Category Surgery

Spine

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology Occiput ( Fig. 5-1 ) Foramen magnum External occipital protuberance (inion) Thickest portion of bone (4-18 mm) Supreme, superior, and inferior nuchal lines Transverse sinus Cervical Vertebrae ( Fig. 5-2 ) C1 (Atlas)…

Wrist and Hand

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology ( Fig. 4-1 ) Distal Radius Radial styloid process Two fossae for carpal articulation Scaphoid fossa Lunate fossa Sigmoid notch—articulation with the distal ulna Lister's tubercle, which is between the second and…

Elbow and Forearm

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology ( Figs. 3-1 and 3-2 ) Distal Humerus Widens and flattens distally into medial and lateral supracondylar ridges, then medial and lateral epicondyles The extensor carpi radialis longus (ECRL) originates on the…

Shoulder and Arm

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology Scapula ( Fig. 2-1 ) A broad flat bone that serves as an attachment for 17 muscles and 4 ligaments The glenoid is typically retroverted 1.2 degrees with a normal range between…

Approach to the Surgical Patient

This book uses a bulleted text format and original color illustrations paired side by side with operative photographs to present orthopaedic anatomy and surgical approaches clearly. Regional Anatomy Regional anatomy for each section is presented in the following order: Osteology…

Outlines of Common Surgical Notes

Pre-OP Note ∗ Date and time: ∗ See also Chapter 24. Pre-op diagnosis: Procedure planned: Staff surgeon: Pre-op examination: Pertinent pre-op laboratory studies: List of routine medications/therapies: Blood products available: -Confirm availability with a phone call to the blood bank…

Reading X-Rays, Reading ECGs

Reading X-Rays ( Fig. A.1 and A.2 ) Reading ECGs Rate Multiply the number of QRS complexes in a 6-second period (30 large squares) (between the two large dots) by 10 = beats/minute ( Fig. A.3 ). Normal = 60…

Wounds

The on-call physician for a surgical service should feel comfortable managing wound problems. Usually, most of these problems are straightforward. However, some calls about wound problems lead to the diagnosis of a serious problem. For this reason, it is important…

Urine Output Changes

Changes in urine output (UO) encompass a variety of complaints, the most common being a decrease in UO in a postoperative patient because of changes in intravascular volume. Also considered in this chapter are other causes of decreased UO, increased…