– Discussion: – main function of the tibialis posterior is to invert the subtalar joint, which helps to stabilize the transverse tarsal joint during rheumatoid hindfoot; – pathophysiology: – degenerative tears usually occur distal to the medial malleolus, in a region which coincides with relative hypovascularity and sharp turn of the tendon from a verticle to … Read more
– Discussion: – a wafer of up to 2-4 mm of distal ulnar head is removed, while the styloid process TFCC, and attatched ligaments remain attached; – the procedure is contra-indicated if more than 4 mm of positive variance; – may be indicated for symptomatic … Read more
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears; (partial rotator cuff tear) – etilogy of tear – ref: Association between alcohol consumption and rotator cuff tear – how do RTC tears heal? – Shoulder Exam: – impingement sign and … Read more
– Discussion: – rotator cuff anatomy – diff dx of cuff tears (partial rotator cuff tear) – etilogy of tear – how do RTC tears heal? – surgically demonstratable full thickness RTC tears are present in about 1/5 elderly patients; – MRI studies have been published … Read more
– Discussion: – rotator cuff anatomy – frequency of tear – diff dx of cuff tears – etilogy of tear: – impingement syndrome: (75%) – shoulder instability (anterior or multi-directional) (15%) (should be considered in any young … Read more
– See: – Rheumatoid Arthritis – Rheumatoid Hand – RA Disease in the Wrist – Discussion: – tenosynovitis may present w/ difficulty w/ active PIP flexion, carpal tunnel symptoms, trigger finger, & deQuervain’s syndrome; – tenosynovitis will manifest as dorsal wrist swelling and may be isolated … Read more
– See: Rheumatoid Hand – Sites of Triggering in the Rheumatoid Patient: – A1 pulley (as w/ convential trigger finger) – FDS decussation (may require excising slip of sublimis or an intratendinous nodule); – nodule in FDP near A2 can cause finger to lock into extension; – Non Operative … Read more
– See: – Caput Ulnae Syndrome – Rheumatoid Hand – Wrist Arthrodesis – Discussion: – wrist involvement w/ RA is common; – findings inlude peri-articular osteoporosis, destructive osteolysis, arthritis of distal RU joint, and carpal arthrosis; – final pattern is … Read more
– Discussion: – the foot is the initial manifestation of RA in 15% of patients; – initially, RA involves the forefoot, then the midtarsal joints, and finally the hindfoot; – forefoot is involved twice as often as the hindfoot; – although forefoot & hindfoot disease can coexist, … Read more
– See: Rheumatoid Arthritis – Pathoanatomy: – RA Disease in the Wrist – Extensor Tendon Rupture – Tenosynovitis – diff dx: w/ RF negative tenosynovitis consider myobacterium marium infection; – Flexor Tendon Rupture – Ulnar drift – MP joint – PIP … Read more