– See: Development and Anomalies of the Axis: – Discussion: – dens may be completely absent, hypoplastic, or incompletely fused to body of C2 (lesion called os odontoideum) – the os odontoideum is smaller than the normal dens but size may vary; – the base of the … Read more
– See: – Diff Dx: Posterior Ankle Pain – Fractures of Posterior Talar Process – Discussion: – accessory bone found just posterior to talus (accessory ossification center of the posterior process of the talus); – it may be considered a non united portion of the lateral tubercle; … Read more
– See: – Anesthesia and Timing for Femoral Neck Fractures: – Anesthesia in the Spinal Cord Injured Patient: – Cardiac Orders / Meds: – Malignant Hyperthermia: – Risk Assessment: – Anesthetic Agents: – Lidocaine: … Read more
– Recommended Position of Ankle Fusion: – it is essential to position forefoot perpendicular to long axis of tibia; – if minimal resection of the joint surfaces is carried out (to minimize shortening), then it will often be necessary to lengthen the heel cord in order to obtain the optimal position; … Read more
– see distal radius fracture menu (volar Barton’s frx) – orif of distal radius fractures – Surgical Approach: – standard volar approach: – most indicated for simple extra articular fractures and when there is absence of ulnar comminution / displacement: – incision starts at thenar crease of palm, curves toward middle of forearm, w/ … Read more
– Discussion: – closed weight bearing treatment should be used for the majority of low energy tibial fractures; – advantages of open treatment: – allows early weight bearing; – minimizes hospitalization; – infection; – disadvantages … Read more
Clickable Image Map: – Trauma Systems: Neuro (see Glasgow) Cranio-Maxillo-Facial Cardiac Respiratory Renal Vascular Compartments Hepatic Coag X-rays and Template Planned Incision Consent Bone Graft Open vs Closed Reduction Anesthesia & Cardiology Consults Prophylactic ATB DVT prophylaxis Posting Blood & Cell Saver Implant Selection Positioning Table type and Flouro – Initial Orders: – NPO … Read more
See: Posterior Frx Dislocations of the Hip – Indications: – irreducible dislocation: – due to soft tissue interposition (ligamentum teres, capsule, labrum, piriformis, ect.); – incongruent joint: – due to intra-articular bone and cartilage fragments; … Read more
– See: Open Frx Menu: – Discussion: – traumatic wound is nearly always anterior in location, and may have a variable degree of damage to the extensor mechanism; – in pts w/ grades I, II, or IIIa open supracondylar frx consider ORIF – for IIIb and IIIc fractures consider external … Read more
– Discussion of Open Femur Frx: (see open frx menu) – see: gun shot wounds – rates of wound infection should be < 4 % w/ meticulous debridement of wound; – rates of union and the functional results have been comparable with those obtained after nailing of closed fractures; – compartment … Read more