The Hip book

Rheumatoid Nodules

– Discussion:     – RA may cause symptoms because of pressure and location;     – nodules may be cosmetically unacceptable;     – nodulosis occurs in 20-25% of patients with RA     – associated with strong seropositivity;     – implies aggressive disease with poor prognosis;     – may occur in benign … Read more

Rhomboids

  – Rhomboid Major:     origin: spinous process of 2nd to 5th thoracic vertebrae;     insertion: medial border of scapula from spine to inferior angle;     action: adducts scapula and elevation of medial border; the inferior fibers aid in rotating the glenoid cavity inferior;     nerve supply: dorsal scapular (C4, C5); … Read more

Revision Bankart Repair w/ Capsular Shift

– See: Axillary Approach to the Shoulder – Indications:  – most often used for Bankhart repairs for anterior shoulder dislocations; – Positioning: beach chair w/ full access to posterior aspect of shoulder; – Incision:  – incision is placed in major axillary skin fold;   – skin incision begins in the axilla and is centered over pectoralis … Read more

Rest Activity

– See: EMG Menu: – Discussion:     – normally there is no activity at resting muscle;     – denervated muscle fibers become spontaneously active, producing fibrillation potentials & positive sharp waves approx 10-20 days after             nerve injury;     – this test assists in differentiating neuropathic muscle atrophy from myopathic atrophy

Research

Discussion: Quantitative gait analysis in patients with medial patellar instability following lateral retinacular release. The diagnosis and treatment of medial subluxation of the patella after lateral retinacular release. Medial subluxation of the patella as a complication of lateral retinacular release Hemarthrosis as a major complication after arthroscopic subcutaneous lateral retinacular release: a prospective study. [Prevention … Read more

Repairs of the Lateral Meniscus

– See: Lateral Meniscus /  General Discussion of Meniscal Repair – Indications:      – any peripheral nondegenerative longitudinal tears < 3 cm;      – if tear is w/in 3 mm of the periphery, it is considered vascular;      – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery … Read more