– See Elbow Arthritis – Equipement: – 30 deg, 4 mm arthroscope; – arthroscopic pump; – Positioning: – patient is usually prone with sandbag placed under antecubital fossa; – TV monitor is positioned opposite of the patient; – ulnar nerve is palpated to pinpoint its location and to ensure that it does not subluxate with … Read more
(see also: Marfan’s Syndrome) Discussion – autosomal dominant disorder characterized by hyperextensibility of “cigarette paper” skin joint hypermobility and dislocation, soft tissue/bony fragility, and soft tissue calcification; – joint effusions and arthralgias are common, and children are often misdiagnosed with forms of arthritis; – all forms the disease may cause skin fragility, bruising, scarring, joint discomfort and osteoarthritis; … Read more
– Discussion: – generally the functional range of motion for the elbow is between 30 to 130 deg; – flexion contractures greater than 45 deg will significantly limit ADLs; – hetertopic ossfication: – may occur after isolated spinal cord injury (3-5%), but will tend … Read more
Current Concepts Review. Prevention of Venous Thromboembolism after Total Hip and Knee Arthroplasty. Current Concepts Review. Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Original Articles: Deep-Vein Thrombosis And The Incidence Of Subsequent Symptomatic Cancer. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three … Read more
– Discussion: – advantages include relatively low cost, efficacy when worn properly, and safety; – disadvantages: compliance is not guaranteed; – if possible, patients should be placed in the intermittent compression stockings, prior to the operative procedure Pneumatic sequential-compression boots compared with aspirin prophylaxis of deep-vein thrombosis after total … Read more
– See: DVT Discussion: – Discussion: – 30-50 % occurance of DVT in trauma pts w/ lower extremity fractures; – preexisting conditions such as heart disease, obesity, carcinoma, diabetes, and hypertension could theoretically push the numbers even higher; – mortality for pulmonary embolism may approach 10%; – ref: … Read more
– See: – Dorsal Dislocation of PIP joint – Extension Block Casting – Phalangeal Injury – Discussion: – long moment arm of the PIP joint, places this joint for higher risk of this injury; – mechanism and anatomy of injury: … Read more
– See: – Inotropic Agents – Inotropic agent (not vasoconstrictor); – Useful in pt w/ poor CO output, elevated left ventricular filling pressures (PAOP > 18mm Hg), & marginal systemic blood pressures; – For Shock syndrome as result of MI, endotoxins, trauma, Renal failure; – Selective B1 stimulator; – Causes direct iotropic stimulatorwith reflex vasodilation … Read more
– Discussion: – contractures and progressive weakness of lower extremities render walking increasingly difficult for patients who have DMD; – average patient is unable to walk effectively by the time that he is ten years old, in the absence of treatment; – age at which walking ceases, however, is … Read more
– See: – Growth Deformities of Limbs – Growth Plate Arrest – Discussion: – anatomy of distal femoral physis: – account for approx 5% of all physeal frx; – displacement in sagittal plane is assoc w/ N/V injury in popliteal fossa and instability on closed reduction; – … Read more