– History: -Maurice Klippel and Andre Feil first to describe syndrome in 1912 -Characterized by patients with: Short neck Low hairline Decreased cervical motion -Fewer than 50% with congenital defects of cervical spine have … Read more
JPO Journal of Orthopaedic Trauma Journal of Trauma Acta Orthop Orthopedics American Journal of Orthopaedics Injury Orthopaedic Links JBJS Acta Orthopaedica Scandinavica American Journal of Orthopedics American Journal of Sports Medicine Archives of Orthopaedic and Trauma Surgery Archives of Physical Medicine and Rehabilitation Arthritis Research and Therapy Arthroscopy Arthroskopie Atlas of the Hand Clinics Biomaterials … Read more
– See: – Cervical Spine in JRA – Upper Extremity: JRA – Discussion: – joints may appear worse than they feel; – joint effusion may be only finding; – child may walk on affected joint, despite swelling, warmth, & limitation of motion; – … Read more
– See: Skin Prep: – Discussion: – 3M™ DuraPrep™ – iodophors need not be removed, since they are less likely to result in skin irration; – iodophors are solutions in which iodine is chemically bound to polyvinylpyrrolidone or a comparable molecule; – they are water soluble, less irritating to skin … Read more
– See: – Dorsal Interossei – Lumbricals: – Palmar Interossei – Hypothenar Eminence: – muscles of hypothenar eminence are abductor, flexor, opponens digiti minimi, & palmaris brevis; – muscles of hypothenar eminence are innervated by ulnar nerve; – Thenar Eminence: … Read more
– See: – Intrinsic Muscles: – Discussion: – results from intrisic stiffness (contracture); – specific causes: – truama: – posttraumatic intrinsic contractures may occur after severe injuries to hand that have resulted in considerable edema or … Read more
– normally an inspiratory to expiratory time ratio (I/E) of 1:2 is used – inverse I/E is also utilized in ARDS to prevent barotrauma – long sustained inspiration reduces mean airway pressure while increasing the PaO2 for a given FiO2; – despite the benefits in gas exchange, the prolonged inspiratory duration relative to expiration is … Read more
– Discussion: – frx occur as a result of a fall – from direct and indirect forces; – occurs along lines between greater and less trochanters; – theoretically extracapsular, however, it is not always possible to distinguish betwee intertroch and basilar femoral neck frx; – extracapsular intertroch frx … Read more
– Discussion: – consistent relationship between cerebral blood flow and intracranial pressure is difficult to demonstrate until levels of 40-50 mm Hg are reached; – well-engineered intracranial-pressure transducers can easily be inserted by the neurosurgeon in the emergency room; – use subdural rather than an intraventricular placement (which could reduce intracranial pressure … Read more
– Technical Considerations: – consider debriding the wound with a separate set of surgical instruments / drapes – exposure: extend the traumatic incision longitudinally in order to fully expose zone of injury; – pressure irrigation – debridement of open tibia fractures – Arguments for Leaving Wound Open w/ Delayed Closure: … Read more