Septic Knee
– See: – Bursae of the Knee – Septic Arthritis – Diff Dx: – referred pain from the hip – osteochondritis dissecans – traumatic internal derangement – distal femoral or proximal tibial osteomyelitis – septic bursitis: – … Read more
Arthroscopy
Septic Arthritis: Pediatric Hip
– See: – septic arthritis – general orders and treatment – Discussion: – septic arthritis of the hip is a surgical emergency; – it is essential that dx be made ASAP to prevent joint damage; – if any pus is obtained from arthrotomy, … Read more
Septic Arthritis: Differential Diagnosis
– Diff Dx: – reactive transient synovitis (toxic synovitis) – in the report by Kocher MS et al., the authors sought to distinguish transient synovitis vs sepsis on the basis of lab data and patient history; – independent clinical predictors between … Read more
Sarcoidosis
– Clinical Manifestations: – may have fevers, rash, & iritis, which can resemble symptoms of JRA. – pulmonary dz, erythema nodosum, abdominal pain, liver enlargement, and perihilar adenopathy may also be present. – labs: elevated ACE serum level is considered to be the activity marker of the disease – … Read more
Rupture of the Tibialis Posterior
– Discussion: – main function of the tibialis posterior is to invert the subtalar joint, which helps to stabilize the transverse tarsal joint during rheumatoid hindfoot; – pathophysiology: – degenerative tears usually occur distal to the medial malleolus, in a region which coincides with relative hypovascularity and sharp turn of the tendon from a verticle to … Read more
RU Joint: Wafer Procedure
– Discussion: – a wafer of up to 2-4 mm of distal ulnar head is removed, while the styloid process TFCC, and attatched ligaments remain attached; – the procedure is contra-indicated if more than 4 mm of positive variance; – may be indicated for symptomatic … Read more
Rotator Cuff Tears
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears; (partial rotator cuff tear) – etilogy of tear – ref: Association between alcohol consumption and rotator cuff tear – how do RTC tears heal? – Shoulder Exam: – impingement sign and test: – it is essential to document … Read more
Rotator Cuff Tears: Frequency of Tears
– Discussion: – rotator cuff anatomy – diff dx of cuff tears (partial rotator cuff tear) – etilogy of tear – how do RTC tears heal? – surgically demonstratable full thickness RTC tears are present in about 1/5 elderly patients; – MRI studies have been published … Read more
Rotator Cuff Tears: Partial Rotator Cuff Tear
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears – etilogy of tear: – impingement syndrome: (75%) – shoulder instability (anterior or multi-directional) (15%) (should be considered in any young … Read more