Critical Debrief: The Pitt Episode 3
Three rapid clinical updates: tenecteplase for stroke, the danger of overshooting blood pressure after ICH, and the new Surviving Sepsis guidelines ACEP won’t endorse.
Not Just Expensive Urine
Evidence-based supplements for shift-workers, including vitamin D, magnesium, omega-3, creatine, and the berberine-PSA trap.
William Henry Trethowan
William Henry Trethowan (1882-1934), British orthopaedic surgeon known for fracture surgery, bone grafting, foot surgery and the historical Trethowan sign
Trethowan sign
Trethowan sign is a historical SCFE radiographic sign linked to William Henry Trethowan. Review its uncertain origin, evolving definition and relation to Klein line.
Reimers migration percentage
Reimers migration percentage quantifies lateral hip displacement in children. Review the original 1980 method, Perkins line, modern variants and clinical use.
Jørgen Reimers
Jørgen Reimers (1931-2008), Danish paediatric orthopaedic surgeon. Reimers migration percentage for surveillance of hip displacement in cerebral palsy.
Armin Klein
Armin Klein (1892–1954), American orthopaedic surgeon known for Klein line and work on slipped capital femoral epiphysis, scoliosis and paediatric orthopaedics.
Klein line
Klein line is an AP hip radiographic sign used in suspected SCFE. Review the original description, modern interpretation, limitations and modified Klein line.
Dietrich Tönnis
Dietrich Tönnis (1927-2010), German paediatric orthopaedic surgeon known for the Tönnis angle, Tönnis classification, triple pelvic osteotomy and work on hip dysplasia.
Tönnis angle
Tönnis angle is the acetabular roof angle used to assess hip dysplasia. Review its measurement, normal ranges, history from Horváth and Hilgenreiner, and eponymythology.
The Physician Who Never Stops
Burnout, shift work, and sleep loss are ageing emergency physicians. A practical 30-minute framework to protect recovery, long-term health and longevity.
Perkins line
Perkin line is the vertical pelvic reference used with Hilgenreiner line in DDH assessment. Review its definition, 1928 origin, history and eponymythology