Management of orthopaedic patients during covid‑19 pandemicpunithpc605
Coronaviruses can cause diseases ranging from the common cold to more severe respiratory illnesses like SARS and MERS. The novel coronavirus SARS-CoV-2 emerged in China in late 2019 and has caused a global pandemic. India faces challenges in managing orthopaedic patients during the pandemic due to its large population and limited healthcare resources. Hospitals risk becoming sites of virus transmission. Guidelines are outlined for safely assessing and treating orthopaedic patients, including maintaining isolation and protective equipment for staff, and prioritizing urgent/emergency cases while delaying elective procedures to conserve resources and protect patients and healthcare workers during this difficult time.
Approccio focalizzato sulle soluzioni nel coaching e nella consulenza aziendaleFabrizio Pieroni
L'approccio focalizzato sulle soluzioni (Solutions Focus) deriva dal lavoro di Steve De Shazer.
Risolvere un problema del cliente «non significa che il problema del cliente necessiti di un’attenta analisi, e non c’è bisogno di parlarne molto a lungo» , infatti «non c’è bisogno che le soluzioni siano direttamente connesse al problema che vogliono risolvere» (De Shazer)
El documento proporciona información sobre diferentes tipos de ortesis para el cuello, la espalda y las extremidades. Describe las indicaciones, características y tratamientos de varias lesiones y condiciones como fracturas vertebrales, escoliosis, artrosis cervical y omóplato alado. También incluye detalles sobre corsets, fajas y aparatos ortopédicos específicos y sus usos para inmovilizar, estabilizar, corregir o proteger diferentes partes del cuerpo.
This document discusses the classification and anatomy of proximal humeral fractures. It provides details on:
1) Neer's classification system which categorizes fractures based on displacement of fragments into 1, 2, 3, or 4-part fractures or fracture-dislocations.
2) Important anatomical factors like the relationship between the articular head and tuberosities which impact fracture patterns.
3) Pre-operative planning involves accurate imaging like radiographs and CT scans to identify fracture characteristics to guide treatment.
Los ligamentos conectan los huesos y estabilizan las articulaciones. Un esguince de tobillo implica una lesión de los ligamentos laterales del tobillo, comúnmente el ligamento lateral externo. El grado de lesión se clasifica dependiendo del tiempo de recuperación necesario, desde leves (1-7 días) hasta graves (más de 60 días). El tratamiento funcional con movilidad controlada es ahora el enfoque preferido, ya que evita complicaciones quirúrgicas y permite un retorno más rápido a la actividad.
Management of orthopaedic patients during covid‑19 pandemicpunithpc605
Coronaviruses can cause diseases ranging from the common cold to more severe respiratory illnesses like SARS and MERS. The novel coronavirus SARS-CoV-2 emerged in China in late 2019 and has caused a global pandemic. India faces challenges in managing orthopaedic patients during the pandemic due to its large population and limited healthcare resources. Hospitals risk becoming sites of virus transmission. Guidelines are outlined for safely assessing and treating orthopaedic patients, including maintaining isolation and protective equipment for staff, and prioritizing urgent/emergency cases while delaying elective procedures to conserve resources and protect patients and healthcare workers during this difficult time.
Approccio focalizzato sulle soluzioni nel coaching e nella consulenza aziendaleFabrizio Pieroni
L'approccio focalizzato sulle soluzioni (Solutions Focus) deriva dal lavoro di Steve De Shazer.
Risolvere un problema del cliente «non significa che il problema del cliente necessiti di un’attenta analisi, e non c’è bisogno di parlarne molto a lungo» , infatti «non c’è bisogno che le soluzioni siano direttamente connesse al problema che vogliono risolvere» (De Shazer)
El documento proporciona información sobre diferentes tipos de ortesis para el cuello, la espalda y las extremidades. Describe las indicaciones, características y tratamientos de varias lesiones y condiciones como fracturas vertebrales, escoliosis, artrosis cervical y omóplato alado. También incluye detalles sobre corsets, fajas y aparatos ortopédicos específicos y sus usos para inmovilizar, estabilizar, corregir o proteger diferentes partes del cuerpo.
