Ortho Oracle - orthopaedic operative atlas

Arthritis

Orthopaedic Index: B

                               Bones             B12 deficiency            Back Pain in the Adult             Back Pain in the Child             Bacterial Menu            Baker’s Cyst            Bankart Lesion             Barlow’s Test            Basal Joint Arthritis             Bassett            Becker Muscular Dystrophy            Below Knee … Read more

Ibuprofen/Motrin/Rufen/Advil/Nuprin

– Discussion:      – for RA, OA, MSK pain, dysmenorrhea – NSAIA –      – supplied: tabs: 200mg (OTC), 300mg, 400mg, 600mg, and 800mg; – Adult:      – 300, 400, 600, or 800 milligrams three times daily to four times daily      – 1,200-3200 mg per day in divided doses (titrated … Read more

Hyperparathyroidism

(see also: Renal Osteodystrophy; Remodeling of Bone) Discussion caused by excessive production of parathyroid hormone which leads to hypercalcemia, recurrent nephrolithiasis, pancreatitis, peptic ulcers, and mental changes; incidence of approx 5 /10,000 pts per year; usually affects adults over 50 yrs & occurs more commonly in females; causes: in most cases is due to single … Read more

Hyperpronation of Rheumatoid Foot

– Discussion:     – hyperpronation, by virtue of its mechanics, inevitably results in hallux being forced into valgus even in absence of RA dz in first           metatarsal joint;     – in this situation fusion of first MP joint is preferred option;          – this does not apply when there is severe forefoot … Read more

HTO: Opening Wedge / Infra-tubercle Osteotomy

– Discussion:     – see: Oasis Surgical Technique by Jack Farr     – uses a distraction histiogenesis strategy;              – three separate phases:                      – latency phase that immediately follows the osteotomy for some duration during which time no mechanical perturbation is applied;                     – active or distraction phase during which the two bony segments are … Read more

Histology of Chondroblastoma

– Discussion:     – shows characteristic “cobblestone” pattern;     – areas of round, plump chondroblasts (stones), enmeshed in chondroid matrix;     – nodular areas of a chondroid tissue are prominent;     – cartilagenous matrix may have small foci of calcification between between chondroblasts (chicken wire calcification) around islands of cartilage;     … Read more

Hip Joint Menu

See:              Acetabular Frx              Femoral Neck Frx              Radiology of the Hip Antibiotic Prophylaxis Anterolateral Approach Anterior Approach Anteversion of Hip Arthrodesis  Arthroscopy of the Hip  Aspiration  Avascular Necrosis of the Femoral Head Blood Supply to the femoral head and neck; Capsule  Child’s Hip – Pathologic disorders  CDH Coxa Vara Dislocations of the Hip Effusion Embryology: … Read more

Hip Joint Index

(see also: Acetabular Frx; Femoral Neck Frx; Radiology of the Hip) Antibiotic Prophylaxis Anterolateral Approach Anterior Approach Anteversion of Hip Arthrodesis Arthroscopy of the Hip Aspiration Avascular Necrosis of the Femoral Head Blood Supply to the femoral head and neck; Capsule Child’s Hip – Pathologic disorders CDH Coxa Vara Dislocations of the Hip Effusion Embryology … Read more

Hip Joint Effusions

– Diff Dx:     – Intracapsular Fractures     – Toxic Synovitis of the Hip     – Septic Arthritis     – Osteomyelitis     – Legg Perthes disease in children. – Clinical Features:     – person suffering from a painful Hip Joint effusion is most comfortable when seated with the painful thigh … Read more