– Recommended Position of Ankle Fusion: – it is essential to position forefoot perpendicular to long axis of tibia; – if minimal resection of the joint surfaces is carried out (to minimize shortening), then it will often be necessary to lengthen the heel cord in order to obtain the optimal position; … Read more
– See: – Maisonneuve Fracture – Surgical Approaches for Lateral Malleolar Fracture: – Anterolateral Approach – Posterolateral Approach – Weber A Lateral Malleolar Frx – Weber B Lateral Malleolar Frx – Weber C: Lateral Malleolus – Discussion: – malposition of lateral malleolus w/ tilting or shortening, will lead to distorted talotibial wt bearing and lead … Read more
See: Posterior Frx Dislocations of the Hip – Indications: – irreducible dislocation: – due to soft tissue interposition (ligamentum teres, capsule, labrum, piriformis, ect.); – incongruent joint: – due to intra-articular bone and cartilage fragments; … Read more
– See: Gun Shot Wounds Plumbism Open Fractures Septic Joint – Classifaction of Open Joint Injuries: (from Collins and Temple (1992)) – type 2: – single capsular perforation or laceration w/o extensive soft tissue injury – A: w/ minimal step … Read more
– Discussion: – fracture types: open tibia fractures, open fractures of femur – treat all open fractures as an emergency; – perform thorough initial eval to dx other life-threatening injuries: (see trauma management); – open joint injuries – gun shot wounds – controversies: non operative treatment: – Nonoperative … Read more
– See: Back Pain in Children – Discussion: – occult frxs typically occur after minor injuries, such as falls during sports-related activities; – most occult fractures heal spontaneously in 8 months; – diff dx: – disc-space infection – osteoid-osteoma … Read more
– Discussion: – non steroidals exert their actions by inhibiting isoforms of cyclo-oxygenase 1 and 2; – cox 1: expressed in the stomach and kidneys; – cox 2: – cox 2 receptor is not normally expressed in synovial tissue; – regulates inflammatory response and is responsible for disease symptoms; – Specific Agents: – Aspirin – … Read more
– Discussion: – most common form of septic arthritis in young adults; – women are affected two to four times as often as men; – disseminated infection may occur more frequently in women because gonorrhea in women is often asymptomatic, allowing for dissemination before symptoms … Read more
– Discussion: – frx of body of navicular may be associated w/ mid-tarsal joint injuries; – classification: 3 types: – coronal plane fracture w/ no angulation of the forefoot; – displaced frx require ORIF w/ lag screw fixation; … Read more
– Discussion: – NSAIA (member of the arylacetic acid group); – for symptomatic RA, bone pain; – primary dysmenorrhea, acute tendinitis and bursitis, mild to moderate pain: – Adult: – typical dose: 250 mg PO bid or 500 mg PO bid (500-1250 mg/24hr PO divided bid); … Read more