– Discussion: – main goal is to prevent THR dislocation but also to maintain optimal offset; – prior to reducing the hip, ensure that center of femoral head is approximately at level of the greater trochanter; – once trial reduction has been completed, the trial acetabular liner is removed, the … Read more
– See: THR dislocation: – Checklist: – need complete muscular relaxation; – irrigate any debris from acetabulum; – Difficult Reduction: – capsule might have to be further released, esp if head and neck segment was short preoperatively; – if reduction is not possible & leg is lengthened, … Read more
– See: – Burst Frx – Thoracic & Thoracolumbar Spine : – Posterolateral Decompression: – Discussion: – frx at this level are frequently due to relative immobility of thoracic spine compared to the lumbar spine; – upper thoracic spine (T1 … Read more
– See: Vascular Problems of the Upper Extremity: – Discussion: – thoracic outlet space is created by the clavicle, first rib, subclavius muscle, costoclavicular ligament, and anterior scalene muscle; – most often affects subclavian artery, vein, and lower trunk (C8 & T1) of brachial plexus; – both the subclavian artery and the brachial plexus traverse … Read more
– Discussion: – indicated primary for traumatic peripheral ulnar sided TFCC tears; – negative predictive factors for successful repair include concomitant ulnocarpal impaction syndrome (associated w/ degenerative tears) and peripheral radial tears (due to the relative avasucularity of the disc in this region; – some surgeons feel … Read more
– Discussion: – goal is to avoid a life threatening clostridium infection; – tetanus prone wounds: – greater than 8-24 hrs from injury to treatment – barnyard contamination (bite wounds are considered moderate risk); – devitalized … Read more
Discussion overuse syndrome or tendinosis involving the region of the lateral humeral epicondyle; most often the origin of the ECRB displays an abnormal vascular proliferation and focal hyaline degeneration; ref: Anatomic Factors Related to the Cause of Tennis Elbow EDC may also be involved in some cases; ref: The role of the extensor digitorum communis … Read more
– See: Diagrams kindly … Read more
– Technique: – preoperative considerations; – goal is to separate the nail atraumatically from the bed and the proximal nail fold; – insert freer elevator or fine nosed hemostat under the edge of the nail plate and push proximal; – a plane of cleavage … Read more
– See: Myelodysplasia: – Discussion: – syringomyelia is a condition in which tubular cavity, or syrinx, in central area of spinal cord gradually expands leading to progressive myelopathy; – it is associated w/ disturbed hydrodynamics of cervical spinal fluid w/ or w/o associated obstruction at the cranial cervical junction; … Read more