– Theory: – flexor-pronator muscles arising from medial epicondyle are transposed to more proximal point on the humerus so that their moment for elbow flexion is incresed enough to permit active control; – muscles originating from the medial epicondyle (Pronator Teres, FCR, PL, & FCU) must have normal or … Read more
– Discussion: – is a coagulase positive, gram positive organism (as opposed to coag neg s. epidermidis) – has a strong propensity to invade traumatized tissue; – often responsible for toxic shock syndrome and necrotizing fascitis; – serious infection that spreads rapidly along fascial planes and … Read more
– See: – Primary Flexor Tendon Grafting – Pulley Reconstruction – Prosthetic Grafts – Discussion: – indicated for delayed or neglected flexor tendon injuries, tendon rupture following previous attempted repair, and in some cases is indicated for zone II tendon injuries; – probably in most cases, … Read more
– Discussion: – squamous cell carcinoma: this tumor in the hand requires aggressive treatment (usually amputation); – is the most frequent primary malignancy of the hand; – recurrence rates are high (22%), and therefore radical surgical resection is recommended; – most cases of recurrence (67%) are associated w/ metastatic … Read more
– See: – PreOperative Planning: – preoperative leg length: – acetabulum: – evaluation of cup position: – acetablar component loosening – use a wax pen to mark the tear drop and the superior aspect of the acetabulum, and overlie … Read more
– See: Occult Spondylolysis – Discussion: – spondylolysis is rarely symptomatic in adolescents; – in children, be especially concerned if symptoms that do not respond to rest or immobilization or if there are neurological findings. – diff dx: – disc-space infection … Read more
– Surgical Technique: – STSG for hand defects – STSG Donor Site – Discussion: – a STSG includes of the epidermis and various amounts of the dermis; – skin that has been transplanted from one area to another maintains most of its original characteristics, w/ exception that sensation & sweating … Read more
– See: Spondyloepiphyseal Dysplasia Tarda: – Discussion: – a type of short trunk disproportionate dwarfism, in which there is involvement of the vertebra and epiphyseal centers; – can be transmitted as autosomal dominant trait, although most cases arise as random mutations; – symptoms include delayed developmental milestones, diminished endurance, and … Read more
– Discussion: – permits the guided insertion of a cannulated blade thru the nail and into the femoral head,at one of three angles to accommodate anatomic or fracture variations; – angle options: – key onto proximal nail end, adapting the nail slot to accept the spiral blade … Read more
– Discussion: – arises from thickening, contracture, and coalescence of the spiral band, Grayson’s liagment, and the lateral digital sheet; – it extends disatlly past the natatory ligament, first lying along lateral margin of the digit, but then courses toward the midline to insert into the central cord at the level of the … Read more