– See: – Percutaneous Discectomy: – Postop Orders for Diskectomy – Positioning: – position patient in modified kneeling position to allow abdomen to hang free, which minimizes epidural venous dilation and bleeding; – identify the spinous processes of L3, L4, L5, and S1; – Standard Posterior … Read more
CarpoMetaCarpal Elbow Hand and Fingers: CMC Instability in the Metacarpals: MP joint dislocation: PIP dislocation:: Thumb CMC Joint: Thumb MP Joint: Hip Knee Patellar Dislocation:; Perilunate Dislocation; Radial … Read more
– See: Total Hip Replacement Menu: – acetabular components – acetabular component position: – Discussion: – occurs in 1-4% of primary THA and upto 16% in revision cases; – about 74% of THR dislocations are posterior, 16% anterior, and 8% lateral; (from Cobb TK, et … Read more
– Discussion: – history: Intramedullary nailing in fracture treatment: History, science and Küntscher’s revolutionary influence in Vienna, Austria – healing and prognosis of tibia fracture – PreOp Planning: – Contra-indications: – open growth plates; (pediatric tibial frx); – … Read more
– See: – Limb Lengthening Fixators – Distraction Histiogenesis – Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) – Discussion: – growth deformities of the limbs – it is important to distinguish between limbs with good potential for lengthening … Read more
– Dicussion: – a thickened and wafer shaped lateral meniscus varient; – discoid meniscus may range from complete disc to a ring shaped meniscus; – occurs in upto 5% of population (but only a % of these are symptomatic) (prevalence may be higher in orientals (15%)); – … Read more
– See: Puncture of the Knee Joint – Discussion: – non-bloody effusion suggests an irrative synovitis that may be caused by degenerative meniscusor a chronic process with no super imposed acute injury; – absence of hemarthrosis is not indication of less severe ligament injury, since severe disruptions often cause only minimal joint … Read more
– Skull – Humerus/Scapula – Hand/Wrist – Spine – Pelvis – Ribs – Proximal Femur – Distal Femur – Proximal Tibia – Distal Tibia – Fibula – Foot – patella: … Read more
– Legg-Calve’-Perthes disease; Findings in M.E.D. not seen in Perthes: short, stunted metacarpals/metatarsals; irregular femoral heads which is bilateral & symmetric, is not assoc w/ metaphyseal cysts, & commonly has early acetabular changes; early hip arthritis is common; bilateral Legg-Calve’-Perthes disease is uncommon; abnormal normal ossification (tibial “slant sign” flattened femoral condyles; T12/L1 notching and deformed … Read more
– See: Synovial F. Exam – ewing’s sarcoma – neuroblastoma – rheumatoid flare – monarticular JRA – knee is less painful, and ROM is > than expected w/ large effusion; – … Read more