Eponymous Terms in Orthopedic Surgery
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Effusion =S Fluid in Pleural Space (Outside of Lung) Fremitus - Pathophysiology • Fremitus: – Increased W/Consolidation (E.G
General Part Head and Neck Cardiovascular Abdomen Lung Muscles Lung Exam • Includes Vital Signs & Cardiac Exam • 4 Elements (cardiac & abdominal too) – Observation – Palpation – Percussion – Auscultation Pulmonary Review of Systems • All organ systems have an ROS • Questions to uncover problems in area • Need to know right questions & what the responses might mean! Exposure Is Key – You Cant Examine What You Can’t See! Anatomy Of The Spine Cervical: 7 Vertebrae Thoracic: 12 Vertebrae Lumbar: 5 Vertebrae Sacrum: 5 Fused Vertebrae Note gentle curve ea segment Hammer & Nails icon indicates A Slide Describing Skills You Should Perform In Lab Spine Exam As Relates to the Thorax • W/patient standing, observe: – shape of spine. – Stand behind patient, bend @ waist – w/Scoliosis (curvature) one shoulder appears “higher” Pathologic Changes In Shape Of Spine – Can Affect Lung Function Scoliosis (curved to one side) Thoracic Kyphosis (bent forward) Observation • ? Ambulates w/out breathing difficulty? • Readily audible noises (e.g. wheezing)? • Appearance →? sitting up, leaning forward, inability to speak, pursed lips → significant compromise • ? Use of accessory muscles of neck (sternocleidomastoids, scalenes), inter-costals → significant compromise / Make Note of Chest Shape: Changes Can Give Insight into underlying Pathology Barrel Chested (hyperinflation secondary to emphysema) Examine Nails/Fingers: Sometimes Provides Clues to Pulmonary Disorders Cyanosis Nicotine Staining Clubbing Assorted other hand and arm abnormalities: Shape, color, deformity -
THE ROMANCE of BIBLE CHRONOLOGY Rev
THE ROMANCE OF BIBLE CHRONOLOGY Rev. Martin Anstey, BA, MA An Exposition of the Meaning, and a Demonstration of the Truth, of Every Chronological Statement Contained in the Hebrew Text of the Old Testament Marshall Brothers, Ltd., London, Edinburgh and New York 1913. DEDICATION To my dear Friend Rev. G. Campbell Morgan, D.D. to whose inspiring Lectures on “The Divine Library in Human History” I trace the inception of these pages, and whose intimate knowledge and unrivalled exposition of the Written Word makes audible in human ears the Living Voice of the Living God, I dedicate this book. The Author October 3rd, 1913 FOREWORD BY REV. G. CAMPBELL MORGAN, D. D. It is with pleasure, and yet with reluctance, that I have consented to preface this book with any words of mine. The reluctance is due to the fact that the work is so lucidly done, that any setting forth of the method or purpose by way of introduction would be a work of supererogation. The pleasure results from the fact that the book is the outcome of our survey of the Historic move- ment in the redeeming activity of God as seen in the Old Testament, in the Westminster Bible School. While I was giving lectures on that subject, it was my good fortune to have the co—operation of Mr. Mar- tin Anstey, in a series of lectures on these dates. My work was that of sweeping over large areas, and largely ignoring dates. He gave his attention to these, and the result is the present volume, which is in- valuable to the Bible Teacher, on account of its completeness and detailed accuracy. -
Guillaume Dupuytren and His Contributions to Knowledge About Tumors Anne J
University of Nebraska - Lincoln DigitalCommons@University of Nebraska - Lincoln Transactions of the Nebraska Academy of Sciences Nebraska Academy of Sciences and Affiliated Societies 1982 Guillaume Dupuytren And His Contributions To Knowledge About Tumors Anne J. Krush Johns Hopkins Hospital Follow this and additional works at: http://digitalcommons.unl.edu/tnas Krush, Anne J., "Guillaume Dupuytren And His Contributions To Knowledge About Tumors" (1982). Transactions of the Nebraska Academy of Sciences and Affiliated Societies. 497. http://digitalcommons.unl.edu/tnas/497 This Article is brought to you for free and open access by the Nebraska Academy of Sciences at DigitalCommons@University of Nebraska - Lincoln. It has been accepted for inclusion in Transactions of the Nebraska Academy of Sciences and Affiliated Societies by an authorized administrator of DigitalCommons@University of Nebraska - Lincoln. 