– See: – Images in clinical medicine. Neuralgic amyotrophy. – Discussion: – brachial plexus / brachial neuritis – acute brachial neuropathy (acute brachial radiculitis, Parsonage-Turner syndrome) is of unknown etiology and appears sporadically but may follow immunization, or viral illness; – predominant clinical finding is pain, usually limited to the shoulder; … Read more
– Discussion: – w/ partial flexor tendon laceration which is proximal to A1 pulley: – enlarge the laceration if necessary; – if tendon is beveled, resect beveled edged – partially severed tendon should not be repaired if … Read more
– Discussion: – potential space between FPL tendon, FDP tendons, & pronator quadratus; – is known as the subtendinous space of the wrist or Parona’s space; – pus in FPL sheath can ascend in the radial bursa and eventually rupture into this space; – pus in little … Read more
– See: – Hand Infections – Phalangeal Injury – Menu – Nail Bed Injuries: – Discussion: – when infections extend under nail & chronic inflammatory process develops, often a pyogenic granuloma develops; – in some cases, these patients will have weakened immune system (elderly, diabetes, ect); … Read more
– Discussion: – distal end of femur is hypoplastic, tibia is absent, & proximal dislocation of fibular head; – incidence is 1 in 1 million. – has a familial inheritance; – tibial hemimelia may be terminal or intercalary, complete or incomplete. – 30% percent of … Read more
– See: – Intrinsic Muscles of the Hand – origin: each from the 2 metacarpal bones between which it inserts; – insertion: – proximal phalanges of the 2nd, 3rd, and 4th digits & posterior expansion of the finger extensor tendons; – action: – 1st abducts index finger, … Read more
– Discussion: – most commonly used tendon graft for the hand; – palmaris longus tendon is extrasynovial and does not have synovial membrane; – instead of synovial membrane, the tendon has a paratenon which does not promote gluiding as well as intrasynovial tendons; – PreOp Planning: – determine … Read more
– Discussion: – distraction (or ligamentotaxis) is used to facilitate reduction of distal radius frx; – overdistraction will cause increased mid & proximal carpal joint space widening & resistance to passive flexion of finger tips to distal palm; – look for over distraction when proximal … Read more
– See: Bone Tumor Menu – Discussion: – benign osseous tumor usually less than 1.5 cm in diameter, comprising 11% of all benign bone tumors; – no cases of malignant transformation has been reported; – occurs primarily in adolescents and less often in children; … Read more
SCFE Trauma Inflammatory arthritis Calcium Pyrophosphate Dihydrate Crystal Arthritis – these pts may have symptomatology at atypical sites of the hand such as the second and third MP joints; Osteonecrosis Intra-articular Steroids Hyperparathyroidism – it can cause subchondral bony erosions and collapse of the articular … Read more