– See: carpal instability – Discussion: – refers to a proximal row instability which occurs in the absence of instability between the individual proximal carpi; – ie, the scapholunate and lunotriquetral intervals are normal; – potential sites of pathology: – capitolunate … Read more
– See: Images kindly provided … Read more
– Discussion: – characterized by weakness (upper > lower extremity); – ataxic broad based suffling gait, sensory changes; – rarely urinary retention; – anatomy of compression: – anterior cord compression —- protruding disc or posterior osteophytes; – … Read more
– See: Myobacterium tuberculosis – Discussion: – causes chronic granuloma of the hand or a sub acute inflammation, which may be difficult to distinguish from chronic tenosynovitis or chronic inflammation of the fingers or the hand; – can be confused w/ rheumatoid hand and will temporarily respond to steroid injection; … Read more
– Alkaline Phosphatase – Antinuclear AB (ANA) – C-Reative Protein – Erythrocyte Sedimentation Rate – Hypercalcemia – Rheumatoid Factor – Hyperuricemia – Serum Electrophoresis – antineutrophil cytoplasmic antibody – rapid plasma reagin – cryoprotein – serum immunofixation – lyme antibody – … Read more
– See: Bone Tumor Menu – Discussion: – an osteochondroma that results from a dysplasia of peripheral growth plate; – as its name implies, multiple hereditary exostosis is an inherited condition which produces multiple exostoses; – occurs in 1 out of 50,000 people; – … Read more
Discussion multiple epiphyseal dysplasia (a common type of osteochondrodysplasia) is characterized by disturbance of normal ossification w/ in epiphysis; pathologic abnormality is a disturbance in enchondral ossification of epiphyses and physes; is inherited as an autosomal dominant trait with variable expressivity; disorder is manifested as multiple areas of abnormal growth and ossification of the epiphysis; … Read more
– Discussion: – multidirectional instability implies three-way subluxations or dislocations either anteriorly, posteriorly, or inferiorly; – these patients usually have no true Bankart lesion and incontrast patients have a capacious axillary pouch; – ref: The Effect of Variation in Definition on the Diagnosis of Multidirectional Instability of the Shoulder. – … Read more
ORIF of Calcaneal Frx Using Lateral Approach: – Preoperative Planning: – Surgical Stratedgy: – pt in true lateral position – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap); – extension from tuberosity to calcaneo-cuboid (watch peroneals) – reduction of critical angle of Gissane/ anterior process to … Read more