– Discussion: – initial postop plaster splint holds wrist in 20 deg flexion, MP joints in at least 60 deg flexion, and digits should be held in extension in order to avoid contractures; – early motion is started to decrease tendon adhesions & to improve digit motion; – patients are … Read more
– See: differential diagnosis of posterior fossa masses – Discussion: – popliteal artery is the continuation of superficial femoral artery at hiatus of the adductor magnus muscle; – artery is anchored proximally by tendinous insertion of adductor magnus upon the medial femoral epicondyle; – it runs posterior to the distal … Read more
– Anatomy: – origin: – lateral condyle & posterior horn of lateral meniscus fibular head; – popliteus muscle has 3 origins, strongest of which is from lateral femoral condyle, just anterior and inferior to the LCL origin; … Read more
– See: juvenile RA menu – Discussion: – definition: > 5 involved joints; – large and small joint may be affected; – accounts for about 50% of patients w/ JRA; – may occur at 1-3 yrs or during early adolescence (after age 10); – children … Read more
– Discussion: – polydactyly in the foot usually involes a single duplication (hexadactyly) – associated anomalies: – duplications occur bilaterally in about 40-50% of patients, but often the duplications are not symmetric; – polydactyly of hand … Read more
– See: – Polydactyly of the Thumb: – Polydacyly of the Foot: – Discussion: – polydactyly is most common hand anomaly; – may involve autosomal dominant transmission in which case an asociatted syndrome is generally not present; – … Read more
– See: Polydactyly: – Discussion: – polydactyly of the thumb occurs in many forms, ranging from varying degrees of mere splitting to completely duplicated thumb; – occasionally it consists of only fleshy nubbins on radial border; – when duplication occurs alone, it is usually unilateral and sporadic; … Read more
– Discussion: (see olecranon frx menu) – indicated for comminuted olecranon frx and frx which occur at or distal to the coronoid process; – if frx extends distally past midpoint of trochlear notch, it no longer represents only a disruption of the triceps … Read more
– See: Innerv. Musc. Lower Limb – Plantar muscles of the foot are divided into 4 layers; – 1st Layer: – first two layers originate from calcaneal tuberosity and the other two from the metatarsal shafts; – first subfascial layer consists (from lateral to medial) … Read more
– Surgical Considerations: – preoperative anticoagulants: – consider use of cell saver; – if patients have a medical condition that requires preoperative anticoagulants, then consider using press fit femoral and acetabular components; – a prerequisite for cementing femoral stems, is the ability to … Read more