The Hip - book

THR in the Dysplasic Hip

– See: Total Hip Replacement Menu: – Discussion:     –  natural history of DDH:      – acetabular rim syndrome:           – results from dysplastic hip, which stresses the labrum, resulting in labral degeneration;           – hip arthroscopy and debridement in these patients may provide the patient w/ a few … Read more

Thoracolumbar fractures

– See:       – Burst Frx       – Thoracic & Thoracolumbar Spine :       – Posterolateral Decompression: – Discussion:     – frx at this level are frequently due to relative immobility of thoracic spine compared to the lumbar spine;          – upper thoracic spine (T1 … Read more

Thoracic Spine Burst Fractures

– See:       – Burst Fractures       – Thoracic and Thoracolumbar Spine: – Discussion:     – results from hyperflexion, which produces wedge compression of one or more vertebral bodies;     – due to the rigidity of the rib cage, most of these frxs are stable;     – thoracic spinal … Read more

Thoracis

origin: the transverse process of the 6th to 10 Thoracic vertebrae; insertion: the spinous process of the 1st to 4th thoracic and 6th-7th cervical vertebrae; action: extends the spine and rotates it toward the opposite side; nerve supply: posterior rami of the thoracic nerves,   T1  to T6; synergists: Longissimus Thoracis, Iliocostalis thoracis, Spinalis Thoracis

Thoracoacromial Artery

– See: Arteries of the Upper Limb – Discussion:     – branch of axillary artery;     – pierces the clavipectoral fascia and gives rise to 4 branches;           – clavicular – small branches that run toward sternoclavicular joint, supplying this and a little bit of the anterior thoracic wall; … Read more

Third Generation Cephalosporin

    cefotaxime  (claforan)     moxalactam  (moxam)     cefoperazone (cefobid)     ceftizoxime (ceftizox)     ceftazidime (fortaz)     tazidine     ceftriaxone (rocephin)

Thoracic Outlet Syndrome

– See: Vascular Problems of the Upper Extremity: – Discussion: – thoracic outlet space is created by the clavicle, first rib, subclavius muscle, costoclavicular ligament, and anterior scalene muscle; – most often affects subclavian artery, vein, and lower trunk (C8 & T1) of brachial plexus; – both the subclavian artery and the brachial plexus traverse … Read more

Thenar Space Infections

    – See: Infections of the Hand – Anatomy:     – extends mediolaterally from long metacarpal bone to the thenar eminence;     – extends proximodistally from transverse carpal ligament to just proximal to superfical palmar arch;     – borders of the thenar space include:             – … Read more

TFCC Repair

– Discussion:     – indicated primary for traumatic peripheral ulnar sided TFCC tears;     – negative predictive factors for successful repair include concomitant ulnocarpal impaction syndrome (associated w/ degenerative tears) and peripheral radial tears (due to the relative avasucularity of the disc in this region;            – some surgeons feel … Read more

Teres Minor

  – See Rotator cuff: – anatomy:     – origin: middle half of the lateral scapular border;     – insertion: inferior aspect of greater tuberosity of the humerus, capsule of shoulder joint; – action:     – lateral rotation of humerus at the shoulder (responsible for 45% of power of external rotation);   … Read more