Saturday, May 17, 2014

Orthopedic


CHAPTER 1 : Traumatic Injuries
01) Classification of Open Fractures
02) Compartment Syndrome

CHAPTER 2 : Upper Limb Injuries
03) Lunate & Perilunate Dislocation
04) Distal Radius Fracture (Colles, Smith, Barton)
05) Ulnar Shaft Fracture (Nightstick)
06) Radial Shaft Fracture
07) Capitellar Fracture
08) Radial Head Fracture
09) Olecranon Fracture
10) Elbow Dislocation
11) Distal Humerus Fracture
12) Humeral Shaft Fracture
13) Proximal Humeral Fracture (Surgical Neck, Intra-articular)
14) Shoulder Dislocation
15) Clavicular Fracture

CHAPTER 3 : Lower Limb Injuries
16) Calcaneal Fracture
17) Talar Fracture
18) Ankle Dislocations & Fractures
19) Tibial Pilon Fracture (Plafond)
20) Tibial-Fibula Fracture
21) Tibial Plateau Fracture
22) Knee Ligamentous Injuries
23) Patellar Dislocation
24) Patellar Fracture
25) Tear of Quadriceps or Patellar Tendons
26) Distal Femur Fracture
27) Femoral Shaft Fracture
28) Subtrochanteric Femur Fracture
29) Femoral Neck Fracture
30) Trochanteric Hip Fracture
31) Traumatic Dislocation of Hip Joint
32) Pelvic Ring Injuries

Suggested Reading Resources:
Bernstein:Musculoskeletal Medicine - For overviews of basic anatomy, pathoanatomy and physiology.
Hoppenfeld:Physical Examination of the Musculo-Skeletal System - A thin green book. It has terrific pictures and explanations.
Rang:Children’s Fractures - The best text of pediatric Orthopaedics, for the surgeon, pediatrician and primary care doctor alike.
Hoppenfeld:Surgical Approaches in Orthopaedics - Terrific for OR preparation; most of the residents have this.
Rispoli:Tarascon Pocket Orthopaedica. - Indispensable pocket reference.

Internet Sites:
The following sites may be good starting points for links and for other information:

ORTHOPAEDIC TERMS:
Abduction:motion in sagittal plane—extremity moved away from midline
Adduction:motion in coronal plane—extremity moved toward midline
Arthrocentesis:aspiration of fluid from a joint
Arthrodesis:fusion of a joint surgically
Comminuted:Term used in regards to fractures indicating that there are several fragments of bone (more than two) – also: multifragmentary
Coxa:refers to hip and prox. femur
Cubitus:refers to elbow
Diastasis:separation of bones that are attached by fibrous tissue (i.e. symphysis pubis). This is a distinct form of dislocation, which refers to a disruption of a diarthrodial joint
Dislocation:complete disruption of a joint—loss of articular congruity
Genu:refers to knee
Subluxation:disruption of a joint with partial loss of congruity of articular surfaces.
Valgus:angulation in a coronal plane—used in conjunction with a joint. Indicate that the extremity distal to the joint in question goes away from the midline.Example: genu valgum—knock-knees
Varus:angulation in a coronal plane—used in conjunction with a joint. Indicate that the extremity proximal to the joint in question goes towards the midline.Example: genu varum—bow-legged
Commonly Used Abbreviations:
AP:anteroposterior (as in X-ray view)
BON:brief operative note
CR:closed reduction
DF:dorsiflexion
DNVI:distal neurovascular status intact. (Must be completely intact for you to write this.)
EBL:estimated blood loss
EXFIX:external fixation
F/U:follow up
GET:general endotracheal
HO:House officer or doctor on call for particular service
IM:intramuscular or intramedullary
IVF:intravenous fluids
LE:lower extremity
LAC:long arm cast
LLC:long leg cast
NPO:nothing by mouth (no food or liquid)---used prior to surgery
NWB:non weight bearing (strict, absolutely no weight on affected extremity)
OOB:out of bed
ORIF:open reduction internal fixation
OT:occupational therapy
PF:plantar flexion
POC:post operative check
POD:post operative day number
PP:pin prick or percutaneous pinning
PT:physical therapy
PWB:partial weight bearing (need to note amount: for example 25%-50% -- this is a percentage of body weight)
SAC:short arm cast
SLC:short leg cast
TT:tourniquet time (tourniquets are often used in surgery to decrease the amount of operative blood loss)
TTWB:toe touch weight bearing (this is the least amount of weight bearing possible – it is just touch down of toe for balance)
UE:upper extremity


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