– outcomes: – in the report by Saeden B, et al, the authors compared the long-term outcome in 61 patients (62 fractures) treated operatively or conservatively for an acute fracture of the carpal scaphoid; – total of … Read more
– See: Anterior Approach to Shoulder and Synthes Proximal Humerus Products – Operative Treatment Options: – Lateral Plating (Locking Plating): – Percutaneous Pinning – Screw Tension Band Technique: – reduction: – in some cases cancellous bone from the … Read more
– Main Menu: – PreOp Planning – radiographs and templating – Surgical Exposure: – Patient Positioning, Preping, Draping – Anterior Longitudinal Midline Approach – Deep Articular Exposure – Patellar Eversion: – Patella: – patellar resurfacing – prior to patellar resurfacing, determine the propensity for the native patella to subluxate; – if subluxation is present (tibial component … Read more
– Isolated Division of the Aponeurosis: – involves division of aponeurosis between the humeral and ulnar origins of the FCU; – theoretical disadvantages: – in addition to decreases in the cross sectional area of the cubital tunnel which occur w/ flexion, there is also a decrease in the … Read more
– Discussion: – equivalent to Weber type A fracture; – transverse avulsion type fracture of the fibula (short oblique or transverse) below the level of joint or tear of the lateral collateral ligaments and vertical fracture of the medial malleolus; – mechanism: … Read more
– for rheumatoid and osteoarthritis, and anlkylosing spondylitis; – Acute gouty arthritis; – Acute bursitis/subacromial buritis or tendinitis/supraspinatus tendinitis; – NSAIA; Dose:150-200mg PO bid with food; – increase as needed to maximum 400mg/day; – Should be administered with food; – Contraindicated with: patients w/ h/o asthma, urticaria, or rhinitis precipitated by ASA or NSAIA; – Contra … Read more
– Discussion: – sulfasalazine was developed over 50 years ago to specifically treat RA; – more recently it has been found to be efficacious for psoriatic arthritis; – typical adult dose is 1 gm per day, but may be increased to 2 gm per day; – Cautions: … Read more
– See: – Sub Talar Dislocation – Subtalar Fusion – Transverse tarsal joint – Triple Arthrodesis – Discussion: – anatomy: – axis of rotation: – axis of subtalar joint is approx 42 deg upward from the horizontal in saggital plane & 16 to 23 deg medial to midline of foot in transverse plane; – upward … Read more
– Discussion: – occur as the result of repetitive loading below yeild strength & are most common in lower extremity (metatarsals > calcaneus > tibia); – Matheson, et al.: 370 athletes with stress fractures tibia (49.1%), tarsals (25.3%), metatarsals (8.8%) and bilateral stress fractures in 16.6% of cases; – focal structural … Read more
Co-Authors: Milford H. Marchant Jr., M.D.; Mark E. Easley, M.D.; James A. Nunley II., M.D. Osteochondral Lesions of the Talus Review Etiology – Primary Causes – Trauma – Ischemic Necrosis – Embolic phenomenon – Ossification Defects – Predisposing Factors – Endocrine Disorders – Peripheral vascular disease – Genetic Predisposition? – 10-25% Bilateral Lesions Evaluation – … Read more