1982. Transactions a/the Nebraska Academy a/Sciences, X:67-69. GUILLAUME DUPUYTREN AND HIS CONTRmUTIONS TO KNOWLEDGE ABOUT TUMORS Anne J. Krush The Johns Hopkins Hospital 600 North Wolfe Street Baltimore, Maryland 21205 Guillaume Dupuytren was born in the village of Pierrebuffi~re, on gave the order, "You will be a surgeon!" Dupuytren was en 5 October 1777. Though his father was a lawyer and parliamentarian, rolled in the medical-surgical school of the Saint Alexis many of Dupuytren's other ancestors had been physicians, mostly sur Hospital in Limoges. However, his family was unwilling to geons. Guillaume entered the College of Magnac-Laval at age seven. support him; so he returned to Paris, received a meager schol From age 12 to 17 he attended the Marche School in Paris. -
Meniscus Injury
Introduction Role of menisci • Medial meniscus lesions are more common than 01 lateral meniscus because it is attached to the improving articular capsule that make it less mobile thus it cannot congruency and increasing easily to accommodate the abnormal stresses. the stability of the knee • In increasing age – gradual degeneration and change in the material properties of the menisci Meniscus controlling the complex thus splits and tears are more likely that usually associated with osteoarthritic articular damage or rolling and gliding actions of chondrocalcinosis. Injury the joint • In younger people - meniscal tears are usually the result of trauma, with a specific injury identified in distributing load during the history. movement Tear of Meniscus Pathology Pathology • Usually, meniscus more likely to tear along its Vertical tear Horizontal tear length than across its width because the Bucket-handle tear usually ‘degenerative’ or due to repetitive minor trauma meniscus consists mainly of circumferential the separated fragment remains attached front complex with the tear pattern lying in many collagen fibres held by a few radial strands. and back planes The torn portion can sometimes displace towards may be displaced or likely to displace • The meniscus is usually torn by a twisting the centre of the joint and becomes jammed If the loose piece of meniscus can be displaced, it between femur and tibia acts as a mechanical irritant, giving rise to force with the knee bent and taking weight. This causes a block to movement with the patient recurrent synovial effusion and mechanical describing a ‘locked knee’ symptoms • In middle life, tears can occur with relatively posterior or anterior horn tears Some are associated with meniscal cysts little force when fibrotic change has the very back or front of the meniscus is It is also suggested that synovial cells infiltrate into the vascular area between meniscus and restricted mobility of the meniscus. -
Comparison of the Thesslay Test and Mcmurray Test: a Systematic
py & Ph ra ys e i th c Alexanders et al.,Physiother Rehabil 2016, 1:1 a io l s R y e Journal of DOI: 10.4172/2573-0312.1000104 h h a P b f i o l i l t a ISSN:a 2573-0312 t n i r o u n o J Physiotherapy & Physical Rehabilitation Research Article Open Access Comparison of the Thesslay Test and McMurray Test: A Systematic Review of Comparative Diagnostic Studies Jenny Alexanders1*, Anna Anderson2, Sarah Henderson1 and Ulf Clausen3 1Sport, Health and Sciences Department, The University of Hull, Washburn Building, Cottingham Road, Hull, United Kingdom 2Leeds Teaching Hospitals, Beckett Street, Leeds, LS9 7TF, United Kingdom 3Dr Hill and Partners, Beverly Health Practice, Manor Road, Hull, HU17 7BZ, United Kingdom Abstract Background: The Thessaly test is a relatively recently developed meniscal test; therefore research compared to other meniscal tests is somewhat limited. In addition, a systematic review comparing the Thessaly’s test with a long standing test such as the McMurray test has not been previously conducted. Objective: To systematically identify and appraise all empirical studies comparing the diagnostic accuracy of the Thessaly test and McMurray test. Procedure: Eligible studies were identified through a rigorous search of ScienceDirect, CINAHL Plus, Pubmed, PEDro, EMBASE and Cochrane Library from January 2004 until August 2014. Full English reports of studies investigating the accuracy of the Thessaly test and McMurray test. Quality Assessment of Studies of Diagnostic Accuracy (QUADAS) scores were completed on each selected article. Results: The Thessaly test reported to have higher diagnostic accuracy values (61-96%) compared to the McMurray test (56-84%). -
