– See: – septic arthritis – general orders and treatment – Discussion: – septic arthritis of the hip is a surgical emergency; – it is essential that dx be made ASAP to prevent joint damage; – if any pus is obtained from arthrotomy, … Read more
– the effects of endotoxins have been blamed for all the effects of Gm neg septicemia; – hyperpyrexia, vasoconstriction followed by vasodilation, … – the initial clinical symptom of bacilemia is usually a shaking chill; – it is not unusual for the patient to initially have an elevated BP followed by a marked fall … Read more
– Diff Dx: – reactive transient synovitis (toxic synovitis) – in the report by Kocher MS et al., the authors sought to distinguish transient synovitis vs sepsis on the basis of lab data and patient history; – independent clinical predictors between … Read more
Scheuermann’s Kyphosis (SK): Incidence: 1-10% prevalence in adolescent population. Rare in patients under 10 years. Associated conditions: Spondylolysis – occurs in 6% of population with SK and scoliosis. Scoliosis occurs in 25% of population with SK. Demographics: Usually detected at puberty in skeletally immature adolescents. Males are twice as likely to develop SK than females; … Read more
– Discussion: – occurs most often in pediatric population; – accounts for up to 2/3 of severe cervical injuries in children < 8 years of age; – inherent elasticity in pediatric cervical spine can allow severe spinal cord injury to occur in absence of x-ray findings; – … Read more
– Discussion: – see anatomy of the scapula – most common scapular frx are frx of the body, followed by the neck, glenoid, and acromion; – associated injuries: seen in upto 80-90% of patients; – pulmonary injuries and pneumothorax (23%) and pulmonary contussion; … Read more
– Discussion: – indicated for arthritic RU Joint w/ limitation of motion; – may be useful for rheumatoid patients w/ ulnar translocation, as well as the caput ulna syndrome; – procedure involves resection of a portion of distal ulna shaft and fusion of the ulnar head to the radius; … Read more
– Discussion: – a wafer of up to 2-4 mm of distal ulnar head is removed, while the styloid process TFCC, and attatched ligaments remain attached; – the procedure is contra-indicated if more than 4 mm of positive variance; – may be indicated for symptomatic … Read more
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears; (partial rotator cuff tear) – etilogy of tear – ref: Association between alcohol consumption and rotator cuff tear – how do RTC tears heal? – Shoulder Exam: – impingement sign and test: – it is essential to document … Read more