By Terence McLoughlin, Ian Baxter, Nicole Abdul
ISBN-10: 1444145673
ISBN-13: 9781444145670
ISBN-10: 1444145681
ISBN-13: 9781444145687
The Medicine at the Move sequence presents totally versatile entry to topics around the curriculum in a distinct mix of print and cellular codecs perfect for the busy clinical pupil and junior health care professional. it doesn't matter what your studying variety, even if you're learning a topic for the 1st time or revisiting it in the course of examination practise, Medicine at the Move provide you with the aid you need.
This cutting edge print and app package deal may also help you to hook up with the themes of orthopaedics and rheumatology, to profit, comprehend, and revel in them, and to cement your wisdom in guidance for checks and destiny medical perform. through the use of this source in print or as an app, you actually will event the chance to profit drugs at the flow.
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Extra info for Orthopaedics and Rheumatology on the Move
Sample text
Indb 21 27/05/13 5:05 PM 22 Thoracic and lumbar spine MICRO-facts If there is any suspicion from the history that the patient has cauda equina syndrome, then a rectal examination checking for tone and perianal sensation must be performed. IMAGING THE SPINE ●● ●● Upper limb ●● Any initial imaging is likely to consist of an anteroposterior and lateral radiograph of either the thoracic or lumbar spine. Computed tomography (CT) is a useful method for identifying structural bone changes and disc prolapse.
Indb 13 27/05/13 5:05 PM 14 Head and neck Mechanism of injury ●● Prolapse of the intervertebral cervical disc is usually caused by sudden flexion and/or rotation of the neck. ●● There is often a background of cervical spondylosis. Assessment Results in disc protrusion with: ●● Neck pain due to compression of the posterior longitudinal ligament, and/or ●● Arm pain/paraesthesia due to foraminal nerve root compression. ●● Nerve roots most commonly involved: C5/6 and 7. Management ●● Depends on the severity of the symptoms – from conservative to surgical intervention ●● Central disc prolapse is a surgical emergency.
Used when muscle relaxation cannot be achieved by hanging arm method. ●● ●Kocher: involves slow external rotation of the flexed arm to relax the subscapularis muscle and then the arm is raised and rotated medially. ●● Place arm in sling and repeat x-ray to assess joint position. indb 41 27/05/13 5:05 PM 42 Shoulder MICRO-print post-reduction complications Rotator cuff tear, nerve injury (axillary nerve), vascular injury (axillary artery), and recurrent dislocation (if glenoid labrum has been damaged).
Orthopaedics and Rheumatology on the Move by Terence McLoughlin, Ian Baxter, Nicole Abdul
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