Pediatric septic hip arthritis is a serious condition that occurs when bacteria infect the hip joint of a child. It can cause severe pain, swelling, redness and fever, and may lead to permanent damage to the joint or even life-threatening complications if not treated promptly. In this blog post, we
```html Study Country Design Participants Intervention Comparator Outcomes Peltola et al. (2010) Finland RCT 137 children with septic arthritis of the hip or knee 10 days of antibiotic therapy (2-4 days of IV cefuroxime
<```html> Variable S. aureus Other organisms P value OR (95% CI) I^2 (%) OR (95% CI) I^2 (%) OR I^2 Age < 3 years 2.45 (1.81–3.32) 0 1.98
Table 1. Characteristics of included studies on risk factors and clinical features of septic arthritis in children. ```html Table 1. Characteristics of included studies on risk factors and clinical features of septic arthritis in
Table 1: ``` Author Year Country Setting Sample Size Follow-Up Duration Study Design Study 1 1990 USA Hospital 50 1 year Cohort Study 2 1995 Canada Hospital 100 6
Summary Arthroscopic shoulder surgery complications are considered rare occurrences. However, there have been reports in the literature of complication rates as high as 10.6%. It is imperative to evaluate the incidence, severity, and prevention of these complications to improve surgical
A 28-year-old man presents 72 hours following an injury to his left hand. He seems evasive about the history but finally admits to being involved in a fight. Quiz on Fight Bite Injury body { font-family: Arial, sans-serif; font-size:
DR.MOHAMMAD HUTAIF, EMIAL This article discusses the indications, contraindications, and preparation for two-stage revision for periprosthetic joint infection of the hip. It also covers the different types of spacers that can be used during the interval period. INTRODUCTION Total hip
Testable Concepts‌ Section 1 Orthopaedic Tissues I.Bone Question 1 What do Haversian canals carry? Nerves and blood vessels Nutrients Oxygen Carbon dioxide Question 2 What do Volkmann canals do? They carry nerves and blood vessels
A 35-year-old man is brought to the emergency department after jumping to the ground from a 10-foot wall while being pursued by the police. He complains of bilateral heel pain. Describe this x-ray. This is a lateral radiograph of the ankle and hindfoot. It
A 72-year-old, right-hand-dominant male with a history of type 2 diabetes, hypertension, and coronary artery disease presents to clinic for a second opinion regarding worsening left shoulder pain 8 months after undergoing a left total shoulder arthroplasty. He had an uncomplicated procedure and has
A 66-year-old man with history of retinoblastoma presents with right knee pain. AP and lateral radiographs are shown in Figure 8–14A and B. Figure 8–14 A–B What is the most likely
You are called by the emergency department to see a 50-year-old male who reported a wound on his leg yesterday. He initially did not have any problems, however in the past 4 hours he has noted increased erythema, pain requiring IV narcotics, and tachycardia. The emergency department asks what
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CASE 1 A 76-year-old, right-hand-dominant man presents to clinic complaining of right shoulder pain. The pain started several months ago, has gotten progressively worse, and is located diffusely over his deltoid region. He has night pain and pain with overhead activity. On
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CASE 1 A 63-year-old male sustained a hyperextension injury to his neck while diving into a pool. Upon presentation, he reports decreased sensation in his hands and decreased strength in his arms and wrists, but no lower extremity complaints. On motor examination,
Surgery of the Hip Primary total hip arthroplasty 239‌‌ Revision total hip arthroplasty 255‌ Hip resurfacing 262‌ Hip arthrodesis 264‌ Excision hip
Introduction The operative management of periprosthetic infection after total hip arthroplasty (THA) remains a challenge procedure to any arthroplasty surgeon.
