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Prevention of venous thromboembolism after hip fracture
Zana Dolicanin, Fadil Skrijelj, Elvis Mahmutovic
Specialist Training in Trauma and Orthopaedics Curriculum August 2013
E. Baird, Phil Hopgood, Phil Turner, Francois Tudor
Activation of the First Dorsal Interosseous Results in Radiographic Reduction of the Thumb Carpometacarpal (CMC) Joint
Corey McGee, Julie Adams
INTRODUCTION: Hypermobility of the carpometacarpal (CMC) joint is a well described etiological factor in the development of thumb arthritis. Hypermobility leads to joint subluxation and osteoarthritis secondary to resultant joint incongruity. We hypothesize that activation of the First Dorsal Interosseous (FDI) muscle will radiographically reduce subluxation of the 1st metacarpal relative to the trapezium. METHODS: Subjects at least 18 years old were recruited. Exclusion criteria included positive grind test, pregnancy, and major conditions of ligamentous laxity. A certified hand therapist performed a grind test on all subjects. Using a hand-held manometer, maximal voluntary contraction of the FDI as measured by the Rotterdam Intrinsic Myometer; lateral pinch strength, and grip strength were measured. Fluoroscopy was used to obtain true AP radiographs of the CMC joint at (1) rest, (2) while stressed without activation of the FDI, and (3) while stressed with activation of the FDI. Radial subluxation of the base of the first metacarpal and metacarpal width were measured by 3 blinded surgeons as described by Wolf (2011). The ratio of radial subluxation to the articular width was calculated. RESULTS: Seventeen subjects with 34 thumbs including 5 males and 12 females participated. Average age was 25.9 (21-59). Thirteen right-handed, 1 left-handed, and 3 ambidextrous subjects were included. Two thumbs were excluded for a positive grind and one for poor radiograph quality. Thirty-one thumbs were evaluated. Average maximal voluntary contraction of the FDI was 27N, lateral pinch 81N, and grip strength 347N. Twenty-six thumbs demonstrated subluxation when stressed and reduction after firing of the FDI. Three thumbs were not subluxed at rest and did not sublux with stress, consistent with stiff CMC joints. Two thumbs were subluxed at rest but did not further sublux with stress. Inter-rater reliability was high (96%). In the 26 thumbs that demonstrated increased subluxation with stress, subluxation while stressed averaged 48% (29-75) of metacarpal articular width. FDI activation reduced subluxation by an average of 80% (20-120). The two thumbs with the same degree of subluxation at rest and with stress had subluxation 43% and 63% of articular width. Reduction with FDI activation was 67% and 28%, respectively. CONCLUSION: The FDI radiographically reduces subluxation of the thumb CMC joint.Strengthening the FDI may be effective in preventing thumb arthritis.
Orthopedic traumatology - a resident s guide
Psycho- -Julius
Clinical Orthopaedic Rehabilitation - An Evidence BasEditionApproach, 3rd Edition [tahir99]
Marta Vukorepa
Fundamental Orthopedic Management for the Physical Therapist Assistant
Ionescu Cristian
Instructional Course Lectures
Joint and long-bone gunshot injuries
2010 •
Craig Silverton, Soheil Najibi
Gunshot wounds remain a major clinical problem, with the number of nonfatal gunshot wounds reported as 60,000 to 80,000 per year in the United States. Bone or joint injuries comprise a major portion of gunshot wound injuries. It is paramount for orthopaedic surgeons to be thorough in their treatment of patients with these injuries. Intra-articular injuries remain a source of significant clinical morbidity because of joint stiffness, arthritis, and the risk of infection. Treatment of long-bone fractures is a challenging clinical problem, and further studies are needed to investigate modern treatment methods. Lead toxicity is a potential risk for patients with gunshot injuries, particular for those with joint injuries. The clinician's recognition of the signs and symptoms of lead toxicity is important to achieve the best care for these patients.
”Management of Explosions and Blast Injuries after Gerdec Tragedy”
Agron Dogjani
ABSTRACT Background As the risk of terrorist attacks increases in the world, disaster response personnel must understand the unique pathophysiology of injuries associated with explosions and must be prepared to assess and treat the people injured by them. The explosions at the army depot in Gerdec village, some 10km north of Tirana, were heard more than 50km (30 miles) away. Albanian newspapers described the blast as "Albania's Hiroshima" and an "Apocalyptic tragedy". The Aim The aim is to explain how explosives are classified, to identify the major types of explosive and blast injuries ,to spell out the management options for explosions and blast injuries. Material & Metods Efforts to dismantle Albania's stockpiles of obsolete munitions took a catastrophic turn on March 15th, when a series of explosions occurred as crews were clearing out a storage depot in Gerdec, near Tirana. The explosions lasted nearly 14 hours, resulted in 26 deaths, over 300 injuri...
CV Curriculum Vitae Doctor Enrique Galindo Andujar traumatology surgeon
Enrique Galindo Andujar
Doctor Enrique Galindo Andujar Traumatology, orthopedic surgery and arthroscopy specialist with clinic in Madrid Spain. Surgeon specialised in shoulder, elbow, wrist, hip, knee, ankle and foot surgery.
A Residents Guide-orthopaedics
SilvanaCrina Crina
