– See: – MRI in Cervical Fractures – Role of CT & MRI in Cervical Fractures – MRI of Disc Herniation – MRI diagnosis of Spinal Osteomylitis – Discussion: – most sensitive and accurate method for screening patients with symptoms of a spinal cord lesion; – … Read more
– Technique: – protocols: fat suppressed T2 wt images and proton density weighted images – older protocol: T1 & T2 coronal oblique spin-echo sequences with use of 14 cm field of view and a four-millimeter slice thickness; – Discussion: – it is the most important view for identification of … Read more
– Discussion: (RTC menu) – mobilization is often required for massive tear; – simply closing extensive tear will not suffice if atrophied muscles are not contracting adequately and if excessive tensions placed on repaired cuff cause reinjury; – repair of good quality rotator cuff tissue is esp important in achieving an optimal result; … Read more
– Discussion of Treatment of Recent Dislocations and Fracture-Dislocations of the Shoulder – maintains that biceps and subscapularis muscle offers the chief resistance to reduction; – in anatomic position, w/ humerus at side, direction of various muscles around shoulder girdle seems to completely haphazard; – constancy of this effect must be attributed … Read more
– Carpal Tunnel Syndrome – Combined Lesions of the Median and Ulnar Nerves: – High Median Nerve Lesions – Low Median Nerve Lesions – Median Nerve Block – Median Nerve Injuries at the Wrist – Martin Gruber Anastomosis – Anatomy: – roots: C6, C7, C8, and T1 (? C5) – brachial plexus – cords: – … Read more
– Anatomy: – humeral origin of MCL lies posterior to axis of elbow flexion, creating cam effect; – hence, anterior fibers are stressed in extension & posterior fibers are stressed in flexion; – anterior oblique, posterior oblique ligament, & small transverse ligament are 3 major portions of the … Read more
Discussion older names include dolichostenomelia (Greek for long, narrow limbs) and dystrophia mesodermalis congenital, typus Marfanis; inherited as an autosomal dominant trait with variable expressivity. characterized by long, thin limbs and by laxity of ligaments; Pathophysiology dz of collagen synthesis (possibly the alpha subunit) may have abnormal production of collagen type I (and ? type … Read more
– ABG – Bronchospasm – Clinical Conditions – Criteria for Intubation – Criteria for Extubation – COPD – Fat Embolism Syndrome – Inverse … Read more
– Discussion: – by definition, invovles RTC tears of more than 5 cm and involves more than than one tendon; – further, massive tears cannot be repaired w/o excessive tension after lysis cuff adhesions and release of the coracohumeral ligament; (see cuff mobilization) – Management: … Read more
– Outside Link: – An Approach to the Head Injured Patient by Paul Marik, MD – Trauma Menu: – Spine / C-spine – Orders for the Spine Injured Patient: Anesthesia in the Spinal Cord Injured Patient: Fluids in the Head Injured Pt: Hyperventilation Glasgow Coma Scale Head … Read more