Introduction Deep infection (Fig. 40.1) following total hip replacement is a challenging complication for both the patient and the surgeon. The reported risk of
DEFINITION Charcot foot arthropathy is an inflammatory disease process that primarily affects the foot and ankle of patients with long-standing diabetes (10-plus years) and diabetic peripheral neuropathy (PN).3,4,7,24 The destructive inflammatory process often leads to bone destruction and
sion is generally positioned about 1.5 to 2 cm from the midline. For bilateral decompression, the skin incision is generally positioned 3 to 4 cm lateral to the midline to allow angulation of the tubular retractor across the midline to reach the contralateral side of the spinal
(SAE09TR.72) A 13-year-old girl sustained an isolated midshaft left femoral fracture in a motor vehicle accident. The fracture was treated with a rigid, antegrade intramedullary nail placed through the piriformis fossa. The fracture healed uneventfully, as shown in Figure 46a; however, at 12 months
(SAE08OS.6) Figures 2a and 2b show the radiograph and MRI scan of a 56-year-old woman who has low back pain and right leg pain. She has grade 3/5 toe and ankle dorsiflexion strength on the right side. Nonsurgical management has failed to provide relief; therefore, surgery should include Review
(OBQ14.208) When treating a proximal tibia fracture, the surgeon decides to (1) use blocking screws in the proximal fragment, and (2) pick the intramedullary nail based on the location of the Herzog curve. Which of the following combinations will best prevent the classic deformity associated with
(SAE12SN.35) What is the most commonly involved level for brachial plexus stretch injuries or "stingers" in younger athletes involved in collision sports? Review Topic 1 C3-4 2 C4-5 3 C5-6 4 C6-7 5 C7-T1 PREFERRED
DEFINITION Total knee arthroplasty (TKA) is a successful surgical procedure that provides excellent and durable relief of pain and improvement in functional status for patients with degenerative joint disease (DJD) of the knee. Cement fixation is currently the most popular method of fixation
DEFINITION Resection arthroplasty and insertion of a spacer is used for the management of chronic deep periprosthetic infection of the hip. This chapter discusses the diagnosis and management of late chronic infections. Acute infections, described in the following text, have a different
DEFINITION Hip reimplantation refers to the insertion of another prosthesis after removal of the original, infected prosthesis. This may be performed as a single- or two-staged procedure, using either cemented or uncemented components. ANATOMY Hip
Hip Arthroscopy: The Basics‌ 3 DEFINITION The hip is increasingly recognized as a source of pain owing to heightened awareness of pathologies, recent research, enhanced imaging techniques, and
DEFINITION Deep space infections occur in one of three anatomically defined potential spaces within the hand. Thenar, midpalmar, and hypothenar spaces Interdigital subfacial web space Parona space—a potential forearm space Thenar space infections are the most
DEFINITION Intramedullary nailing techniques are typically used for closed and open displaced diaphyseal tibial fractures. The indications for intramedullary nailing can be extended to proximal and distal metaphyseal tibia fractures, including those associated with simple articular
145) A 32-year-old carpenter complains of progressively worsening wrist pain for the last 2 months. He denies any recent history of trauma to the wrist or hand. An MRI is obtained and a representative image is provided in Figure A. Which of the following surgical interventions is thought to be
A 22-year-old college quarterback is tackled and sustains a reducible first carpometacarpal dislocation. What is the recommended treatment? Closed reduction and casting Closed reduction and percutaneous pinning First carpometacarpal
A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her
DEFINITION The hip is increasingly recognized as a source of pain owing to heightened awareness of pathologies, recent research, enhanced imaging techniques, and greater popularity of hip arthroscopy as a diagnostic and therapeutic tool. Hip arthroscopy first was performed on a cadaver in the
ORTHOPEDIC MCQS ONLINE QUESTION BANK H3C Slide 1 Slide 2 Slide 3 Slide 4 Slide 5 A
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(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture? Hip
Chapter 32 Intramedullary Nailing of the Mature Tibia Mark A. Lee Jonathan G. Eastman Brett Crist DEFINITION Intramedullary nailing techniques are typically used for closed and open displaced diaphyseal tibial fractures. The indications for intramedullary nailing
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Orthopedics MCQS ONLINE OITE23 1.03 What is the most common complication associated with surgical fixation of a transverse midshaft humeral fracture using antegrade statically locked medullary nail? Infection Radial nerve palsy Brachial artery injury during
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Orthopaedic In-Training Exam 1998 Question 1 - A patient has a grade 2 open tibial fracture with 70% cross sectional bone loss that extends 2 cm in length. Treatment consists of stabilization with a nonreamed interlocking nail and successful secondary wound closure. Four months
ORTHOPEDIC MCQS ONLINE OB HAND 1A A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her
Cemented Total Knee Arthroplasty DEFINITION Total knee arthroplasty (TKA) is a successful surgical procedure that provides excellent and durable relief of pain and improvement in functional status for patients with osteoarthritic
DEFINITION Resection arthroplasty and insertion of a spacer is used for the management of chronic deep periprosthetic infection of the hip. The discussion in this chapter pertains to the diagnosis and management of late chronic infection. Acute
DEFINITION Well-fixed femoral and acetabular implants often have to be removed during revision total hip arthroplasty (THA). Conditions that necessitate removal of well fixed implants include: Infection Recurrent dislocations
Chapter 16 Intramedullary Nailing of the Tibia Mark A. Lee and Brett D. Crist DEFINITION Intramedullary nailing (IMN) techniques typically are used for closed and open displaced diaphyseal tibial fractures. With additional techniques
Chapter 24‌ Hip Arthroscopy: The Basics Marc Safran and Matthew A. Stanich DEFINITION The hip is increasingly recognized as a source of pain owing to heightened awareness of pathologies, recent research, enhanced imaging techniques, and
ORTHOPEDIC MCQS ONLINE OB 20 1D RECONSTRUCTION A 77-year-old man who had right total knee replacement surgery 2½ years ago has had knee pain since surgery. The pain is diffuse, constant, and made worse with activity. He notes warmth and swelling in his knee. Examination shows
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INTRODUCTION The first descriptions of infections date back to the early Sumerian carvings, when the tenets of treatment were irrigation, immobilization, and bandaging.82 In these early times, the practice of infection and wound care was essentially an art and there was very