human bite infections – staphylococcus aureus and streptococci remain the most common pathogens isolated from human bite wounds. – requires a special medium for growth in culture; – Sensitivities: – it is sensitive to penicillin, 2nd … Read more
PreOp Prepartion – Drill and Screw Sizes: – 6.0/5.0 mm cortical screws require 4.8 mm drill (110 mm long and 30-50 mm thread); – 6.0/5.0 mm cancellous screws require 3.2 mm drill (100-130 length, 40-60 mm thread); – 4.5/3.5 mm cortical screws require 3.2 mm drill; (80-100 length, 30-40 mm thread); … Read more
Deformities of the Limbs Achondroplasia Chondrodysplasia Punctata: Chondroectodermal Dysplasia: Cleidocranial Dysplasia Diastrophic Dwarfism: Hypophosphatemic Vitamin D-resistant rickets Kniest Dysplasia Marfan’s Syndrome Metaphyseal Chondrodysplasia Metatrophic Dysplasia: Morquio’s Syndrome: Mucopolysaccharidoses Multiple Cartilaginous Exostoses Multiple Enchodromatosis (Ollier’s Disease) Multiple Epiphyseal Dysplasia Proximal Femoral Focal Deficiency Osteogenesis Imperfecta Spondyloepiphyseal Dysplasia Congenita: – Short Trunk Dwarfism: – Kniest syndrome – … Read more
– See: Kinematics Carpal Instability – Discussion: – pts w/ dynamic instability can actively subluxate wrist w/ forearm pronated & wrist in or out of ulnar deviation; – dynamic forms of dorsal or volar intercalated-segment instability are secondary to loss of support across ulnar half of mid-carpal … Read more
– Discussion: – for pts who have severe involvement, w/MP & PIP Joint contractures as well as fixation of palmar skin & involvement of multiple rays; – often transverse incisions are left open (McCash (1964) or are covered w/ a full thickness skin graft; – transverse incision across palm beginning at … Read more