This document discusses the classification and anatomy of proximal humeral fractures. It provides details on:
1) Neer's classification system which categorizes fractures based on displacement of fragments into 1, 2, 3, or 4-part fractures or fracture-dislocations.
2) Important anatomical factors like the relationship between the articular head and tuberosities which impact fracture patterns.
3) Pre-operative planning involves accurate imaging like radiographs and CT scans to identify fracture characteristics to guide treatment.
Los ligamentos conectan los huesos y estabilizan las articulaciones. Un esguince de tobillo implica una lesión de los ligamentos laterales del tobillo, comúnmente el ligamento lateral externo. El grado de lesión se clasifica dependiendo del tiempo de recuperación necesario, desde leves (1-7 días) hasta graves (más de 60 días). El tratamiento funcional con movilidad controlada es ahora el enfoque preferido, ya que evita complicaciones quirúrgicas y permite un retorno más rápido a la actividad.
This document provides an overview of nerve repair principles and surgery. It outlines the objectives of discussing nerve injury indications for surgery, timing for surgery, preparing the patient and nerve bed, and required apparatus and instruments. Reasons for operating on an injured nerve include high likelihood of nerve transection or poor progression. Timing of repair is important, with earlier generally better. Considerations before surgery include life/limb salvage, infection control, joint mobility, and bed preparation. Required equipment includes loupes, microscopes, bipolar cautery, microsurgical instruments, microsutures, and training.
22 Corso TSSA Croce Rossa - Traumi dell’apparato muscolo scheletricoEmergency Live
Il corso TSSA (corso nazionale per l’attività di trasporto sanitario e soccorso in ambulanza) è il corso sanitario avanzato della Croce Rossa Italiana che si prefigge di formare il SOCCORRITORE, cioè il Volontario che svolgerà la sua attività sulle ambulanza e perciò il percorso addestrativo è tipicamente sanitario. I corsi sono tenuti da Istruttori di Croce Rossa qualificati con un apposito percorso specifico. I moduli formativi sono 6. Bastano i primi 4 moduli per diventare soccorritore, gli altri due moduli sono di approfondimento e completamento di percorsi regionali. L’accesso a questo corso prevede l’obbligatorietà di essere Socio Attivo CRI e quindi di aver frequentato il Corso Base. Gli incontri vertono principalmente sulle problematiche del soccorso extra-ospedaliero e si dividono in lezioni teoriche e parti pratiche con particolare riferimento alla Traumatologia, alla Rianimazione cardio-polmonare con l’ottenimento del brevetto BLS-D (defibrillazione) ed all’uso dei Presidi disponibili sulle ambulanze. La cooperazione che ha portato alla creazione di queste dispense di TSSA è molto importante. Infatti non esiste materiale univoco e ufficiale per tutto il territorio Nazionale. Il materiale delle lezioni che stiamo ripubblicando è nato grazie alla collaborazione dei formatori e degli istruttori di Croce Rossa, specializzati in PSTI (Pronto Soccorso e Trasporto Infermi). Questi istruttori hanno realizzato le schede che potete liberamente consultare. Il team è costituito da 15 istruttori qualificati, il cui lavoro è stato controllato da 5 revisori (formatori, medici specialistici e tecnici esperti) che hanno corretto alcuni contenuti scientifici, rendendo poi omogeneo l'aspetto visivo del corso. In questo modo sono nate delle wikiSLIDES che ad oggi hanno più di 5.000 download dal link ufficiale. Il ringraziamento di Emergency Live va al gruppo TSSA e al coordinatore Egidio Tuccio.
