– See: – Cerebral Palsy: – Discussion: – 64% w/ spastic diplegia & quadriplegia had pes valgus; – spastic pes valgus foot is a flexible deformity until adolescence; – spastic peroneal muscles pull the forefoot laterally and with it supporting plantar ligaments for the talar … Read more
– See: – Medial Collateral Ligament: – Varus Stress Test: – Primary vs Secondary Restraints: – seationing of MCL results in marked valgus instability; – isolated sectioning of ACL, PCL, LCL, or posterolateral structures does not cause large increases in valgus angulation; – … Read more
– See: – Autonomic Dysfunction: – Management of the Spine Injured Patient: – UTI: – Discussion: – it is rare to find a patient who has a single bladder dysfunction, nevertheless, somem generalizations can be made; – traumatic cord lesions above T12 usually … Read more
– See: – Nail Bed Injuries – Finger Tip Injuries: – Discussion: – may be used for finger tip amputations which have more dorsal soft tissue loss than palmar loss); – advancement flaps from same finger provide advantage of rapid healing, limited morbidity, and critical sensibility … Read more
– Tendon Transfers for Specific Palsies: – Brachial Plexus Palsy – High Ulnar Nerve Palsy – Low Ulnar Nerve Palsy – High Median Nerve Palsy – Low Median Nerve Palsy – Radial Nerve Palsy – Prerequisites: – full passive joint mobility; … Read more
– Tensioning the Graft: – as a muscle is tensioned to mid stretch, most of the potential energy generated results from passive tension of elastic recoil; – note that the tenodesis effect can effectively increase tendon excursion by 2-3 cm; – Mayer’s Rule: – … Read more
– Urinary Injuries: – see: renal / urogenital trauma – frx patterns at risk: – Malgaigne frx: rupture of bladder & urethra occurs in 20 % of patients; – pubic rami frx: (especially from straddle injuries); … Read more
– UTI in the Spine Injured Patient Management: – Rx with ATB’s, pending urine culture – Consider single dose therapy for symptomatic non-pregnant women with no known anatomic abnormalities; – Follow up culture in 7 to 14 days; – Prolonged therapy (7-10 days) is for symptomatic men, pregnant women or patients with … Read more
– See: – Amputation of the Finger and Hand: – Above-Elbow Amputation – Below-Elbow Amputation – Upper Extremity Prosthetics: – Wrist Disarticulations – General Considerations: – Disability: – loss of one upper extremity … Read more
– Discussion: – it is important that the injection site be at distance proximal to site of injury; – if this cannot be performed w/ ease, retrograde axillosubclavian technique should be utilized; – insertion of needle into brachial artery is facilitated by immobilizing artery against humerus; … Read more