– See: – Phalangeal Injury – Thumb Swan Neck Deformity – Transverse Retinacular Ligament – Discussion: – deformity involves hyperextension of PIP Joint w/ flexion of DIP joint; – deformity may start at either the PIP or DIP; – at PIP joint, there … Read more
– Discussion: – anatomic variations: of tendons in 1st extensor compartment; – APL & EPB tendons may occupy separate canals, or lie together in one osseofibrous canal; – commonly there is one EPB and multiple APL; – there is separation of first extensor compartment more often in pts w/ DeQuervain’s tenosynovitis than in those w/o … Read more
– See: – Abductors of the Shoulder: – Rotator cuff; – Anatomy: – origin: medial 2/3 of supraspinatus fossa above spine of scapula; – insertion: superior surface of greater tuberosity of humerus and capsule of shoulder joint; – demensions: supraspinatus averages 25 mm wide and has … Read more
– See: proximal biceps tendonopathy – Discussion: – refers to a detachment lesion of the superior aspect of glenoid labrum, which serves as the insertion of long head of biceps; – relatively common injury in throwing atheletes, but may most commonly occur in patients who have fallen or who have received a blow on the shoulder; – references: – Kinetics … Read more
– Stage I: – represents synovitis: – synovial membrane becomes hyperemic and edematous with foci of infiltrating small lymphocytes; – joint effussions w/ high cell count (5,000 to 60,000 per mm3) – x-rays will as yet show no destructive changes, but soft tissue swelling or osteoporosis may be … Read more
– Stage I: – edema and hemorrhage: – reversible lesion usually seen in the second and third decade; – exam: – palpable tenderness over the greater tuberosity at supraspinitus insertion – palpalble tenderness along the anterior edge of the acromion; … Read more
– Discussion: – inflammation causes tenosynovitis and elongation; – hindfoot remains supple and is reducible; – pt has flexible flat foot, & w/ removal of weight, foot resumes its normal arch; – it is essential to distinguish the supple type II lesion from the type III lesion … Read more
– See: rupture of tibialis posterior – Dicussion: – tendinitis is present but tendon remains at its normal length; – in a young patient consider accessory navicular; – Non Operative Treatment: – arch supports, rubber-soled shoe w/ quarter-inch medial heel, sole wedge, UCBL; – immobilization in a … Read more
– See: Anti-Fungal Agents – Discussion: – is a fungus that may be introduced into the extremity thru abrasions caused by splinters or thorns (rose bushes); – incubation period is 1-12 weeks; – may start as a red papular lesion and then develops into an abscess and spreads to … Read more
– Rotator Interval Capsule: – rotator interval is a triangular portion of shoulder capsule which lies between the supraspinatus and subscapularis tendons; – capsular anatomy: (Static Stabilizers / Capsule of the Shoulder) – interval capsule is reinforced by the superior glenohumeral and coracohumeral ligaments; – references: – Capsular ligaments … Read more