The document discusses the Sarmiento principle of functional bracing for tibial fractures developed in 1967 as an alternative to rigid immobilization. It involves early controlled movement and weight bearing to promote healing. Guidelines are provided for factors like length, rotation, valgus, and varus when applying braces. Proximal, mid-shaft, and distal tibial fractures are considered in terms of brace candidacy based on the fibula condition and soft tissue damage. The conclusion reinforces bracing for closed, axially unstable fractures with an acceptable degree of shortening and angular deformity within a few degrees of normal.
This document discusses ultrasound-guided percutaneous tenotomy, a procedure used to treat tendinosis and tendon tears. It describes how tenotomy converts chronic degeneration into acute inflammation, promoting healing. The document outlines the technique, considerations before and after treatment, and effectiveness for tendons in the elbow, knee, ankle and other areas. Contraindications include local infection and clotting disorders.
Ferite e lesioni di origine traumatica: prima valutazione e trattamentoMassimo Di Benedetto
Argomento presentato all'interno del seminario organizzato nel 2017 dall'Azienda Provinciale per i Servizi Sanitari della provincia autonoma di Trento.
The document provides information on a seminar about fracture talus. It begins with an introduction discussing the complexity of talus anatomy and variability in fracture patterns. It then covers the history of talus fractures dating back to Roman times and key publications. The remainder summarizes talus anatomy, blood supply, fracture classifications including Hawkins classification of talus neck fractures, clinical presentation, diagnosis, and treatment options for different fracture types including complications like AVN.
This document provides information about stiff elbow, including its definition, causes, anatomy, classification systems, clinical evaluation, treatment options, and postoperative care. It defines stiff elbow as flexion less than 120 degrees and loss of extension greater than 30 degrees. Trauma is a common cause. The elbow is a highly constrained synovial hinge joint prone to stiffness. Treatment options include nonsurgical modalities like splinting or manipulation, as well as surgical options like contracture release, arthroscopic release, or total elbow arthroplasty in severe cases. The goals of treatment are to provide a pain-free, functional, and stable elbow.
Este documento describe el vendaje de un miembro inferior amputado de forma traumática. Explica la anatomía y fisiología del miembro inferior, así como las causas, síntomas y tratamiento de una amputación. El técnico en fisioterapia juega un papel importante en el vendaje adecuado del muñón y en ayudar al paciente con ejercicios de rehabilitación para mejorar la movilidad.
arthroscopic versus open synovectomy in rheumatoid kneeMohamad Abdelaziz
The document discusses open surgical synovectomy for rheumatoid knee. It begins by describing the anatomy of synovial joints and pathology of rheumatoid arthritis (RA). RA causes thickening of synovial tissue and effusion in joints. Open synovectomy is indicated for persistent knee pain and swelling from RA despite medical treatment. It involves removing inflamed synovial tissue through an incision. Post-operatively, compression bandaging and rehabilitation exercises are used to regain knee motion. While it allows thorough debridement, open synovectomy has drawbacks like longer recovery time and risk of stiffness compared to arthroscopic surgery.
A 32-year-old male presents to the emergency department with right thumb pain after a skiing accident. He fell and landed on his outstretched right hand, pulling his right thumb away from his ski pole. On examination, swelling and tenderness were found over the right thumb. An avulsion of the ulnar collateral ligament, also known as skier's thumb, was diagnosed. Treatment involved splinting the thumb and following up urgently with hand surgery.
This document contains lecture slides from Professor Deiary Kader on various topics related to orthopaedics of the knee. It discusses the anatomy and classification of knee stabilizers. It provides details on the posterior cruciate ligament anatomy, mechanisms of injury, grading of instability, and treatment options including rehabilitation and reconstruction. The document also discusses the posterolateral corner complex, its anatomy, mechanisms of injury, examination techniques, and treatment including non-surgical and surgical options. Finally, it covers knee dislocations, classification, examination, management principles, and surgical approaches.
