– See: – Foot Inclusion: – Safe Zone of Pin Insertion: – Debridment: – aggressive & repeated debridments of all devitalized tissue, including large fragments of bone; – consider debridment of bone ends with a hall burr inorder to promote bony opposition and compression; – … Read more
– see forearm compartment syndrome; – Discussion: – see forearm flexors – in forearm, both volar & dorsal compartments must be relieved by two incisions placed at 180 deg to each other; – release of volar compartment may quell elevated dorsal compartment; – on volar surface, lacertus fibrosis (proximally) & … Read more
– See: – Skin Grafts: for hand defects; – Discussion: – indicate for soft tissue contracture including Dupuytren’s; – Technique: – all three parts of the Z plasty should always be of equal length; – angle: most often a 60 deg Z plasty is used; … Read more
– Discussion: – indicated when vessel anastomosis cannot be performed w/o tension; – Vein Graft Harvest: – donor site: – dorsum of hand, dorsal and volar aspect of forearm, & dorsum of foot; – veins should roughly approximate the diameter of … Read more
– Discussion: – over the course of several hours, half or more of the dose accumulates in bone, and the remainder is excreted in urine; – images obtained over 2-4 hours (half life of technetium is 6 hours); – increased uptake in immature bone and metabolically active bone, or … Read more
– Discussion: – talar instability is assessed w/ talar tilt test, in which angle formed by tibial plafond & talar dome is measured as inversion force is applied to hindfoot; – talar tilt test is useful for evaluation of a combined injury of both the anterior talofibular and the calcaneofibular ligaments. – isolated rupture of the … 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
– Anatomy: – C-8 & T-1 anterior nerve roots convey preganglionic sympathetic fibers for innervation of head & neck to corresponding spinal nerves, from which they pass to ganglionated sympathetic chain; – further laterally these 2 spinal nerves acquire bulk of postganglionic fibers for the hand … Read more
– See: Synthes Hybrid Fixator – Discussion and Initial Considerations – Operative Technique: – may be combined w/ circular wire fixators; – reduction: – in most cases, the fracture should be reduced prior to fixator application; – planning the configuration: … Read more
– Engaging the Nail Jig: – position the insertion block on to the proximal end of the nail; – position insertion handle onto insertion block so it will be medial to tibia for nail insertion and precise placement of proximal locking; – note that the proximal nail tip … Read more