– See: Myelodysplasia: – Discussion: – syringomyelia is a condition in which tubular cavity, or syrinx, in central area of spinal cord gradually expands leading to progressive myelopathy; – it is associated w/ disturbed hydrodynamics of cervical spinal fluid w/ or w/o associated obstruction at the cranial cervical junction; … Read more
– See: Soft Tissue Tumor Menu – Discussion: – 4th most common soft-tissue sarcoma (5 to 10 percent of all cases of soft-tissue sarcoma) – tumor derived from the synovial tissues found along fascial planes, periarticular structures, and rarely, in joints; – it may involve the … Read more
– Discussion: – caused by non hemolytic Strep and hemolytic Staph aureus; – although staph alone may show up on culture, special attention may must be paid to isolating the microaerophilic Streptococceae; – necrotizing fascitis may occur, especially in diabetics; – any hand infection that does not respond … Read more
– See: Acrosyndactyly; – Discussion: – failure of differentiation of the tisses between the fingers at 5th-8th week of intrauterine life (see limb development); – most common in the middle and ring fingers; – syndactyly (webbing or fusion of two or more digits), a result of failure of … Read more
– Acrosyndactyly; – Delta Phalanx; – Poland’s syndrome: – hypoplasia of hand and simple syndactyly of fingers on the same side as the absent pectoral muscles (and other chest wall muscles); – Apert’s Syndrome: – when all digits are … Read more
– 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
(1) full passive movement of the PIP Joint; – functional loss in these pts is related to loss of DIP joint extension; – consider flexor synovectomy, intrinsic release, FDS tenodesis, dermadesis, retinacular ligament reconstruction or DIP arthrodesis (to correct primary mallet finger deformity); (2) restriction of PIP flexion depending on MCP position … Read more
– Discussion: – primary internal fixation is treatment of choice for unstable scaphoid frxs; – frx treated by primary internal fixation, avg time for return to work is 3.7 wks w/ union rate, 97 %; – this compares very favorably with conservative treatment; … Read more
– outcomes: – in the report by Saeden B, et al, the authors compared the long-term outcome in 61 patients (62 fractures) treated operatively or conservatively for an acute fracture of the carpal scaphoid; – total of … Read more
– Discussion: – bluntly split gluteus maximus proximally in direction of its fibers & coagulate any vessels w/in substance of muscle; – note that muscle does not have to be split in line w/ incision, but can be split in line w/ its fibers in a direction superior to skin incision; … Read more