Ortho Oracle - orthopaedic operative atlas

Meperidine/Demerol

– Adult: 50-150mg PO/IM/SQ q3-4hr prn Pain; (75mg IM Demerol =10mg Morphine) 1-2 mg/kg/dose PO/IM/IV (including Peds q 6 hr) – PO: peak effect at 2 hrs; – IM/IV: onset at 2-5 min; Peak at 1 hr; lasts 2-3 hrs. – IV administration must be slow in diluted solution; – Peds: 1 mg/kg/dose IV/IM q2-4hr;    1.0-1.5 mg/kg/dose … Read more

Melone Classification for Distal Radius Fractures

– Components: Shaft, Radial Styloid, and Dorsal Medial and Palmar Medial Parts; – Type I:     – colles frx equiv: undisplaced and minimally comminuted; – Type II:     – die punch frx: unstable w/ moderate to severe displacement;     – similar to Mayo class II: displaced frx involving radioscaphoid joint;     … Read more

Meniscii

 – Discussion: – semilunar cartilages are extensions of tibial articulation of knee; – w/o menisci, tibial articulation is incongruous with the femur; – microscopic features – vascular anatomy – anatomy: – medial meniscus – bucket handle meniscus tear – posterior horn tears of medial meniscus – lateral meniscus – discoid meniscus – ref: A Quantitative … Read more

Laceration Injuries at the Wrist

– Discussion: Zone IV:     – extends from distal end of transverse retinacular ligament to proximal margin;     – combined nerve – tendon procedure may be delayed for 21 days if wound is contaminated, if crushing trauma has occurred;     – median nerve management: (nerve repair)            – lacerations of flexor tendons within … Read more

Medical Topic Index

  The Merk Manual Medical Calculator Categories eMedicine Online Text Electronic Textbook of Dermatology Agency for Health Care Policy and Research Textbook in Medical Physiology And Pathophysiology Surgical Treatment – Evidence Based and Problem-Oriented. NCBI Bookshelf Clinician’s Handbook of Preventive Services Todar’s Online Textbook of Bacteriology Dictionary English to Spanish Translator History template builder   … Read more

Median Artery

– See: Arterial Development of the Limbs: – Embryologic Anatomy:     – subclavian artery projects into early upper limb bud in axial position, its proximal portion becoming subclavian-axillary- brachial             trunk, & its distal portion becoming interosseous artery that initially supplies a plexus of arteries in the primitive hand;           … Read more

Medial Patellofemoral Ligament

 – Anatomy and Function: (see medial compartment of knee / patellar subluxation); – medial patellofemoral ligament, a distinct condensation of capsular fibers in coronal plane which originates at the medial epicondyle (adductor tubercle and adductor tendon) as well as the MCL; – deep fascia and aponeurotic edge of the VMO fuses with the superior border … Read more

Medial Condyle Frx in Adult

  – See: Medial Approach: – Discussion:     – medial epicondyle is common origin of several flexor muscles of hand and wrist;     – when medial epicondyle is frxed, flexor muscles pull fragment distally;     – during surgical procedure care must be made to protect ulnar nerve; – Fixation Stratedgy:     – … Read more