– See: Total Hip Replacement Menu: – Cemented Femoral Component: Loosening: – Collar: in THR – Optimal Cementing Technique – Removal of Cemented Femoral Stems: – Indications: – cemented femoral stems probably remain gold standard for total … Read more
– See: Total Hip Replacement Menu: – Addition of Antibiotics to Cement: – Cemented Femoral Component Loosening: – Insertion of Cemented Femoral Stems: – Discussion: – first generation technique: – finger packing … Read more
– See: Atlanto-axial Subluxation: – Discussion: – a condition in which there is fixed rotation of C1 on C2; – fixation may occur with in the range of normal rotation, may occur w/subluxation, or may occur w/ dislocation; – clinically patients will have ipsilateral rotation and contralateral tilt of … Read more
– See: – C1 / C2 – AtlantoAxial Rotatory Subluxation in Down’s Syndrome: – Atlantooccipital Disassociation: – Atlantoaxial Rotatory Fixation: – Atlantoaxial Subluxation in R.A.: – Cross Table Lateral: – Occipital-Atlanto-Axial Anomalies: … Read more
– See: – Atlantoaxial Rotary Subluxation- Discussion: – Transverse Ligament Rupture: – Discussion: – subluxation can occur in up to 70% of patients with rheumatoid arthritis, but frank dislocation occurs in about 25%; – approximately 11% of rheumatoid arthritis patients will develop … Read more
– See: Frx Dislocations of the Hip – Discussion: – because of associated high energy trauma: look for other injuries – vast majority of patients sustained a hip dislocation will have associated injuries; – assoc ligamentous injuries to ipsilateral knee; – associated posterior wall fractures, femoral head, … Read more
– Discussion: – Steroid Menu: – Relative Potency of Various Steroids: – Triamcinolone: is the most common choice for joint injection (see knee osteoarthritis) – Cautions for Intra-Articular Injection: – local complications: – may cause fat necrosis and loss of skin pigmentation in blacks; … Read more
– Discussion: – elbow can be entered either ulnarly or radially, but radial approach is preferred inorder to avoid ulnar nerve injury; – radial nerve is lies anterior to the elbow joint, and may be moved even more anteriorly by supinating the forearm; – landmarks for aspiration of the elbow joint … Read more
– Discussion: – anterior approach: – femoral artery may be palpated in femoral triangle, & may be used as a guide in aspirating the hip joint; – palpate the femoral pulse just as it exits the inguinal ligament; … Read more
– See: shoulder joint menu and arthroscopic RCT repair Fluid Management: Positioning: beach chair position is comfortable for both the patient and the surgeon and allows the option of converting to an open procedure (if necessary); patients need to be seated with the torso raised to 70 deg with a foled sheet placed on the medial … Read more