– See: – Carpal Instability – Ligaments of the Wrist – Discussion: – perilunate dislocation pattern provides a whole spectrum of wrist sprains, fractures, dislocations; – types of perilunate dislocations (in order of frequency): – transscaphoid-perilunate … Read more
– See: Acetabular Frx Radiographs Work Up for Pelvic Fracture – Anterior Posterior Compression Injuries – Arterial Anatomy of Lower Limbs – Classification – Crescent Fracture – DVT – External Fixation – Iliac Wing Fractures – Ilioinguinal Approach – Lateral Compression Injuries – Malgaigne Fracture – Neurologic Injury – Pediatric Pelvic Fractures – Posterior Pelvic … Read more
– Discussion: – pedicle flaps can incorporate a variety of tissues, ranging from skin and subQ fat to essentially a complete finger; – used to provide coverage in areas where tendon (denuded of epitenon), bone (denuded of periosteum), or joints are exposed; – areas that must support tendon grafting or transfers … Read more
– see Pediatric Radial Neck Frx – Discussion: – may be difficult to diagnose since radial head does not ossify until age 4 yrs; – radial head frx may occur along w/ ulnar shaft frx (Monteggia equivalent); – consider MRI or ultrasound to assist w/ diagnosis; – … Read more
– See: – Distal Femoral Physeal Fractures – Hip Fractures in Children – IM Nailing of Pediatric Femoral Fractures – Discussion: – commonest site of fracture of the femoral shaft is in its middle third, where normal anterolateral bowing of the diaphysis is at its maximum; … Read more
– Discussion: – children’s frx are rarely intra-articular; – common types: – physeal frx – torus fracture – green stick frx – both bone forearm frx – galeazzi’s frx – distal radius fracture: – Anesthesia: – note … Read more
– See: – Green Stick Fractures – Pediatric Distal Radius Fracture – Pediatric Ulnar Fracture – Discussion: – frx may be of green stick type or complete (latter may be undisplaced, minimally displaced, or markedly displaced w/ overridding); – frx … Read more
– See: – development of atlas – development of axis – Discussion: – most pediatric C-spine injuries will occur above C3, and therefore lateral radiographs should be centered on C-3; – Atlantoaxial Rotatory Fixation: – SCIWORA: Syndrome of Spinal Cord Injury … Read more
– normal patients when ventilated at normal tidal volumes, will have peak inspiratory pressures of 25-30 cm H20; – many ICU pts have abnormal lung Compliance & show peak pressures of 30-40 cm H2O; – barotrauma does not occur when PIP is < 50 cm H2O; – barotrauma is seen in 8% of patients when … Read more
– See: – Rheumatoid Boutonniere – Thumb Boutonnere Injuries – Mechanism of Injury: – rupture of central slip directly from its bony insertion commonly results from closed blunt trauma (w/ or w/o fracture); – rheumatoid Arthritis – volar PIP dislocation – … Read more