– Anatomy: – flexor sheath of thumb usually extends from distal phalanx to a point 2-4 cm proximal to volar wrist crease; – proximal half of tendon sheath is commonly referred to as the radial bursa; – occasionally proximal half of FPL sheath is separate from distal sheath, making them … Read more
– See: Stages of Rheumatoid Arthritis – Discussion: – affects 1-3% of adult population; – female predominance of about 3 to 1; – peak age of onset 35 and 45 years; – most often presents with involvement in the feet and hands (intial involvement occurs in 15% … Read more
– Discussion: – may result from over advancement of the FDP following tendon rupture or repair, from from proximal FDP adhesions, or may result from arthrodesis of PIP joint of ring and long fingers; – the result is weak grasp in remaining fingers due to FDP tethering by scar at … Read more
– See: – Classification: – Stage I: – synovitis; – treated w/ splinting; – Stage II: – joint space narrowing with bone erosions; – treated w/ splinting and surgical synovectomy; – Stage III: … Read more
Discussion short sature beomes evident in early childhood; other manifestations of disorder (enlarged skull, short & broad hands & feet, dstrophic nails, and blue sclerae) usually are recongnized in infancy; pathologic fractures are a frequent complication; on x-ray, bone sclerosis appears during infancy
– Discusison: – not to be confused w/ pyogenic granuloma – poorly understood papulovesicular skin disorder involving ulcerations and necrosis which usually occurs along w/ an underlying systemic disease; – concomitant ulcerative colitis occurs in 30 – 60% of infected patients; – other … Read more
– Discusison: – lesion should not be confused ith pyoderma gangrenosum; – it is not primarily a true infection; – an acquired vascular lesion lesion which may follow a laceration or skin puncture; – lesions may be found in oral mucosa and in the hands; … Read more
– Puncture of Shoulder Joint: – posterior approach gives easy access to glenohumeral joint & avoids risk of damaging brachial plexus or cephalic vein; – pt should be seated & entire shoulder, both anterior & posterior, should be prepped and draped; – palpate most lateral edge of the acromion … Read more
-See: – Hypoparathyroidism: – Actions of PTH: – Discussion: – lack of responsiveness to PTH due to defect in adenyl cyclase; – clinical picture may resemble of hypoparathyroidism; – due to inability of bone & kidney to respond to parathyroid hormone, hypocalcemia and hyperphosphatemia occur in … Read more
– See: Phalangeal Injury Menu: – Discussion: – fractures of the proximal phalanx are potentially the most disabling fractures in the hand; – direct blows tend to cause transverse or comminuted frx, where as twisting injury may cause oblique or spiral fracture; – proximal fragments are usually … Read more