Medical Students in England and France, 1815-1858
FLORENT PALLUAULT D.E.A., archiviste paléographe MEDICAL STUDENTS IN ENGLAND AND FRANCE 1815-1858 A COMPARATIVE STUDY University of Oxford Faculty of Modern History - History of Science Thesis submitted for the degree of Doctor in Philosophy Trinity 2003 ACKNOWLEDGMENTS In the first instance, my most sincere gratitude goes to Dr Ruth Harris and Dr Margaret Pelling who have supervised this thesis. Despite my slow progress, they have supported my efforts and believed in my capacities to carry out this comparative study. I hope that, despite its defects, it will prove worthy of their trust. I would like to thank Louella Vaughan for providing an interesting eighteenth-century perspective on English medical education, sharing her ideas on my subject and removing some of my misconceptions. Similarly, I thank Christelle Rabier for her support and for our discussions regarding her forthcoming thesis on surgery in England and France. My thanks naturally go to the staff of the various establishments in which my research has taken me, and particularly to the librarians at the Wellcome Library for the History and Understanding of Medicine in London, the librarians in the History of Science Room at the Bibliothèque nationale de France in Paris, and to Bernadette Molitor and Henry Ferreira-Lopes at the Bibliothèque Inter-Universitaire de Médecine in Paris. I am grateful to Patricia Gillet from the Association d’entraide des Anciens élèves de l’École des Chartes for the financial support that the Association has given me and to Wes Cordeau at Texas Supreme Mortgage, Inc. for the scholarship that his company awarded me. -
The 100 Most Eminent Psychologists of the 20Th Century
Review of General Psychology Copyright 2002 by the Educational Publishing Foundation 2002, Vol. 6, No. 2, 139–152 1089-2680/02/$5.00 DOI: 10.1037//1089-2680.6.2.139 The 100 Most Eminent Psychologists of the 20th Century Steven J. Haggbloom Renee Warnick, Jason E. Warnick, Western Kentucky University Vinessa K. Jones, Gary L. Yarbrough, Tenea M. Russell, Chris M. Borecky, Reagan McGahhey, John L. Powell III, Jamie Beavers, and Emmanuelle Monte Arkansas State University A rank-ordered list was constructed that reports the first 99 of the 100 most eminent psychologists of the 20th century. Eminence was measured by scores on 3 quantitative variables and 3 qualitative variables. The quantitative variables were journal citation frequency, introductory psychology textbook citation frequency, and survey response frequency. The qualitative variables were National Academy of Sciences membership, election as American Psychological Association (APA) president or receipt of the APA Distinguished Scientific Contributions Award, and surname used as an eponym. The qualitative variables were quantified and combined with the other 3 quantitative variables to produce a composite score that was then used to construct a rank-ordered list of the most eminent psychologists of the 20th century. The discipline of psychology underwent a eve of the 21st century, the APA Monitor (“A remarkable transformation during the 20th cen- Century of Psychology,” 1999) published brief tury, a transformation that included a shift away biographical sketches of some of the more em- from the European-influenced philosophical inent contributors to that transformation. Mile- psychology of the late 19th century to the stones such as a new year, a new decade, or, in empirical, research-based, American-dominated this case, a new century seem inevitably to psychology of today (Simonton, 1992). -
The Inverted Osteochondral Lesion of the Talus