This document discusses fractures of the calcaneus and talus bones. It begins with some background information on calcaneal fractures, noting that they account for 2% of all fractures and are often displaced and intra-articular. It then describes the anatomy of the calcaneus and talus in detail. The rest of the document covers mechanisms of injury, classification systems for fractures, clinical evaluation, imaging, treatment approaches including non-operative and operative options, surgical techniques, post-operative care, and potential complications.
Este documento proporciona ejercicios intermedios para pacientes con lesiones de hombro como roturas del manguito rotador o inestabilidad. Recomienda usar poco peso o elásticos suaves en 3 series de 15-20 repeticiones 5 días a la semana. Incluye ejercicios de rotación, remos, trapecios y manguito rotador, así como ejercicios de espalda como supermanes y planchas para fortalecer la musculatura dorsal.
Este documento trata sobre la toma de decisiones y el análisis y diseño. Explica que la toma de decisiones implica elegir entre varias alternativas tras considerar ventajas y desventajas. Describe los procesos cognitivos y tipos de condicionamientos como cultural, ético y emocional. También presenta el proceso de toma de decisiones. Respecto al análisis y diseño, señala que el análisis implica estudiar un tema a profundidad para conocer sus bases, mientras que el diseño se refi
Dr. Davis Nadakkavukaran from Malabar Dental College discusses various types of scars like keloid, contracture, and hypertrophic scars as well as treatments like topical steroids, retinoic acid, hydrogen peroxide, and oral retinoids. Some surgical scar revision procedures mentioned are Z-plasty, W-plasty, subcision, and scar excision with a cover. Other scar treatment methods include intralesional injections, dermabrasion, cryotherapy, microneedling, chemical peels, dermal fillers, and platelet-rich plasma. Lasers are also used in addition to camouflaging scars with tattoos or cos
The document outlines the 10 steps for performing a dynamic hip screw (DHS) procedure for peritrochanteric fractures, which includes taking an x-ray, making an incision, using guides to insert a lag screw and plate, and placing cortical screws. The procedure is described by Dr. D.P. Swami and marked for educational purposes only.
This document provides an overview of nerve repair principles and surgery. It outlines the objectives of discussing nerve injury indications for surgery, timing for surgery, preparing the patient and nerve bed, and required apparatus and instruments. Reasons for operating on an injured nerve include high likelihood of nerve transection or poor progression. Timing of repair is important, with earlier generally better. Considerations before surgery include life/limb salvage, infection control, joint mobility, and bed preparation. Required equipment includes loupes, microscopes, bipolar cautery, microsurgical instruments, microsutures, and training.
22 Corso TSSA Croce Rossa - Traumi dell’apparato muscolo scheletricoEmergency Live
Il corso TSSA (corso nazionale per l’attività di trasporto sanitario e soccorso in ambulanza) è il corso sanitario avanzato della Croce Rossa Italiana che si prefigge di formare il SOCCORRITORE, cioè il Volontario che svolgerà la sua attività sulle ambulanza e perciò il percorso addestrativo è tipicamente sanitario. I corsi sono tenuti da Istruttori di Croce Rossa qualificati con un apposito percorso specifico. I moduli formativi sono 6. Bastano i primi 4 moduli per diventare soccorritore, gli altri due moduli sono di approfondimento e completamento di percorsi regionali. L’accesso a questo corso prevede l’obbligatorietà di essere Socio Attivo CRI e quindi di aver frequentato il Corso Base. Gli incontri vertono principalmente sulle problematiche del soccorso extra-ospedaliero e si dividono in lezioni teoriche e parti pratiche con particolare riferimento alla Traumatologia, alla Rianimazione cardio-polmonare con l’ottenimento del brevetto BLS-D (defibrillazione) ed all’uso dei Presidi disponibili sulle ambulanze. La cooperazione che ha portato alla creazione di queste dispense di TSSA è molto importante. Infatti non esiste materiale univoco e ufficiale per tutto il territorio Nazionale. Il materiale delle lezioni che stiamo ripubblicando è nato grazie alla collaborazione dei formatori e degli istruttori di Croce Rossa, specializzati in PSTI (Pronto Soccorso e Trasporto Infermi). Questi istruttori hanno realizzato le schede che potete liberamente consultare. Il team è costituito da 15 istruttori qualificati, il cui lavoro è stato controllato da 5 revisori (formatori, medici specialistici e tecnici esperti) che hanno corretto alcuni contenuti scientifici, rendendo poi omogeneo l'aspetto visivo del corso. In questo modo sono nate delle wikiSLIDES che ad oggi hanno più di 5.000 download dal link ufficiale. Il ringraziamento di Emergency Live va al gruppo TSSA e al coordinatore Egidio Tuccio.
