Tendon Injuries

Apr 6, 2017 by in CRITICAL CARE Comments Off on Tendon Injuries

Fig. 16.1 Ultrasound image of a torn rotator cuff 16.1.6 Organ-Specific Imaging 16.1.6.1 Magnetic Resonance Imaging and Computed Tomography In unclear cases it can be useful to obtain a magnetic…

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Plastic Surgery in Trauma

Apr 6, 2017 by in CRITICAL CARE Comments Off on Plastic Surgery in Trauma

Healing by secondary intention Primary closure Skin grafting Local flaps Distant pedicled flaps Tissue expansion Free tissue transfer Fig. 12.1 Reconstructive clockwork as a refinement of the reconstructive ladder. CTA…

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Soft-Tissue Trauma

Apr 6, 2017 by in CRITICAL CARE Comments Off on Soft-Tissue Trauma

Classification Skin open + closed − Soft-tissue damage Fracture mild + severity mod ++ sev. +++ Contamination Fr. C 0 − − + − C I − + + to…

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Osteitis

Apr 6, 2017 by in CRITICAL CARE Comments Off on Osteitis

Fig. 18.1 Electromicroscopic slide of Staphylococcus epidermidis: Biofilm. Upper figure: Staphylococcus aureus from fluid culture; lower figure: Staphylococcus aureus in Biofilm (REM-slide from S. Sailer and I. Chatterjee, Homburg/Saar) 18.1.4…

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Pathologic Fractures

Apr 6, 2017 by in CRITICAL CARE Comments Off on Pathologic Fractures

Fig. 19.1 A case of fibrous dysplasia of the proximal femur causing a pathologic fracture Chronic Osteitis: There are usually obvious bony changes with cavitation, sequestrum, and involucrum formation [5]….

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Burn Injury

Apr 6, 2017 by in CRITICAL CARE Comments Off on Burn Injury

Fig. 13.1 Pathophysiology of burn shock 13.5 Classifications of Burn Injuries 13.5.1 Burn Depth Burns are classified by the depth of tissue affected. The depth of injury depends on the…

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Thromboembolism

Apr 6, 2017 by in CRITICAL CARE Comments Off on Thromboembolism

Genetic factors Environmental factors Factor V Leiden Surgery/trauma Prothrombin gene mutation Immobility High factor VIII levels Age Hyperhomocysteinemia Congestive heart failure/ myocardial infarction Antithrombin deficiency Hormone replacement therapy/oral contraception Protein…

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Compartment Syndrome

Apr 6, 2017 by in CRITICAL CARE Comments Off on Compartment Syndrome

where LBF is local blood flow, PV is local venous pressure, PA is local arterial pressure, and R is local resistance. Normal myocyte metabolism requires a 5–7 mm Hg oxygen…

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