By Dr. Max Hoshino, Dr. Thomas Harris, Dr. John Tiberi III
Features
- Quickly entry the professional assistance you wish within the emergency room or workplace to regard orthopedic accidents because of trauma, in addition to degenerative conditions.
- Reduce sufferer ache and enhance results with step by step info on sufferer positioning, right immobilization, and anesthetic techniques.
- Avoid pitfalls and hone your talents with functional assistance and tips from orthopaedic experts.
- See rules in motion with instructive photographs, line drawings, and radiographs that offer crucial visible guidance.
Read Online or Download Orthopaedic Emergency and Office Procedures PDF
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Extra info for Orthopaedic Emergency and Office Procedures
Sample text
Premature external rotation can lead to fracture. ■ If there is difficulty with unlocking the humeral head, then either have an assistant grasp the medial aspect of the proximal arm within the axilla and provide lateral traction or wrap a sheet around the upper arm for lateral traction. Inferior Glenohumeral Joint Dislocation/Luxatio Erecta Indication Inferior glenohumeral dislocations are rare, but the clinical presentation is striking because the patient presents with the arm fixed in an overhead position.
Tips and Other Considerations ■ A variety of therapeutic agents can be injected. We typically inject 2 ml of 1% lidocaine mixed with 1 ml of methylprednisolone (40 mg/ml). More recently, botulinum toxin, whole blood, and platelet-rich plasma injections have been used to treat lateral epicondylitis. Figure 3-3 (c) 2014 Wolters Kluwer. All Rights Reserved.
Typically, we will place the patient in a sling if the injury films are acceptable or embark on surgical treatment if they are not. However, occasionally we are presented with a displaced surgical neck fracture with an intact medial calcar, which can be improved with a reduction maneuver. We do not attempt to reduce the tuberosities. Description of Procedure ■ The major deforming forces are the supraspinatus pulling the head fragment into varus (if tuberosities intact) and the pectoralis major displacing the humeral shaft medially and (c) 2014 Wolters Kluwer.
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