– Technique Considerations: – following restoration of fracture anatomy, contour 1/3 tubular, 3.5 pelvic reconstruction, or 3.5 DCPs, to fit medial and lateral aspect of distal humerus; – the strongest bone lies along medial and lateral columns and therefore the plate screws should be placed here rather than central portion of distal end of the … Read more
Discussion arises from median nerve, 5 cm above medial epicondyle; runs on volar surface of FDP and along interosseous membrane between ulna & radius; supplies FPL, lateral half of FDP, & pronator quadratus; may supply sensory branches to distal ru and carpal joints; variations: martin gruber anastomosis occurs in 10-15% of all forearms and in … Read more
Discussion general discussion: clinical and radiographic findings Surgical Technique Subacromial Decrompression Arthroscopic Distal Clavicle Excision: Open Clavicle Excision: Surgical Technique: Modified Weaver Dunn Procedure: Complications lateral elevation of the clavicle: lateral elevation is often associated w/ pain; ref: Sequential Resection of the Distal Clavicle and Its Effects on Horizontal Acromioclavicular Joint Translation references: Complications after … Read more
Discussion total absence of the thumb may be an isolated anomaly, but it is often associated with some other congenital malformation; absent thumb may be inherited as autosomal dominant or may be sporadic; absent thumb is frequently observed in Holt-Oram syndrome, Fanconi’s anemia, and ring D chromosome abnormalities; absent radius is almost always associated with … Read more
(see also: Upper Extremity Prosthetics) Surgical Considerations consider the Marquardt Osteotomy of the Humerus: supracondylar, to put 15-20 deg of posterior angulation at this site, to facilitate suspension and provide rotational control; distal piece must be at least 5 cm long; stagger the median and ulnar nerve resection levels to avoid a large confluent neuroma
Discussion classic disease results from deficiency of factor VIII clotting activity; hemophilia A is not caused by an absolute deficiency of factor VIII, but from an abnormal molecule making up part of the VIII clotting factor; hemophilic arthropathy: pathologic changes (coag pathway / coag labs); inheritance pattern: sex-linked recessive; affected male will have normal sons … Read more
Discussion » orthopaedic infection menu general orders and treatment differential diagnosis » (also consider Brucella melitensis, Borrelia burgdorferi and Treponema pallidum) Painful knee–an unusual cause secondary to pseudomonas septic arthritis of the hip. Septic until proven otherwise: approach to and treatment of the septic joint in adult patients. Indicators for detection of septic arthritis in … Read more
Discussion ARA criteria for RA pathogenesis differential diagnosis: spondyloarthropathies & related chronic seroneg arthritides; systemic lupus erythematosus; scleroderma; dermatomyositis; juvenile rheumatoid arthritis Clinical Aspects » Laboratory Aspects » Radiographic Aspects » Treatment of RA Medical Management of RA » Surgical Treatment cervical spine hand wrist elbow and shoulder: frequently there is concomitant shoulder and elbow … Read more
Anterior Approach to Humerus Anterior Approach to Shoulder Arteries of the Upper Limb Blood Supply to the Humerus Classification of Proximal Humeral Fractures Condylar Fractures Distal Humeral Fractures Holstein Lewis Fractures Humerus Humeral Shaft Fracture Non Union of Humeral Fractures Pediatric Humeral Frx Posterior Approach to Shoulder Posterior Approach to Humerus Posterolateral Approach to the Distal Humerus … Read more