The document discusses the Sarmiento principle of functional bracing for tibial fractures developed in 1967 as an alternative to rigid immobilization. It involves early controlled movement and weight bearing to promote healing. Guidelines are provided for factors like length, rotation, valgus, and varus when applying braces. Proximal, mid-shaft, and distal tibial fractures are considered in terms of brace candidacy based on the fibula condition and soft tissue damage. The conclusion reinforces bracing for closed, axially unstable fractures with an acceptable degree of shortening and angular deformity within a few degrees of normal.
This document discusses ultrasound-guided percutaneous tenotomy, a procedure used to treat tendinosis and tendon tears. It describes how tenotomy converts chronic degeneration into acute inflammation, promoting healing. The document outlines the technique, considerations before and after treatment, and effectiveness for tendons in the elbow, knee, ankle and other areas. Contraindications include local infection and clotting disorders.
Ferite e lesioni di origine traumatica: prima valutazione e trattamentoMassimo Di Benedetto
Argomento presentato all'interno del seminario organizzato nel 2017 dall'Azienda Provinciale per i Servizi Sanitari della provincia autonoma di Trento.
The document provides information on a seminar about fracture talus. It begins with an introduction discussing the complexity of talus anatomy and variability in fracture patterns. It then covers the history of talus fractures dating back to Roman times and key publications. The remainder summarizes talus anatomy, blood supply, fracture classifications including Hawkins classification of talus neck fractures, clinical presentation, diagnosis, and treatment options for different fracture types including complications like AVN.
This document provides information about stiff elbow, including its definition, causes, anatomy, classification systems, clinical evaluation, treatment options, and postoperative care. It defines stiff elbow as flexion less than 120 degrees and loss of extension greater than 30 degrees. Trauma is a common cause. The elbow is a highly constrained synovial hinge joint prone to stiffness. Treatment options include nonsurgical modalities like splinting or manipulation, as well as surgical options like contracture release, arthroscopic release, or total elbow arthroplasty in severe cases. The goals of treatment are to provide a pain-free, functional, and stable elbow.
Este documento describe el vendaje de un miembro inferior amputado de forma traumática. Explica la anatomía y fisiología del miembro inferior, así como las causas, síntomas y tratamiento de una amputación. El técnico en fisioterapia juega un papel importante en el vendaje adecuado del muñón y en ayudar al paciente con ejercicios de rehabilitación para mejorar la movilidad.
arthroscopic versus open synovectomy in rheumatoid kneeMohamad Abdelaziz
The document discusses open surgical synovectomy for rheumatoid knee. It begins by describing the anatomy of synovial joints and pathology of rheumatoid arthritis (RA). RA causes thickening of synovial tissue and effusion in joints. Open synovectomy is indicated for persistent knee pain and swelling from RA despite medical treatment. It involves removing inflamed synovial tissue through an incision. Post-operatively, compression bandaging and rehabilitation exercises are used to regain knee motion. While it allows thorough debridement, open synovectomy has drawbacks like longer recovery time and risk of stiffness compared to arthroscopic surgery.
