– See: – Duchenne Muscular Dystrophy – Scoliosis – Discussion: – Discussion: – scoliosis is almost universal in pts who have DMD, and it usually develops after they lose the ability to walk (after age 10 yrs); – early scoliosis develops … Read more
– See: – Femoral and Tibial Traction Pins – Supracondylar Femoral Fractures – Discussion: – failure of the nail to fill the canal of either the proximal or distal fragment, may lead to postoperative instability; – distal fractures within 10 cm of the joint line often can be treated successfully with standard IM nailing; – Traction Pins: … Read more
– See: Discogenic Pain: – Discussion: – predominence of leg pain (nerve pain) over back pain (usually annular pain); – determine if leg pain is made worse by activities or positions that increase intra discal pressure; – SLR: is key finding in sciatica, but is also found in: … 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
– Skull – Humerus/Scapula – Hand/Wrist – Spine – Pelvis – Ribs – Proximal Femur – Distal Femur – Proximal Tibia – Distal Tibia – Fibula – Foot – patella: … Read more
Clinical signs Clinical signs are unreliable but should not be ignored Calf tenderness, swelling, fever, and increased pulse rate may be present Work up for DVT arterial blood gas/pulse oximetry coagulation labs (for HCT & platelet count) prothrombin time (PT)/partial thromboplastin time (PTT) fibrinogen CBC EKG and CXR (if PE is suspected) D-dimer level below … Read more
– Discussion: – DDH involves displacement of the femoral head from the acetabulum (during the perinatal period) which disrupts the normal development of the hip joint; – DDH is estimated to occur in 1 – 1.5 cases per 1000 live births; – when an agressive screening system is in place (including routine use … Read more
– Cementless Design: – acetabular components that are to be inserted w/o cement should be designed to be portions of spheres so that spherical reaming will optimize contact; – sufficient initial fixation is a requirement for osseointegration and secondary stability of press fit cups; – surface coating: – … Read more
– For Diabetes Insipidus (intranasal & parental); bleeding due to hemophilia A and Type I von Willebrand’s dz (parental); bleeding from esophageal varices; head trauma; – it can transiently correct the bleeding time in most patients with chronic renal failure and other acquired disorders of platelet function; – DI: Intranasally: Adult: 0.1-0.4 mL (10-40 ug) … Read more
– See: – Anatomy of C2 – Development of Dens – Odontoid view: – Pediatric Dens Frx: – Discussion: – odontoid fractures are the most common upper Cervical Spine fractures; – remeber rule of thirds – cervical cord occupies … Read more