Vasculitides

Jul 16, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Vasculitides

Frequent Less frequent Large blood vessels – giant cell (temporal) arteritis Takayasu’s arteritis Sarcoidosis (affects large, medium or small blood vessels) Cogan’s syndrome (affects large or medium blood vessels) Medium…

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Systemic Scleroderma

Jul 16, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Systemic Scleroderma

Manifestation SSc, younger-age onset SSc Anticentromere antibodies (ACA) Positive mainly in limited cutaneous form In general higher incidence Pulmonary hypertension, muscle weakness, involvement of the heart and kidneys More frequently…

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Sjögren’s Syndrome

Jul 16, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Sjögren’s Syndrome

Clinical manifestations Prevalence (%) Xerostomia 92 Xerophthalmia 95 Enlarged parotid gland 50–60 Arthralgia/arthritis 75 Raynaud’s phenomenon 40 Lung involvement 40 Interstitial nephritis 10–15 Glomerulonephritis 1–2 Lymphadenopathy 15–20 Hepatopathy 15–30 Vasculitis…

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Shoulder Arthroplasty: Evolution in Design, Indications, Surgical Technique, and Associated Complications

Jul 14, 2017 by in ORTHOPEDIC Comments Off on Shoulder Arthroplasty: Evolution in Design, Indications, Surgical Technique, and Associated Complications

Fig. 1 Seebauer classification for rotator cuff arthropathy. (a) Type IA demonstrates a stable-centered humeral head with minimal superior migration, acetabularization of the acromion, and femoralization of the humeral head….

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Space and Rotator Cuff Anatomy

Jul 14, 2017 by in ORTHOPEDIC Comments Off on Space and Rotator Cuff Anatomy

Fig. 1 Lateral (a) and anterior (b) view of a left shoulder. The arrows indicate the subacromial space. * The long head biceps tendon. ** Rotator cuff Coracoacromial Arc Acromion…

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Evaluation: X-Rays, MRI

Jul 14, 2017 by in ORTHOPEDIC Comments Off on Evaluation: X-Rays, MRI

Fig. 1 X-ray of a left shoulder in true AP view. Oblique glenohumeral radiogram in indifferent position of the limb – zero starting position (ZSP). Normal position of the acromion….

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Evaluation

Jul 14, 2017 by in ORTHOPEDIC Comments Off on Evaluation

  Current status of the disease Test result (T) Positive Negative Total Positive a b a + b Negative c d c + d Total a + c b +…

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Technique

Jul 14, 2017 by in ORTHOPEDIC Comments Off on Technique

Fig. 1 A horizontal lateral skin incision along the lateral margin of the acromion To access these structures, the incision may be extended anteriorly along the anterior margin of the…

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