– See: Infections of the Hand – Anatomy: – extends mediolaterally from long metacarpal bone to the thenar eminence; – extends proximodistally from transverse carpal ligament to just proximal to superfical palmar arch; – borders of the thenar space include: – … Read more
– Discussion: – indicated primary for traumatic peripheral ulnar sided TFCC tears; – negative predictive factors for successful repair include concomitant ulnocarpal impaction syndrome (associated w/ degenerative tears) and peripheral radial tears (due to the relative avasucularity of the disc in this region; – some surgeons feel … Read more
– Archetecture – Excursion, of Tendons – Extensor Tendon Lacerations – Extensor Tendon Rupture – Flexor Tendon Repair – Flexor Tendon Pulleys and Sheath – Flexor Tenolysis – Infectious Tenosynovitis – Injury & Repair – Tendon Reconstruction … Read more
– See: – Architecture – Tendons of Hand – Extensor Tendon Injuries – Excursion, of Tendons – Flexor Tendon Repair: – Zone I Injuries – Zone II injuries … Read more
– See: Juvenile Rheumatoid Arthritis – Discussion: – characterized by high fever, rash, lymphadenopathy, and polyarthritis; – usually appears at 5-10 years of age; – least common type of JRA: < 20 % of patients. – Clinical Presentation: – acute onset, often accompanied by a sore throat … Read more
Discussion affects periarticular soft tissues resulting in joint laxity with secondary dysfunction; minimal synovitis – articular cartilage is preserved; Raynaud’s phenomenon is common; diagnosis depends on positive F ANA test along with three other criteria: swollen joints nephritis pericarditis severe rash references: The 1982 revised criteria for the classification of systemic lupus erythematosus. Updating the American … Read more
– See: – Bursae of the knee: – Pigmented Villonodular synovitis – Discussion: – synovial cavity is deepest layer of joint capsule & it often has several embryological invaginations called plica that persist into adult life; – these may cuase anterior knee symptoms, – although synovium membrane is attached all around, above … Read more
– Discussion: – synovial plica are folds of embryonic remnants of synovial membrane which, in fetus, divide knee is divided into medial, lateral, & patellar compartments; – although these membranes normally degenerate by the second trimester, (allowing knee to become one cavity), incomplete membrane degeneration will lead to the formation of plica … Read more
Discussion a monarticular synovial proliferative disease which is characterized by the metaplastic conversion of cartilagenous tissue to ossified loose bodies; cartilagenous or osteocartilaginous metaplasia takes place w/in the synovial membrane of joints, bursae, or tendon sheaths; seen most often in middle-aged men; pts report pain and limitation of motion; location over one-half of cases occur … Read more