Ortho Oracle - orthopaedic operative atlas

Traumatic Dislocations of the Knee

  – Discussion:     – mechanism of injury:            – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries);            – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more

Trapezius

                        – Discussion:     – trapezius and serratius anterior  stabilize scapular base from which the arm operates;     – trapezius, which arises from spinous processes of  cervical and thoracic vertebrae  & inserts on spine of scapula            and acromion, is innervated by spinal accessory nerve and branches from third … Read more

Trauma and Fractures Menu

(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more

Trauma Management:

– Advanced Cardiac Life Support (ACLS)     – ACLS     – Iowa Family Practice Handbook     – AHCPR Guidelines     – eMedicine Online Text – Advanced Trauma Life Support (ATLS)       – Assessment of Perfusion/Shock: damage control orthopaedics               – blood pressure (systolic), heart rate, urine output (30 mL/hr) body temperature;               – labs: … Read more

Trauma Workup

I. Combat/Disaster Injuries II. Battlefield/Austere Environment Trauma Systems III. Extremity Soft Tissue Care and Amputation in an Austere Environment – ATLS Assessment:  (General Approach to Trauma) – ref: Evolution and Development of the Advanced Trauma Life Support (ATLS) Protocol: A Historical Perspective – airway protection: – anesthesia menu:  virtual anesthesia textbook / intubation menu – anesthesia consideration for … Read more

Transverse Fracture of Acetabulum

– See:       – Associated Transverse & Posterior Wall Fracture        – T Shaped Fractures       – AO Foundation Transverse Fracture – Discussion:     – transverse frxs extend across both the anterior and posterior columns;            – frx divides the innominate bone into superior segment containing acetabular                     roof … Read more

Transient Synovitis

– Discussion:     – relatively short lived acute inflammatory process;     – usually seen in boys aged 2 to 10 years;     – frequently follows an upper respiratory tract infection;     – most common cause of painful hips in childhood;     – is a diagnosis of exclusion;     – … Read more

Transstyloid Perilunar Dislocation

– See: Trans-scaphoid Perilunar Dislocation – Discussion:     – occurs as oblique frx through radial styloid, extending thru scapholunate ligament and around the lunate, through the triquetral attachments;     – due to the radiocapitate ligament, the fractured styloid process migrates  with the distal carpal row;     – because styloid is held by radiolunate … Read more