– positioning and prepping – posterolateral skin incision – incise thru iliotibial band – split gluteus maximus – peel back the trochanteric bursa: – divide trochanteric bursa and sweep it posteriorly to expose vastus lateralis, short external rotators and posterior border of gluteus medius; … Read more
– See: Neurologic Injuries in THR: – Discussion: – sciatic nerve is palpated by rolling it under surgeon’s finger as it crosses ischial projection from posteroinferior aspect of the acetabulum; – palpate sciatic nerve as it passes superficial to obturator internus & gemelli; – sciatic … Read more
– See: Total Hip Replacement Menu: – Discussion: – natural history of DDH: – acetabular rim syndrome: – results from dysplastic hip, which stresses the labrum, resulting in labral degeneration; – hip arthroscopy and debridement in these patients may provide the patient w/ a few … Read more
– See: – Burst Frx – Thoracic & Thoracolumbar Spine : – Posterolateral Decompression: – Discussion: – frx at this level are frequently due to relative immobility of thoracic spine compared to the lumbar spine; – upper thoracic spine (T1 … Read more
– See: – Burst Fractures – Thoracic and Thoracolumbar Spine: – Discussion: – results from hyperflexion, which produces wedge compression of one or more vertebral bodies; – due to the rigidity of the rib cage, most of these frxs are stable; – thoracic spinal … Read more
origin: the transverse process of the 6th to 10 Thoracic vertebrae; insertion: the spinous process of the 1st to 4th thoracic and 6th-7th cervical vertebrae; action: extends the spine and rotates it toward the opposite side; nerve supply: posterior rami of the thoracic nerves, T1 to T6; synergists: Longissimus Thoracis, Iliocostalis thoracis, Spinalis Thoracis
– See: Arteries of the Upper Limb – Discussion: – branch of axillary artery; – pierces the clavipectoral fascia and gives rise to 4 branches; – clavicular – small branches that run toward sternoclavicular joint, supplying this and a little bit of the anterior thoracic wall; … Read more
cefotaxime (claforan) moxalactam (moxam) cefoperazone (cefobid) ceftizoxime (ceftizox) ceftazidime (fortaz) tazidine ceftriaxone (rocephin)
– See: Vascular Problems of the Upper Extremity: – Discussion: – thoracic outlet space is created by the clavicle, first rib, subclavius muscle, costoclavicular ligament, and anterior scalene muscle; – most often affects subclavian artery, vein, and lower trunk (C8 & T1) of brachial plexus; … Read more
– See: Infections of the Hand – Anatomy: – extends mediolaterally from long metacarpal bone to the thenar eminence; – extends proximodistally from transverse carpal ligament to just proximal to superfical palmar arch; – borders of the thenar space include: – … Read more