– See: – Boutonniere Injuries – Menu – Thumb Boutonniere Deformity – Discussion: – rheumatoid boutonniere deformity begins w/ PIP synovitis & elongation capsule; – inflammation leads to lengthening of central extensor slip and triangular ligament (becoming dysfunctional) and volar displacement of the lateral bands … Read more
– Discussion: – RF is term used to describe group of autoantibodies w/ anti-IgG activity; – about 80-90% of RA pts have antibodies to the Fc region of IgG; – this antibody, called rheumatoid factor (anti-IgG), will also occur in bacterial endocarditis, schistosomiasis, leprosy, osteomyelitis, and other chronic infections; … Read more
– See: – FDP rupture – FPL rupture – Teno-synovectomy – Discussion: – when flexor tendon ruptures occur, there are two usual causes: – attrition or direct invasion by tenosynovitis; – these occur in carpal canal due to invasion or attrition; – scaphoid bone … Read more
Revision Total Knee Arthroplasty – Assistance provided by Michael Berend MD – PreOperative Considerations and Implant Selection: – work up of the painful TKR: – Surgical Approach: (Surgical Approach for Primary TKR); – Component Removal: – prior to component removal, take the knee thru a range of motion and evaluate patellar tracking and … Read more
– See: – Kocher Approach: – Elbow Flexion Contracture: – Discussion: – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule; – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture); … Read more
– See: Spondyloarthropathies – Discussion: – involves arthritis of large joints (knees & ankles), uveitis, skin lesions, & urethritis, however only a minority will have classic triad of symptoms; – conjunctivitis is observed early, usually before or at the onset of arthritis; – … Read more
Current Concepts Review. Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Low-molecular-weight heparinoid compared with warfarin for prophylaxis of deep vein thrombosis in patients who are operated on for fracture of the hip. Intermittent pneumatic compression to prevent proximal deep vein thrombosis during and after total hip replacement. A prospective, randomized study of compression alone, compression and aspirin, and … Read more
Appendicular bone density and age predict hip fracture in women. The Study of Osteoporotic Fractures Research Group Intermittent cyclical etidronate treatment of postmenopausal osteoporosis A prospective study to evaluate the dose of vitamin D required to correct low 25-hydroxyvitamin D levels, calcium, and alkaline phosphatase in patients at risk of developing antiepileptic drug-induced osteomalacia. Hypothalamic … Read more
Advances in The Federal Republic of Germany–Symposium: Recent Advances in the Surgical Treatment of Rheumatoid Arthritis. Newest Knowledge of Rheumatoid Arthritis–Symposium: Advances in Imaging of Rheumatoid Arthritis. Newest Knowledge of Rheumatoid Arthritis–Symposium: Diagnosis of Rheumatoid Arthritis: Medical and Laboratory Aspects. Rheumatoid Arthritis — Pathophysiology and Implications for Therapy. Long-term results of synovectomy in rheumatoid patients. Synovectomy of the rheumatoid … Read more
– See: vascular malformations of the upper extremity – Discussion: – first described by Maurice Raynaud in 1862; – involves vasoconstriction of the cutaneous arteriovenous shunts, digital arteries, and precapillary arterioles; – pallor of the digits with or w/o cyanosis on exposure to cold; – Raynaud’s disease … Read more