– Discussion: – Pavlik harness is a dynamic flexion abduction orthosis used to treat DDH in infants up to 6 months of age; – harness usually leads to stability of reduced hip w/ in 4 wks, but its use should be continued until clinical exam & x-rays of hip are normal; … Read more
– See: – Rheumatoid Boutonniere – Thumb Boutonnere Injuries – Mechanism of Injury: – rupture of central slip directly from its bony insertion commonly results from closed blunt trauma (w/ or w/o fracture); – rheumatoid Arthritis – volar PIP dislocation – … Read more
– Discussion: – typically secondary to a cat bite; – the area involved may become painful and swollen and be accompanied by a secondary lymphadenitis and lymphangitis; – osteomyelitis is another complication; – the bacteriologist should be informed about the possibility of this infection, since the … Read more
– Discussion: – typically involves palmar aponeurosis and digital prolongation (not superficial transverse ligament) in palm; – involves lateral digital sheet, Grayson’s lig (not Cleland’s lig), pretendinous bands, natatory ligament, & spiral bands in digits; – typically digits develop central (pretendinous) & spiral cords; … Read more
– See: TKR Menu – Discussion: – anatomy / q angle – blood supply to the knee – indications for patellar resurfacing – design and function of the patellar component in TKR: – effects of component rotation – Patellar Resurfacing: (technique) – indications for patellar resurfacing – lateral retinacular release: – Non Resurfaced Patella Considerations: … Read more
– See: – Images in clinical medicine. Neuralgic amyotrophy. – Discussion: – brachial plexus / brachial neuritis – acute brachial neuropathy (acute brachial radiculitis, Parsonage-Turner syndrome) is of unknown etiology and appears sporadically but may follow immunization, or viral illness; – predominant clinical finding is pain, usually limited to the shoulder; … Read more
– Discussion: – w/ partial flexor tendon laceration which is proximal to A1 pulley: – enlarge the laceration if necessary; – if tendon is beveled, resect beveled edged – partially severed tendon should not be repaired if … Read more
– Discussion: – potential space between FPL tendon, FDP tendons, & pronator quadratus; – is known as the subtendinous space of the wrist or Parona’s space; – pus in FPL sheath can ascend in the radial bursa and eventually rupture into this space; – pus in little … Read more
– See: – Hand Infections – Phalangeal Injury – Menu – Nail Bed Injuries: – Discussion: – when infections extend under nail & chronic inflammatory process develops, often a pyogenic granuloma develops; – in some cases, these patients will have weakened immune system (elderly, diabetes, ect); … Read more
– Discussion: – distal end of femur is hypoplastic, tibia is absent, & proximal dislocation of fibular head; – incidence is 1 in 1 million. – has a familial inheritance; – tibial hemimelia may be terminal or intercalary, complete or incomplete. – 30% percent of … Read more