– See: diabetic foot menu – Diabetic Charcot Foot and Ankle: – originally described in the 1860s by the neurologist Jean-Martin Charcot; – may occur w or w/o neuropathic ulceration (mal perforant): – typically appears in 5th and 6th decades; – often occurs in the face of a relatively “normal vascular exam;” – neuropathic ulcerations are … Read more
– See: – Cervical Stenosis: – Central Cord Syndrome – Soft Disc Protrusion: – SCIWORA Syndrome – Uncovertebral joints – Discussion: – refers to a combination of degenerative disc disease and osteophyte formation; – cervical spondylosis … Read more
Cervical Radiculopathy: Diagnosis and Treatment Richard J. Nasca, MD Nasca RJ. Cervical radiculopathy: current diagnostic and treatment options. J Surg Orthop Adv. 2009;18(1):13-18. Introduction: Pain around the shoulder, arm and hand may be caused by irritation or compression of one or more cervical nerve roots. In the majority of patients, the symptoms are of short … Read more
– Discussion: – pattern of hip deformity in cerebral palsy depends on type and extent of neurologic impairment; – non progressive neuromuscular disorder w/ onset before 2 yr resulting from injury to the immature brain; – etiology includes: perinatal infections (TORCH), prematurity (most common), anoxic injuries, … Read more
– Discussion: – most common incomplete cord lesion – frequently associated w/ extension injury to osteoarthritic spine (cervical spondylosis) in middle aged person who sustains hyperextension injury; – cord is injured in central gray matter, & results in proportionally greater loss of motor function to upper extremities than lower extremities w/ variable sensory sparing; – Anatomy: – fibers responsible … Read more
– Discussion: – central stenosis produces compression of the thecal sac in contrast to lateral stenosis which involves compression of individual nerve roots; – may be congenital (idiopathic or developmental in achondroplastic dwarfs) or acquired; – acquired stenosis: – due to degenerative hypertrophic facets … Read more
First Generation: Cefadroxil (Duricef, Ultracef) Cephalothin (Keflin) Cephapirin (Cefadyl) Cephalexin (Keflex) Cephradine (Velocef, Anspor) Cefazolin (Ancef, Kefzol) Second Generation … Read more
– Discussion: – central frx/dislocation is crippling injury with a poor prognosis; – extensive degree of concomitant articular injury occurs; – 22% incidence of sciatic nerve injury; – distal and occassionally, lateral traction of proximal femur may be necessary to effect and maintain reduction of the femoral head; – total … Read more
– See: cervical spine in RA – Discussion: – vertical subluxation is one of the most serious complications of rheumatoid arthritis, and may affect up to 5-10% of patients who have cercial spine disease; – basilar invagination may result from erosion and/or bone loss between occiput and dens or may … 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