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Erasmus University Digital Repository An irreducible ankle fracture dislocation; the Bosworth injury T. Schepers MD PhD, T. Hagenaars MD PhD, D. Den Hartog MD PhD Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands Department of Surgery-Traumatology Corresponding author: T. Schepers, MD PhD Erasmus MC, University Medical Center Rotterdam Department of Surgery-Traumatology Room H-822k P.O. Box 2040 3000 CA Rotterdam The Netherlands Tel: +31-10-7031050 Fax: +31-10-7032396 E-mail: [email protected] 1 Abstract Irreducible fracture-dislocations of the ankle present infrequently, but are true orthopedic emergencies. We present a case in which a fracture-dislocation appeared irreducible because of a fixed dislocation of the proximal fibula fragment behind the lateral tibia ridge. This so-called Bosworth fracture-dislocation was however initially not appreciated from the initial radiographs, but was identified during urgent surgical management. The trauma-mechanism, radiographs, treatment, and literature are discussed Keywords Fibula; Ankle; ORIF; Fracture-dislocation; Bosworth 2 Introduction Acute fracture-dislocations of the ankle occur infrequently but are a true orthopedic emergency. Besides the intense pain and distress caused to the patient, the gross displacement may cause pressure necrosis of the anterior skin, vascular and neurologic impairment, and compressive damage to the cartilage of the talar dome and tibia joint surface. Immediate reduction of the fracture, and thereby relieving the compromised neurovascular structures provides overall good results. There are several case reports and series reporting on non-reducible fracture-dislocations of the ankle1-3. -
Bosworth Fracture-Dislocation of the Ankle: a Case Report and Literature Review
Bosworth Fracture-dislocation of the Ankle: A Case Report and Literature Review Zhi-qiang Wang Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine Qiu-xiang Feng Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine Yu-xiang Dai Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine Hong Jiang Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine Peng-fei Yu Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine Yun-juan Yao Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine Zhen Lu Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine Xiao-chun Li Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine Jin-tao Liu ( [email protected] ) Suzhou TCM Hospital Aliated to Nanjing University of Chinese Medicine https://orcid.org/0000- 0002-7965-4837 Research article Keywords: Bosworth fracture-dislocation, irreducible Dislocation, Treatment for Bosworth ankle injuries, Ankle Posted Date: November 2nd, 2020 DOI: https://doi.org/10.21203/rs.3.rs-99420/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/12 Abstract Introduction: Bosworth fracture-dislocation is an unusual variant of ankle joint fracture and dislocation, which has a high clinically missed diagnosis rate due to poor visibility on X-ray. At the same time, successful closed manipulations in an ankle joint fracture and dislocation are dicult because of the bula attachment at the posterolateral ridge of the tibia or at the fractured end of the posterior tibia. Patient concerns: A 56-year-old man visited the hospital for further evaluation of a swollen, deformed right ankle resulting from a tumble 4 hours ago. -
Bosworth Fracture Dislocation of the Ankle: a Frequently Missed Injury Grufman V., Holzgang M., Melcher G
Bosworth fracture dislocation of the ankle: a frequently missed injury Grufman V., Holzgang M., Melcher G. A., Departement of surgery, Hospital of Uster, Switzerland I. Objective We present a case of the rare Bosworth fracture dislocation of the ankle and emphasize the specific clinical and radiological signs to aid its early diagnosis. II. Methods A 26-year old patient sustained a severe external rotation injury to the right ankle in combination with direct trauma. Clinical examination showed an externally rotated foot and tibiotalar dislocation. antero-posterior view lateral view antero-posterior view lateral view a b a b Fig. 2 (a,b): External fixation was applied after successful closed reduction of the tibiotalar joint. Intraoperative radiographs reveal a Fig. 1 (a, b): Weber type-B lateral malleolar fracture with persistent correctly aligned tibiotalar joint, albeit displaying the persistent tibiotalar dislocation. posteromedial displacement of the