– Rotator Cuff Tear – Discussion: – arthroscopic repair techniques – clinical outcomes of repair – indications for RTC tear: – shoulder pain (especially night pain); – symptoms which cause loss of function or quality of life; – failure of NSAIDS and formal physical therapy; – failure of series of marcaine / steroid injections; – full passive ROM pre-op is necessary … Read more
– Meniscal Anatomy and Physiology: – medial meniscus – bucket handle meniscus tear – posterior horn tears of medial meniscus – lateral meniscus – discoid meniscus – indications for repair: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area … Read more
– Definition: – “RSD” is an imprecisely used term; has been used to describe changes in soft tissue and bone; – RSD may not involve the sympathetic nervous system and may not be the consequence of a reflex; – 1995: IASP Consensus Conference: “Complex regional pain … Read more
– See: Spondyloarthropathies – Discussion: – involves arthritis of large joints (knees & ankles), uveitis, skin lesions, & urethritis, however only a minority will have classic triad of symptoms; – conjunctivitis is observed early, usually before or at the onset of arthritis; – … Read more
Assessment of perfusion in postoperative patients using tissue oxygen measurements. Local heat increases blood flow and oxygen tension in wounds. Effect of electrocautery on wound healing in midline laparotomy incisions. Factors affecting the incidence of postoperative wound infection. Nutritional status: importance in predicting wound-healing after amputation. Doppler-determined segmental pressures and wound-healing in amputations for vascular … Read more
Current Concepts Review. Fractures of the Distal End of the Radius. External fixation or plaster cast for severely displaced Colles’ fractures? Prospective 1-year study of 46 patients. The treatment of Colles’ fracture. Immobilisation with the wrist dorsiflexed. Unstable Colles’ fractures in elderly patients. A randomised trial of external fixation for redisplacement. Regional anesthesia preferable for Colles’ … Read more
– See: – Baumann’s Angle – Cubitus Varus – Discussion: – in general a varus reduction cannot be accepted whereas a slight valgus reduction can be accepted; – the true amount of varus cannot be determined until arm is fully extended which is not performed … Read more
– Parvin’s Method of Closed Reduction: – pt lies prone on stretcher, & physician applies gentle downward traction on the wrist for a few minutes; – as olecranon begins to slip distally, MD lifts up gently on arm; – alternatively MD may guide reduction of olecranon w/ opposite hand; … Read more
– Discussion: – From Hippocrates to the Eskimo – a history of techniques used to reduce anterior dislocation of the shoulder. – w/ a witnessed dislocation, consider immediate relocation on field; – this consists of initial slight abduction and internal derotation of affected arm; – this can be done … Read more
– Considerations: – anesthetic considerations: – generally GEA is the standard of care: – some anesthesiologists state that there is no such thing as safe pediatric conscious sedation; – hematoma block may be dangerous and is usually ineffective; … Read more