– See: Partial ACL Deficiency: – Discussion: – left untreated, the torn ACL leads to anterior laxity, rotatory instabilities, and meniscal tears; – there is a definite increase in X-ray changes of DJD – 1/3 of pts w/ isolated ACL injuries will show minimal instability – 2/3 … Read more
– See: Myobacterium tuberculosis – Discussion: – causes chronic granuloma of the hand or a sub acute inflammation, which may be difficult to distinguish from chronic tenosynovitis or chronic inflammation of the fingers or the hand; – can be confused w/ rheumatoid hand and will temporarily respond to steroid injection; … Read more
– Use of Medications in Pregnancy: – calcium supplementation – intra-articular steroids – note that intra-articular steroids may interfere w/ lactation in nursing mothers; – ref: The use of antirheumatic medication during pregnancy and in the puerperium. – Surgical Considerations: – positioning: – avoid supine positioning because of hypotensive effects from aortocaval compression by the … Read more
– Alkaline Phosphatase – Antinuclear AB (ANA) – C-Reative Protein – Erythrocyte Sedimentation Rate – Hypercalcemia – Rheumatoid Factor – Hyperuricemia – Serum Electrophoresis – antineutrophil cytoplasmic antibody – rapid plasma reagin – cryoprotein – serum immunofixation – lyme antibody – … Read more
Discussion multiple epiphyseal dysplasia (a common type of osteochondrodysplasia) is characterized by disturbance of normal ossification w/ in epiphysis; pathologic abnormality is a disturbance in enchondral ossification of epiphyses and physes; is inherited as an autosomal dominant trait with variable expressivity; disorder is manifested as multiple areas of abnormal growth and ossification of the epiphysis; … Read more
– Discussion: – it is not a neuroma but a perineural fibrosis and it was not first accurately described by Morton but by Durlacher, a chiropodist in 1845; both Thomas G. Morton (1876) and Thomas K. Morton (1892) mistook it for a painful affection of the fourth MTP articulation – it is a type of nerve compression … Read more
– See: MP joint in RA – Planning: – indications: – irretrievable articular cartilage damage; – volar subluxation; – dislocation are indications for surgery; – cautions: – cervical spine … Read more
– Discussion: – index finger is most commonly involved, often found in older pts w/degenerative arthritis; – Etiology: – muscular contracture or trauma; – collateral ligament or volar plate tethering on prominent MP head or osteophyte (on either side or volar aspect of metacarpal head); – torn palmar … Read more
– Discussion: – forefoot is most commonly affected portion of rheumatoid foot; – forefoot deformities include: – claw toe or hammer toe of lateral four toes; – severe hallux valgus – plantar keratosis beneath subluxed or … Read more
Cases out of the Past: The First Antiseptic Operations. Lister J. Contemp Surg Vol. 42, May 1993 Chronic non-hematogenous osteomyelitis treated with adjuvant hyperbaric oxygen. The influence of skeletal implants on incidence of infection. Experiments in a canine model. Comparison of indium-labeled-leukocyte imaging with sequential technetium-gallium scanning in the diagnosis of low-grade musculoskeletal sepsis. A prospective … Read more