Rotator Cuff Tears: Non Operative Treatment
– See: partial rotator cuff tear – Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears: (partial rotator cuff tear) – etilogy of tear: – impingement syndrome: (75%) … Read more
Trauma Fractures
Rotator Cuff Tears: Partial Rotator Cuff Tear
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears – etilogy of tear: – impingement syndrome: (75%) – shoulder instability (anterior or multi-directional) (15%) (should be considered in any young … Read more
Role of Allografts in Repairing Chondral Defects of the Knee:
– Discussion: – see allograft menu and ocd menu; – indicated for larger chondral or osteochondral defects (larger than 2 cm); – donor characteristics: – donors should be less than 30 years of age, with the graft harvesting the intact knee within 24 hrs … Read more
Role of CT in Cervical Fractures
– Discussion: – plain films may not reveal posterior arch frx, frx and subluxations of articular facets, frx of C1 and C2 (among most commonly missed fractures on plain films), and interspinal bony fragments; – plain films may not pick up the coronally oriented vertebral body … Read more
Rheumatoid Wrist
– See: – Caput Ulnae Syndrome – Rheumatoid Hand – Wrist Arthrodesis – Discussion: – wrist involvement w/ RA is common; – findings inlude peri-articular osteoporosis, destructive osteolysis, arthritis of distal RU joint, and carpal arthrosis; – final pattern is … Read more
Retrograde Nailing of Femoral Shaft Fracture
– Discussion: – may be indicated for: – combined fractures of the femoral neck and shaft and for distal femoral fractures; – multi-trauma patient (procedure can be performed in supine position on regular flouro table); – obese patients (starting hole is not a problem); – advantages: – avoids damage to the blood supply to the … Read more
Retrograde IM Nailing of Humeral Shaft Fracture
– See: Humeral Frx – Main Menu – humeral shaft fractures – Retrograde IM Nailing: – main advantage over antegrade nailing, is that violation of the rotator cuff is not necessary (and therefore shoulder motion is not affected); – retrograde nailing is also preferred over antegrade nailing for distal shaft fractures; – main disadvantage is … Read more
Reperfusion Injury / Crush Injury
– See: Compartment Syndrome – Discussion: – traumatic rhabdomyolysis, or crush syndrome, is consequence of prolonged continuous pressure on the limbs; – it reflects disintegration of muscle tissue & influx of myoglobin, potassium, and phosphorus into the circulation; – syndrome is characterized by hypovolemic shock and hyperkalemia; … Read more
Research
Discussion: Quantitative gait analysis in patients with medial patellar instability following lateral retinacular release. The diagnosis and treatment of medial subluxation of the patella after lateral retinacular release. Medial subluxation of the patella as a complication of lateral retinacular release Hemarthrosis as a major complication after arthroscopic subcutaneous lateral retinacular release: a prospective study. [Prevention … Read more
Renal Trauma / Urogenital Trauma
– See: – Bleeding from Pelvic Frx – Urogenital Trauma from Pelvic Frx – Diff Dx of Hematuria – Discussion: – pts w/ high probability for genito-urinary trauma include those w/ gross hematuria (or microscopic) associated w/ shock; – most severe injuries tend to occur w/ … Read more