– Discussion: – see: elbow dislocations in children: – elbow dislocation is the second most common major joint dislocation; – dislocation is usually closed and posterior; – mechanism: – dislocations of elbow usually result from fall onto extended elbow. … Read more
– See: Discogenic Pain: – Discussion: – predominence of leg pain (nerve pain) over back pain (usually annular pain); – determine if leg pain is made worse by activities or positions that increase intra discal pressure; – SLR: is key finding in sciatica, but is also found in: … Read more
– See: – Percutaneous Discectomy: – Postop Orders for Diskectomy – Positioning: – position patient in modified kneeling position to allow abdomen to hang free, which minimizes epidural venous dilation and bleeding; – identify the spinous processes of L3, L4, L5, and S1; – Standard Posterior … Read more
– See: – Limb Lengthening Fixators – Distraction Histiogenesis – Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) – Discussion: – growth deformities of the limbs – it is important to distinguish between limbs with good potential for lengthening … Read more
– See: – Herniated Disc in the Child: – Intervertebral Discs: – Anatomy: – disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration; – disc containment: – w/ a contained disc herniation, the … Read more
– Myelopathy: Diff Dx: – Myopathic Disorders – Stroke / TIA; – Multiple Sclerosis – Amyotrophic Lateral Sclerosis – Thoracic Outlet Syndrome; – Pancoast Tumors – Reflex Sympathetic Dystrophy – Brachial Neuritis (upper & lower motor neurons, sensation is Nl); – Spinal Cord Tumor … Read more
– See: – Amputation of the Finger and Hand: – Pharmocological Agents in Vascular Surgery: – Second Toe Transfer: – Thumb Defects: – Indications for Replantation: – Thumb amputation – Multiple digit amputations – Metacarpal amputation … Read more
– Discussion: – glenohumeral arthritis; – look for the characteristic osteophyte at the inferior aspect of the humeral head; – nerve palsy: – w/ atrophy of both the supraspinatus and infraspinatus, consider obtaining an MRI of the shoulder, to evaluate for space … Read more
– Differential Dx: – Brachial Plexus Injury – Brachial Neuritis – Instability – anterior – posterior – multidirectional – Biceps Tendonitis – Avascular Necrosis of the Humeral Head – Degenerative Osteoarthrosis … Read more
– Systemic conditions: (may mimic ulnar entrapment syndrome at elbow) – Syringomyelia – Amyotrophic Lateral Sclerosis – Entrapment of the ulnar nerve distally at the wrist (Guyon’s canal) – Snapping Elbow Syndrome: – syndrome which has yet to be fully described, in which … Read more