Hip
Skin Preparation Agents
– See: Methods to Prevent Infection – Skin Preparation Agents: – alcohol: – rapid significant reduction in skin microbial counts is major effect desired; – techni-care: – iodophors: – ioban draping: (3M™ Ioban™) – Risk for infection after anterior cervical fusion: prevention with iodophor-impregnated incision drapes. … Read more
Simple Dislocations of the MP joint
– See: Complex Dislocations of the MP Joint – Discussion: – two types of dorsal dislocation occur in MP joint: simple & complex; – simple dislocations: may be reduced by closed reduction, – complex dislocations: usually cannot be reduced primarily; – results from hyperextension injury; … Read more
Simple Posterior Hip Dislocation (Type I)
– See: Posterior Frx Dislocations of the Hip – Discussion: – simple posterior dislocation without a fracture occurs from a posteriorly directed force against a flexed and adducted femur; – Associated Injuries – Pre-Reduction Radiographs: (radiographic evaluation of hip dislocation) – AP of the Hip; … Read more
Singh Index for Osteoporosis
– See: Osteoporosis and Hip Fractures – Bony Trabeculae of the Proximal Femur: – Ward’s Triangle – Greater Trochanteric Group – Secondary Compressive Group – Secondary Tensile Group – Principal Tensile Group – Principal Compressive Group Changes in trabecular pattern of the upper end of … Read more
Sickle Cell Anemia: Musculoskeletal Aspects
(see also: Osteomyelitis in Sickle Cell Patient) Discussion affects 1% of blacks – is more severe but less common than sickle cell trait (8% prevalence); two main genotypes include Hb S and Hb C forms of disease; crises usually begin at age 2-3 years and may lead to bone infarctions; Sequelae of Sickle Cell growth … Read more
Simple Bone Cyst (Unicameral)
Assistance provided by Nanni Allington MD. – Discussion: – a membrane lined cavity containing a clear yellow fluid. – occurrs most often in children 4-10 years of age; – lesions remain asymptomatic unless complicated by fracture. – they enlarge during skeletal growth and become inactive, or latent, … Read more
SI Joint Dislocations: Posterior Screw Fixation
– Discussion: – indicated for SI joint disruptions and for some sacral fractures; – Operative Technique: – radiographs: – surgical stratedgy: – if anterior pelvic injury: – note that the biggest … Read more
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
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