Compartment Syndrome

May 7, 2019 by in ORTHOPEDIC Comments Off on Compartment Syndrome

Compartment Syndrome Roshan Melvani Christopher M. Jones INTRODUCTION Acute compartment syndrome (ACS) is an increase in tissue pressure within an osseofascial compartment above tissue perfusion pressure, resulting in diminished local…

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Bite Wounds

May 7, 2019 by in ORTHOPEDIC Comments Off on Bite Wounds

Bite Wounds Mark Henry INTRODUCTION Pathoanatomy1,2,3,4,5 Skin wound—mixed pattern of crush, cut, tear damage to margins (Figure 49.1) Deep structural injury to bone, tendon, nerve with powerful bites (dog, larger…

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Osteomyelitis

May 7, 2019 by in ORTHOPEDIC Comments Off on Osteomyelitis

Osteomyelitis Julie Johnson John R. Fowler INTRODUCTION Pathoanatomy—bony infection caused by microbial invasion characterized by inflammation and destruction of bone Mechanism—contiguous spread (abscess, septic joint), direct inoculation (trauma, surgery, foreign…

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Cellulitis

May 7, 2019 by in ORTHOPEDIC Comments Off on Cellulitis

Cellulitis Julie Johnson John R. Fowler INTRODUCTION Pathoanatomy—It is infection of dermis and subcutaneous tissue without associated abscess. Mechanism—Infection is through bacterial breach of cutaneous surface, however, a break in…

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Palmar Space Infections

May 7, 2019 by in ORTHOPEDIC Comments Off on Palmar Space Infections

Palmar Space Infections Hannah A. Dineen Reid W. Draeger INTRODUCTION Hand infections, which include cellulitis, paronychia and felons, flexor tenosynovitis, and deep palmar space infections, are frequently encountered by primary…

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Web Space Infections

May 7, 2019 by in ORTHOPEDIC Comments Off on Web Space Infections

Web Space Infections Tiffany J. Pan John R. Fowler INTRODUCTION Definition A deep infection of the hand that occurs in the webspace between two fingers It is also known as…

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Septic Arthritis

May 7, 2019 by in ORTHOPEDIC Comments Off on Septic Arthritis

Septic Arthritis Alan R. Blackburn II John R. Fowler INTRODUCTION Pathoanatomy Septic arthritis is an infection of the joint space resulting from traumatic inoculation, hematogenous seeding, or contiguous spread. Cartilage…

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Pyogenic Flexor Tenosynovitis

May 7, 2019 by in ORTHOPEDIC Comments Off on Pyogenic Flexor Tenosynovitis

Pyogenic Flexor Tenosynovitis Emily E. Jewell Reid W. Draeger INTRODUCTION Flexor tendon sheath infections are a surgical urgency because they can have devastating outcomes such as loss of motion, deformity,…

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Paronychial Infections

May 7, 2019 by in ORTHOPEDIC Comments Off on Paronychial Infections

Paronychial Infections Timothy P. Crowley Susan Stevenson INTRODUCTION Pathoanatomy A paronychia is an infection of the soft tissue structures surrounding the proximal and lateral nail plate (perionychium). The proximal nail…

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Pulp Space Infections

May 7, 2019 by in ORTHOPEDIC Comments Off on Pulp Space Infections

Pulp Space Infections Omri Ayalon Matthew B. Cantlon INTRODUCTION Definition—Infection contained in the closed and unyielding septal spaces of the distal volar pad of the finger or thumb. Also referred…

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