– Definition: – “RSD” is an imprecisely used term; has been used to describe changes in soft tissue and bone; – RSD may not involve the sympathetic nervous system and may not be the consequence of a reflex; – 1995: IASP Consensus Conference: “Complex regional pain … Read more
Osteomyelitis in Patients Who Have Sickle-Cell Disease. Diagnosis and Management. Systemic salmonella infections in sickle cell anaemia. Use of the tourniquet during surgery in patients with sickle cell hemoglobinopathies. Acute surgical illness in patients with sickle cell anemia. Osteonecrosis of the humeral head in sickle cell disease. Augmentation by erythropoietin of the fetal-hemoglobin response to hydroxyurea … Read more
– Reduction of the Displaced Fracture: – if anterior angulation is > 45 deg, forward elevation will be limited; – gentle traction w/ flexion and some adduction is usually all that is needed to position arm in pivotal portion so that it can be impacted under head; – gental … Read more
– Discussion: – w/ pt in supine position, lateral traction is applied, followed by external rotation to relax the posterior capsule; – posterior pressure is then placed on humeral head to affect reduction; – after reduction, arm is gently abducted in external rotation and placed at side; – following reduction, downward … Read more
– Discussion: – From Hippocrates to the Eskimo – a history of techniques used to reduce anterior dislocation of the shoulder. – w/ a witnessed dislocation, consider immediate relocation on field; – this consists of initial slight abduction and internal derotation of affected arm; – this can be done … Read more
– See: anterior instability – Discussion: – characterized by dislocation occuring after minor trauma, relative ease of relocation, and evidence of multidirectional instability; – this condition is often present in overhead throwing athletes; – it may lead to thoracic outlet syndrome (dead arm syndrome); – causes: … Read more
– See: – Arteriography, Microanastomosis, Pharmocological Agents in Vascular Surgery – Vaccum Assisted Wound Closure Device – Discussion: – w/ severe extremity wounds, early radical debridement combined with early soft tissue coverage (regional or free flap) will decrease wound infection, flap loss, & delayed bone healing; – early coverage … Read more
– See: vascular malformations of the upper extremity – Discussion: – first described by Maurice Raynaud in 1862; – involves vasoconstriction of the cutaneous arteriovenous shunts, digital arteries, and precapillary arterioles; – pallor of the digits with or w/o cyanosis on exposure to cold; – Raynaud’s disease … Read more
– See: – Radiographic Studies for the Shoulder – Posterior Shoulder Dislocation – Findings Seen on Specific Radiographic Views: – Axillary View: – reverse hill sachs lesion – AP of the Shoulder: – because humerus is internally rotated, the greater tuberosity will not … Read more
– MRI of Shoulder – 30 deg Caudal Tilt AP View – Acromioclavicular Joint Stresses Views – Axillary View – AP of the Shoulder – Arthrography: – Garth View (Apical Oblique) – Lateral: of Shoulder – Scapular Outlet View – Serendipity View – Stryker … Read more