A 32-year-old male presents to the emergency department with right thumb pain after a skiing accident. He fell and landed on his outstretched right hand, pulling his right thumb away from his ski pole. On examination, swelling and tenderness were found over the right thumb. An avulsion of the ulnar collateral ligament, also known as skier's thumb, was diagnosed. Treatment involved splinting the thumb and following up urgently with hand surgery.
This document contains lecture slides from Professor Deiary Kader on various topics related to orthopaedics of the knee. It discusses the anatomy and classification of knee stabilizers. It provides details on the posterior cruciate ligament anatomy, mechanisms of injury, grading of instability, and treatment options including rehabilitation and reconstruction. The document also discusses the posterolateral corner complex, its anatomy, mechanisms of injury, examination techniques, and treatment including non-surgical and surgical options. Finally, it covers knee dislocations, classification, examination, management principles, and surgical approaches.
This document discusses fractures of the calcaneus and talus bones. It begins with some background information on calcaneal fractures, noting that they account for 2% of all fractures and are often displaced and intra-articular. It then describes the anatomy of the calcaneus and talus in detail. The rest of the document covers mechanisms of injury, classification systems for fractures, clinical evaluation, imaging, treatment approaches including non-operative and operative options, surgical techniques, post-operative care, and potential complications.
Este documento proporciona ejercicios intermedios para pacientes con lesiones de hombro como roturas del manguito rotador o inestabilidad. Recomienda usar poco peso o elásticos suaves en 3 series de 15-20 repeticiones 5 días a la semana. Incluye ejercicios de rotación, remos, trapecios y manguito rotador, así como ejercicios de espalda como supermanes y planchas para fortalecer la musculatura dorsal.
Este documento trata sobre la toma de decisiones y el análisis y diseño. Explica que la toma de decisiones implica elegir entre varias alternativas tras considerar ventajas y desventajas. Describe los procesos cognitivos y tipos de condicionamientos como cultural, ético y emocional. También presenta el proceso de toma de decisiones. Respecto al análisis y diseño, señala que el análisis implica estudiar un tema a profundidad para conocer sus bases, mientras que el diseño se refi
Dr. Davis Nadakkavukaran from Malabar Dental College discusses various types of scars like keloid, contracture, and hypertrophic scars as well as treatments like topical steroids, retinoic acid, hydrogen peroxide, and oral retinoids. Some surgical scar revision procedures mentioned are Z-plasty, W-plasty, subcision, and scar excision with a cover. Other scar treatment methods include intralesional injections, dermabrasion, cryotherapy, microneedling, chemical peels, dermal fillers, and platelet-rich plasma. Lasers are also used in addition to camouflaging scars with tattoos or cos
The document outlines the 10 steps for performing a dynamic hip screw (DHS) procedure for peritrochanteric fractures, which includes taking an x-ray, making an incision, using guides to insert a lag screw and plate, and placing cortical screws. The procedure is described by Dr. D.P. Swami and marked for educational purposes only.
La fase pre-operatoria inizia nel momento in cui viene presa la decisione di effettuare l’intervento chirurgico, ed ha termine quando il paziente viene posizionato sopra il letto chirurgico. In questa fase sono comprese tutte le attività che sono necessarie alla preparazione del paziente all’intervento chirurgico
Indicazioni alla chirurgia endoscopica nella patologia maligna laringeaDomenico Di Maria
http://www.aoico.it
XIII Congresso Nazionale AOICO - Cava de’Tirreni (SA)
Relazione tenuta dal dott. Domenico Di Maria sulle Indicazioni alla chirurgia endoscopica nella patologia maligna
laringea.
1. Rischio di lesioni da malposizionamento intraoperatorio 23-30 Novembre 2010 Fisiopatologia delle lesioni da malposizionamento Dr.ssa Lavinia Fattorini U.O.C Anestesia, Analgesia e Rianimazione Dir. Tonino Bernacconi