(see also: Elbow Arthritis) Equipement 30 deg, 4 mm arthroscope; arthroscopic pump; Positioning patient is usually prone with sandbag placed under antecubital fossa; TV monitor is positioned opposite of the patient; ulnar nerve is palpated to pinpoint its location and to ensure that it does not subluxate with elbow flexion instill fluid into the joint … Read more
(see also: Marfan’s Syndrome) Discussion autosomal dominant disorder characterized by hyperextensibility of “cigarette paper” skin joint hypermobility and dislocation, soft tissue/bony fragility, and soft tissue calcification; joint effusions and arthralgias are common, and children are often misdiagnosed with forms of arthritis; all forms the disease may cause skin fragility, bruising, scarring, joint discomfort and osteoarthritis; … Read more
– See: – Dorsal Dislocation of PIP joint – Extension Block Casting – Phalangeal Injury – Discussion: – long moment arm of the PIP joint, places this joint for higher risk of this injury; – mechanism and anatomy of injury: … Read more
– See: – Q angle – Malalignment of Patella – Discussion: – distal realignment procedures are chiefly indicated in pts w/ patellar subluxation, absence of hyper-laxity, and increased Q angle; – as pointed out by Fulkerson, et al (1990), less than 2% of patients w/ patellofemoral pain will require tibial tubercle transfer; – as noted … Read more
– Discussion: – degenerative valgus deformity of knee is less common than varus deformity; – genu valgum is more common in pts w/ history of trauma, RA, renal osteodystrophy, rickets, or infantile poliomyelitis; – Treatment Options: – goal of is to correct the angle between anatomic … Read more
– See: Discogenic Pain: – Discussion: – predominence of leg pain (nerve pain) over back pain (usually annular pain); – determine if leg pain is made worse by activities or positions that increase intra discal pressure; – SLR: is key finding in sciatica, but is also found in: … Read more
– Discussion: – also known as Forestier’s disease; – disease involves non-marginal syndesmophytes present at at three successful vertebral levels; – commonly there will be no disc & joint narrowing & nor osteoarthritis; – differentiated from AS, w/ marginal syndesmophytes; … Read more
– NSAIA; – for musculoskeletal pain and osteoarthritis; – adult dose: 500 mg every 8 to 12 hours (500-1500 mg/day PO divided doses); – ? may increase PT; – w/ impaired renal or hepatic function, cut dose in half; – Tabs: 250, 500 mg
– Discussion: – glenohumeral arthritis; – look for the characteristic osteophyte at the inferior aspect of the humeral head; – nerve palsy: – w/ atrophy of both the supraspinatus and infraspinatus, consider obtaining an MRI of the shoulder, to evaluate for space … Read more
– Avascular Necrosis – Congenital angulation shortening – Congenital coxa vara – Congenital short femur – DDH – Diaphyseal fractures – Hemiatrophy – Hemiparetic cerebral palsy – Hemiatrophy (anisomelia) – Hemihypertrophy: – Hemangioma – Neurofibromatosis – Lipomatosis – Lymphangioma – Infantile septic arthritis of the hip – Juvenile Rheumatoid Arthritis: – Legg-Perthes disease – … Read more