– See: – Vascular Problems of the Wrist and Hand: – Ulnar Artery in Forearm: – about 1 inch below the antecubital fossa, brachial artery divides into radial & ulnar arteries, w/ latter being larger; – paired venae comitantes accompany both radial & ulnar arteries; … Read more
– Bucket Handle Meniscus Tear – Horizontal Tear – Longitudinal Tear – Posterior Horn Tears of Medial Meniscus – Radial Meniscus Tear – Flap Tear: – one of most commmon meniscal tears and is believed to propagate from either the radial or Bucket Handle Tears; – separating the base of this … Read more
– Orthopaedic Infection Menu – bacterial menu – infectious tenosynovitis – diabetic foot infections – hand infections – THR infections – TKR Infections – septic arthritis – necrotizing soft tissue infections: – osteomyelitis (Cierney Classification) – spinal infection / osteomyelitis … Read more
– Discussion: – most common form; – distal end is located in the decussation of the FDS – small chip of bone is taken off w/ flexor tendon; – tendon retracts to level of PIP joint or distal to PIP, & long vincululm may remain intact; – a small … Read more
– Discussion: – displaced, stable frx; – frx fragments are displaced > 2-3 mm, but collateral ligaments are intact; – frx may be non-comminuted (Type IIA) or comminuted (Type IIB). – no sign of subluxation; – Non Operative Treatment: – immobilized in mid flexion, these … Read more
– Bone Lesions: – enchondroma: (relatively common) – osteoid osteoma: (talus, navicular, or calcaneus) – fibrous dysplasia – adamantinoma (foot) – metastatic lung cancer (? GI or GU) – osteochondroma – subungual exostosis, may develop on a distal … Read more
– Discussion: – although the disease is generally more likely to be chronic, acute mycobacterial arthritis has been reported; – periarticular bone lesions may accompany the synovial involvement; – pulmonary tuberculosis is evident in only half the patients with skeletal involvement; – pulmonary TB signs vary with stage of dz, few early on; – later … Read more
– Discussion: – is classically characterized by a clinical triad of epileptic seizures, mental retardation and skin lesions which have been considered hamartomas of the skin and brain; – adenoma sebaceum is the most familiar cutaneous stigma; – high percentage of pts (66%) have radiographic findings … Read more
– See: – Blood Supply to the Wrist – Triquetrolunate Dissociation – Discussion: – triquetrium is the 3rd most commonly fractured carpal bone; – ular side of the wrist is supported by TFC, which articulates w/ both lunate and the triquetrum; … Read more
– DIP Joint Immobilization: – immoblization of the DIP joint is extremely useful in preventing triggering in all of the fingers including the thumb; – DIP immobilization (leaving the PIP free), has minimal functional limitations and most patients can work without restrictions; – technique: consider applying two layers of … Read more