The Hip - book

When to use Beta Blockers in the MI patient

– Discussion:  – for patients with Q wave infarcts B. blockers are helpful when the following conditions apply: (assuming no contraindications)  – all patients > 60 yrs;  – all patients who exhibit ischemia on excercise;  – patients with abnormal left ventricular function; (? < 45%)  – patients who require B. blockers for rest Angina or … Read more

Which is better, the Knife or Electrocautery

Interaction between permanent cardiac pacing and electrocautery: the significance of electrode position. Effects of method of hemostasis on wound-infection rate. The contaminated skin-knife–fact or fiction. Recovery of skeletal muscle after laceration and repair.    Studies in the management of the contaminated wound. IV. Resistance to infection of surgical wounds made by knife, electrosurgery, and laser.

Windlass Mechanism

– Discussion:     – great toe provides stability to the medial aspect of the foot thru Windlass mechanism of the plantar aponeurosis;            – plantar aponeurosis arises adjacent to  tubercle of calcaneus and inserts into the base of the proximal phalanx;            – as body passes … Read more

Wheeless’ Textbook of Orthopaedics – Journal Watch

Journal of Bone and Joint Surgery Long-Term Results of Treatment of Fractures of the Medial Humeral Epicondyle in Children Operative Treatment of Interdigital Neuroma. A Long-Term Follow-up Study The Effects of Tibial Rotation on Posterior Translation in Knees in Which the Posterior Cruciate Ligament Has Been Cut Patellar Resurfacing in Total Knee Arthroplasty. A Prospective, … Read more

Hand

– see wrist menu Bennett’s Fracture Blood Supply to the Wrist Boutonnere Injuries Bouvier’s Test Burns of the hand Carpal Tunnel Syndrome Cerebral Palsy Claw Hand Clenched Fist Injuries Congenital Deformities of the Hands Compartment Syndromes of the Hand and Forearm CMC Arthritis DeQuervain’s Disease Digit Reimplantation Distal Phalangeal Frx Distal Phalangeal Frx/Finger Tip Injuries … Read more

West Point Axillary View

– Discussion:     – useful in identifying anterior glenoid abnormalities (Bankart Lesion) in pts w/ hx indicating traumatic instability of the shoulder; – Technique:     – pt is placed prone on x-ray table w/ involved shoulder on a pad raised 7.5 cm from the top of the table;     – head & … Read more

From the Patient’s Side: What’s New in Orthopaedics

MRSA The silent epidemic: CA-MRSA and HA-MRSA DVT/PE Rivaroxaban versus Enoxaparin for Thromboprophylaxis after Hip Arthroplasty Rivaroxaban versus Enoxaparin for Thromboprophylaxis after Total Knee Arthroplasty New Anticoagulants — The Path from Discovery to Clinical Practice Concussion: Sports Activity After a Concussion Slows Recovery Patient Education:   Prevention of Heat Stroke Lecture   Non Operative Treatment of … Read more

Weight Release

– See:       – Stance       – Muscle Activity During Gait – Discussion:     – during last portion of single limb stance & entirety of wt release, tibial external rotation continues, ankle plantar flexion is seen, and sub-            talar joint continues to invert;     – forefoot is now in a … Read more

WBC Differential

    – See Neutrophils/Left Shift  – Lymphocytes: (24-44%)  – Increased: Measles, German Measles, Mumps, Whooping Cough, Small pox, Chicken pox, Influenza, Hepatitis, Infectious Mononucleosis, Acute Infectious Lymphocytosis in children, Virtually any Viral Infection, Acute and Chronic Lymphocytic Leukemias;  – Decreased: After Stress, Burns, Trauma, Nl variation, Uremia;  – Monocytes (3-7%)  – Increased: Bacterial infection … Read more