(EOVA) Geek Club

People participate in journal clubs or book clubs. Geek Club is my affectionate term for documenting summaries of all the geeky stuff I read. I work as a physiatrist at the East Orange VA hospital in NJ. This may also serve as a resource for the residents who rotate through there.

Thursday, January 10, 2008

Jones Fx, RFA, Knee Bursae, Diabetic Amyotrophy

Jones Fracture is a frx at base of fifth metatarsal at metaphyseal-diaphyseal junction not to be confused with the much more common 5th metatarsal styloid avulsion, os peroneum, or stress fracture (chronic jones). Conservatively treat (if minimally displaced, is 3 months old, and radiographs show frx w/o evidence of non-union) with non-wt-bearing cast for 6-8 wks .



Pes Anserine bursitis good ol emedicine does an okay job. They mention some of the 12 bursae i always talk about.
See my document about Knee Bursae



Radiofrequency neurotomy for neck pain: an excellent study in N Engl J Med. 1996 Dec 5;335(23):1721-6. Percutaneous radio-frequency neurotomy for chronic cervical zygapophyseal-joint pain. This paper tells you about the procedure as well.




Diabetic Amyotrophy: One of the best reviews of this is the podcast with Dr. Dyck where he discusses his article "Diabetic and Nondiabetic Lumbosacral Radiculoplexus Neuropathies: New Insights into Pathophysiology and Ttreatment." Muscle & Nerve. 2002 Apr;25(4):477-91. It is a usually monophasic & unilateral lumbosacral radiculoplexus neuropathy associated with weight loss, begins focally with pain (excruciating in thigh, hip, buttocks muscles) but evolves into widespread, bilateral paralytic disorders. There may be prolonged pain and weakness leading to wheelchair-dependence. Nerve injury and microvasculitis seen (motor>autonomic and sensory ischemic injury). Immune-modulating therapies may be beneficial.



Can you say Articularis Genus?



Other Topics from Today

Parkinson's Disease:
Spinal Stenosis:
Spondylolisthesis:
Crossed Adductor Reflex:
Fibromyalgia
Proprioception
Sciatica vs. sciatic nerve injury vs. common peroneal nerve injury

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