proximal fibula. Fig. 3 (a: 3D CT-scan reconstruction, oblique view; b: sagittal cut; c: transverse cut): Postoperative CT-scan confirm the persistent postero-medial displacement a b c of the fibula. III. Results IVIV.. ConclusionConclusion Open reduction This rare type of irreducible ankle fracture dislocation, and internal characterized by posteromedial displacement and locking of fixation of the the proximal fibular fragment behind the posterolateral fibula by a lag ridge of the distal tibia, was described by Bosworth 1947.1 screw and To date only about 30 cases have been reported in neutralisation plate. literature. The injury often remains unrecognized and Postoperative permanent disability can occur in case of inappropriate radiographs (Fig. 4 treatment. Treatment of choice is the immediate open a, b) show a reduction and internal fixation to restore anatomy.2 correctly restored anatomy. -
Paratrooper's Ankle Fracture: Posterior Malleolar Fracture Clinics in Orthopedic Surgery • Vol
Original Article Clinics in Orthopedic Surgery 2015;7:15-21 • http://dx.doi.org/10.4055/cios.2015.7.1.15 Paratrooper’s Ankle Fracture: Posterior Malleolar Fracture Ki Won Young, MD*, Jin-su Kim, MD*,†, Jae Ho Cho, MD†,‡, Hyung Seuk Kim, MD*, Hun Ki Cho, MD*, Kyung Tai Lee, MD§ *Surgery of Foot and Ankle, Eulji Medical Center, Eulji University College of Medicine, Seoul, †Department of Orthopedic Surgery, Military Capital Hospital, Seongnam, ‡Department of Orthopaedic Surgery, Inje University Seoul Paik Hospital, Seoul, §KT Lee’s Foot and Ankle Clinic, Seoul, Korea Background: We assessed the frequency and types of ankle fractures that frequently occur during parachute landings of special operation unit personnel and analyzed the causes. Methods: Fifty-six members of the special force brigade of the military who had sustained ankle fractures during parachute land- ings between January 2005 and April 2010 were retrospectively analyzed. The injury sites and fracture sites were identified and the fracture types were categorized by the Lauge-Hansen and Weber classifications. Follow-up surveys were performed with re- spect to the American Orthopedic Foot and Ankle Society ankle-hindfoot score, patient satisfaction, and return to preinjury activity. Results: The patients were all males with a mean age of 23.6 years. There were 28 right and 28 left ankle fractures. Twenty-two patients had simple fractures and 34 patients had comminuted fractures. The average number of injury and fractures sites per person was 2.07 (116 injuries including a syndesmosis injury and a deltoid injury) and 1.75 (98 fracture sites), respectively. -
William Stewart Halsted in the History of American Surgery
醫 史 學 제12권 제1호(통권 제22호) 2003년 6월 Korean J Med Hist 12∶ 66– 87 June 2003 大韓醫史學會 ISSN 1225– 505X W illiam S tew art Hals ted in the His tory of Am erican S urg ery KIM Ock– Joo* The Johns Hopkins Hospital founded in 1889 inspiring teachers most of whom had research and the Johns Hopkins Medical School opened in experience in European medical centers medical 1893 provided young men and women with a students were trained as medical scientists both in unique environment for medical research For the laboratories and at the bedside The influence of first time in America a teaching hospital was the Johns Hopkins Hospital and University on established as an integral part of a medical school American medicine and medical education was far within a university 1) The hospital staff and reaching 2) The Johns Hopkins stimulated other medical school faculty played an important role in universities and hospitals to adopt research– introducing the institutions and ideals of scientific oriented medical education 3) Many investigators research to the United States from Europe Under trained at Johns Hopkins established similar * Department of Medical Education, College of Medicine, Korea University 1) The Johns Hopkins Hospital was unique compared to other teaching hospitals in America In successive papers Kenneth Ludmerer has shown that teaching hospitals in America arose mainly from unions between voluntary hospitals founded in the nineteenth century and university medical schools in the 1910s and 1920s He claims that the primary reason for the backwardness