The Hip - book

Grayson’s Ligament

  – Discussion:     – Grayson’s & Cleland’s ligament hold skin in position during flexion and extension of the finger;     – Grayson’s ligaments are thin and go from tendon sheath to the skin, and to some extent protect the nervovascular bundle (prevent bow stringing of the N/V bundle during flexion);     – … Read more

Greater Sciatic Foramen

      – 7 nerves:      – Sciatic Nerve:      – Superior Gluteal Nerve:      – Inferior Gluteal Nerve:      – Internal Pudendal Nerve:      – Posterior Femoral Cutaneous Nerve      – Nerve to Quadratus Femoris      – Nerve to Obturator Externus – 3 Vessel Sets:   … Read more

Greater Trochanteric Osteotomy

– See: Total Hip Replacement Menu:  – Discussion:     – indications for osteotomy:     – considerations for wire re-attachment:            – wires can theoretically undergo gavanic corrosion if they are close to or touch the metal implant;            – this is usually of little significance even if the wires … Read more

Greater Tuberosity Fractures

– See: Fracture Dislocation – Discussion:     – isolated displaced greater tuberosity fractures are thought to occur in less than 2% of proximal humeral frx;     – greater tuberosity fragments w/ its attached rotator cuff will characteristically have a longitudinal tear in the cuff between the supraspinatus and subscapularis tendons;       … Read more

Grade III and IV Spondylolisthesis

– Exam: – Radiographs:     – Treatment:     – these pts have a high deg of lumbosacral kyphosis have sig deformity;     – prophylactic fusion in children & adolescents w/ slippage > 50% is recommended;     – w/ a L-5 to S-1 spondylolisthesis, treatment consists of bilateral posterolateral arthrodesis in situfrom … Read more

Grade IIIB Open Tibial Frx

– See: Tibia Fracture Menu and Gustilo Classification – Discussion:     – is frx in which there has been extensive stripping of soft tissues and periosteum from bone & where devitalization or loss of soft tissues usually            requires plastic reconstructive procedures for closure;            – extensive soft tissue loss with periosteal … Read more

Gram Negative Bacilli

– Characteristics of Gm Neg Bacteria: – cell membrane does not retain crystal-violet indium dye after an alcohol rinse but does retain safrinin O counterstain; – lipopolysaccharide is a cell membrane endotoxin which is associated w/ the clinical effects of gm negative sepsis; – Enteric Gm Neg Bacilli: – Bacteroides fragilis – Citrobacter diversus – Enterobacteriaceae – … Read more

Gram Positive Bacilli

  Listeria         Bacillus anthracis     Clostridium tetani   Clostridium perfringens   Clostridium difficile   Cornybacterium diphthiae     Actinomyces israeli         Nocardia asteroides         Gram Positive Bacilli

Grade II Open Tibial Fractures

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>- See: a href=”/bones/tibia-fibula/gustilo-classification-of-open-tibial-frxs/”>Gustilo Classification/a>:br/> br/> strong>- Treatment Options:/strong>br/>      – a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>external fixation/a>:br/>      – a href=”/bones/tibia-fibula/tibial-fractures-technique-of-im-nailing/”>intra-medullary nail/a>;br/>            – IM devices control length and rotation as effectively as a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>Ex Fix/a>   (w/o complications of soft tissue inpalement & pin tract infection)br/>     … Read more