– Patient Position: – ensure that patient has not rotated anteriorly, for this may allow acetabular component to be placed in retroverted position; – ensure that patient’s torso is not tilted inferiorly (as can occur from a bean bag), as this can cause reaming in an excessive … Read more
– See: Total Hip Replacement Menu: – acetabular component revision: – operative considerations for hip dyplasia – protrusio – reaming technique: – component insertion: – … Read more
– Discussion: – see native acetabular anteversion and femoral anteversion and acetabular component position – general considerations: – simple visualization of length of anterior/posterior walls gives an accurate measure of native anteversion; – references: – Femoral anteversion in THA and its lack of correlation with native acetabular anteversion. – … Read more
– See: Vascular Problems of the Upper Extremity: – Discussion: – thoracic outlet space is created by the clavicle, first rib, subclavius muscle, costoclavicular ligament, and anterior scalene muscle; – most often affects subclavian artery, vein, and lower trunk (C8 & T1) of brachial plexus; … Read more
– 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: – can be used for coverage of finger tip injuries the index, long, ring, (and in some cases the little finger); – can be used in children and young adults (esp. women) – Advantages: – more subcutaneous fat available than cross finger flap … 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
– See: Ligaments of the Wrist – Discussion: – lunotriquetral interosseous ligament tear – relatively frequent occurance; – scapholunate dissociation – less frequent occurance; – ulnocarpal impaction syndrome (which can also mimic TFCC tear); – … Read more
– See: Ligaments of the Wrist – Exam of TFCC Injury: – tenderness is usually centered about dorsal depression distal to ulnar head, or it may be localized around the ulnar styloid; – patients may also note tenderness between the triquetrum and the ulnar styloid; – … Read more
– Discussion: – overuse syndrome or tendinosis involving the region of the lateral humeral epicondyle; – most often the origin of the ECRB displays an abnormal vascular proliferation and focal hyaline degeneration; – ref: Anatomic Factors Related to the Cause of Tennis Elbow – EDC may … Read more