– Discussion: – results from failure of an anterior acromial ossification center to fuse to the acromial process; – caused by failure of one of three ossification centers; – ossification centers appear at age 15 and should fuse by age 22-25; – subtypes: (from … Read more
– See: – Anesthesia and Timing for Femoral Neck Fractures: – Anesthesia in the Spinal Cord Injured Patient: – Cardiac Orders / Meds: – Malignant Hyperthermia: – Risk Assessment: – Anesthetic Agents: – Lidocaine: … Read more
Note: it is the responsibility of the physician to ensure that these codes are correct. Debridement Excision of Skin Lesions / Ulcers Excision of Foreign Body or Superficial Tumors Spinal Procedures (and rib) Shoulder, Clavicle, and Humerus Procedures Elbow, Wrist, and Hand Procedures Hip, Femur and Knee Procedures … Read more
Alternatives to Total Knee Replacement: Autologous Hamstring Resurfacing Arthroplasty
– See: Distal Clavicle Excision – main discussion Discussion: – consider excising only 1 cm of the distal clavicle; – excision of the distal 1.5-2.0 cm of the clavicle ensures that impingement will not occur (excision of this fragment may cut trapezoid ligament); – the remaining conoid ligament is sufficient to anchor the distal clavicle to … Read more
See: Arthroscopic Acromioplasty Rotator Cuff Tear Repair – Discussion: – indications: – impingement syndrome – patients w/ a stable impingement syndrome w/ good shoulder function should participate in a formal rehabilitation program for 6 months; – patients w/ … Read more
– See: Classification of Proximal Humeral Fractures: – Discussion: – by definition has less than 1 cm of displacement and less than 45 deg of fracture angulation; – ideally patients should be immobilized in a sling for no more than one week, and then should be started on supervised assisted passive shoulder ROM exercises … Read more
– See: Obstetrical Paralysis: – Discussion: – injury to the lower roots (C8 and T1 ) & or C7; – may follow forceful abduction of shoulder, produces weakness in intrinsics of hand as well as long flexors & extensors of the fingers; – these lesions are usually preganglionic; … Read more
– See: – Erb’s Palsy – Lower Root Injury: (Klumpke) – Shoulder in brachial plexus injuries: – Traumatic Brachial Plexus Palsy in Children – Discussion: – incidence of brachial plexus birth palsy is approx two / 1,000 births; – … Read more
– Discussion: – neuropathic shoulder may result from syringomyelia (most common), chiari malformation, or syphilis; – in some cases, it may be confused w/ shoulder instability; – Management: – arthrodesis should be avoided in the acute inflammatory stage of the disease; – Case Histories: … Read more