Development of Axis
– Anatomy: – Body: – one center (occassionally 2) appears by the fifth fetal month; – Neural Arches: – appear bilaterally by the 7 th fetal month – fuse posteriorly by the 2nd … Read more
Trauma Fractures
Design and Function of the Patellar Component in TKR:
patello-femoral function: – significant forces are generated across the patellofemoral articulation on flexion and extension of the knee; – these forces progressively increase as flexion angle of knee increase; – contact area between the femur and the … Read more
Desmopressin (Synthetic Arginine Vasopressin) (DDAVP, Stimate)
– For Diabetes Insipidus (intranasal & parental); bleeding due to hemophilia A and Type I von Willebrand’s dz (parental); bleeding from esophageal varices; head trauma; – it can transiently correct the bleeding time in most patients with chronic renal failure and other acquired disorders of platelet function; – DI: Intranasally: Adult: 0.1-0.4 mL (10-40 ug) … Read more
Deltopectoral Approach: Superficial Dissection
– See: Anterior Approach to the Shoulder and Total Shoulder Arthroplasty – Incision: – deltopectoral internval separates plane between axillary innervation (deltoid) and lateral and medial pectoral innervation to pectoralis major (incision should stay just lateral to the axillary skin crease); – ensure that the shoulder is position in neutral rotation and slight … Read more
Deep Posterior Compartment
– See: – Laeral Compartment – Anterior Compartment – Superfical Posterior Compartment – Discussion: – contains tibialis posterior, FDL, & FHL; – originates primarily from posterior tibia, fibula, & interosseous membrane in proximal 2/3 of leg, these structures are involved in plantar flexion … Read more
Deep Venous Thrombosis – General Discussion
– See: – Coagulation Cascade – Pulmonary Embolus – DVT in Hip Frx and Surgery: – DVT Following THR: – DVT Following TKR: – DVT / PE arising from Trauma and Fractures – Discussion: – thromboembolism is amoung the most serious … Read more
Debridement of Chondral Defects of the Knee
– Discussion: (see osteochondral injury) – these injuries are distinct from degenerative arthritic lesions and management of these lesions should remain distinct as well; – theory is that penetration of subchondral bone causes bleeding from underlying vessels which allows clot formation in the cartilaginous defect and subsequent formation of fibrocartilage; … Read more
Debridement of Open Tibial Fractures and Infected Tibial Fractures
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>p/>hr size=”3″/> p>- See: a href=”/bones/tibia-fibula/open-fractures-of-the-tibia/”>tibial fracture menu/a> / general a href=”/ortho/12696″>principles of debridement/a>br/> br/> strong>- Debridement of Acute Fractures:/strong> br/> – goal is to avoid a href=”/bones/tibia-fibula/tibia-fracture-infections/”>tibial infection/a>; br/> – strong>timing:/strong> (is emergent debridement necessary?) br/> – references: br/> … Read more
Femoroacetabular Impingement (FAI)
Co-Authors: Milford H. Marchant Jr., M.D.; Thomas P. Vail, M.D.; Steven A. Olson, M.D. July 2006 Femoroacetabular Impingement (FAI) – Descriptive Diagnosis characterized by a combination of clinical signs, symptoms, and pathology that may be responsible for the progression of degenerative changes in patients with osteoarthritis of the hip – … Read more
Orthopaedic Disaster Preparedness and Trauma Care Resource Library
Journal of Surgical Orthopaedic Advances Editor: L. Andrew Koman, MD (The articles presented in the issues below were written by members of SOMOS and are exclusively devoted to disaster preparedness and trauma care.) Volume 21, Number 1 Special Issue Editor: Jonathan A. Forsberg, MD Combat Orthopaedics for the Civilian Provider, With Special Emphasis on the Dismounted … Read more