– Discussion: – 4 segment frx is most difficult to treat & is assoc w/ poorest results; – vascular supply to the humeral head – added to problems of three part frx, namely delayed union or non union, is avascular necrosis of the humeral head; – the … Read more
– Discussion: – refers to the blisters which from swollen skin overlying fractures; – most commonly arise over tibia, ankle, and elbow; – when fracture blisters are present at the time of surgery, wound complications will develop in the majority of patients; – when fracture blisters develop … Read more
– Discussion: – dorsalis pedis flap: – heel pad reconstruction: – complications of free flap reconstruction include weight bearing induced ulceration under the heel; – this may result from poor tailoring of the flap, lack of heel sensation, … Read more
– Diabetic Foot – Treatment Considerations – Syme’s Amputation – Ankle-level amputation. – Chopart Amputations: – The Modified Chopart’s Amputation. – Resurrection of the amputations of Lisfranc and Chopart for diabetic gangrene. – Congenital Chopart amputation. A functional assessment. – Pirogoff: – Pirogoff Amputation for Foot Trauma: An Unusual Amputation Level A … Read more
– See: – F & E in the Head Injured Pt – References – Hetastarch/Hespan – Adult Trauma Patient: – initially the adult trauma pt should rapidly be given 2 liters of balanced salt solution w/ observation of response; – if there is no improvement in vital functions, than additional fluid load … Read more
– See: – Transfusion Menu / Blood Product Menu – Subclavian Vein Catheterization and Internal Jugular Approach – Assessment of perfusion: damage control orthopaedics – normal blood pressure (systolic), heart rate, urine output (30 mL/hr); – labs: base deficit, bicarbonate, and lactate – Initial Fluid Resusitation in the Adult Trauma Patient: … Read more
– See: Spinal Shock – Discussion: – fluid resuscitation should be conducted with the knowledge that excessive replacement may cause cerebral edema; – expanded intravascular volume in absence of abnormality in serum Na does not predispose to brain swelling, and hence, fluid restriction is not indicated in the head … Read more
– See: Forearm Flexors – Discussion: – origin: medial epicondyle of humerus; – anatomy at the wrist: – when pt flexes wrist & radially deviates his hand, tendon becomes prominent next to the palmaris longus; – FCR lies radial to the … Read more
– See: Forearm Flexors – Anatomy: – origin: 2 heads from medial epicondyle of humerus & medial border of olecranon; – insertion: palmar surface of pisiform, hamate, and bases of 5th metacarpal; – action: flexes and adducts the hand at the wrist; – synergists: flexor carpi radialis; … Read more
– See: – Chance Frx: – Fracture Dislocation: – Definition: – flexion distraction injuries may occur thru bone or soft tissue, and they may involve one or several levels; – flexion distraction injuries occur secondary to distractive disruption of posterior & middle columns w/ compression failure … Read more