– Preoperative Planning: – Surgical Stratedgy: – pt in true lateral position – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap); – extension from tuberosity to calcaneo-cuboid (watch peroneals) – … Read more
– Discussion: (distal radius fracture menu and colles fracture) – volar surface of distal part of radius is slightly flattened, except for its distal margin, which slopes volarly to form a prominent ridge from which volar radiocarpal ligaments originate. – short radiolunate ligament originates off of volar margin of lunate facet and attaches to volar surface of … Read more
– Origin: flexor retinaculum and tubercle of trapezium bone; – Insertion: radial side of entire length of first metacarpal bone; – Action: flexes & abducts first metacarpal w/ medial rotation at hand; – Synergists: abductor pollicis, adductor pollicis; – Nerve: Median, C8 > T1; – Discussion: … Read more
– see distal radius fracture menu (volar Barton’s frx) – orif of distal radius fractures – Surgical Approach: – standard volar approach: – most indicated for simple extra articular fractures and when there is absence of ulnar comminution / displacement: – incision starts at thenar crease of palm, curves toward middle of forearm, w/ … Read more
– Treatment Options: – percutaneous pinning w/ 1.6 mm or 2.00 m K wires in small fragments; – ref: Complications of smooth pin fixation of fractures and dislocations in the hand … Read more
origin: hamulus of the hamate bone and flexor retinaculum; insertion: entire length of ulnar border of 5th metacarpal; action: flexes and slightly rotates the 5th metacarpal; helps to cup the palm of the hand; synergists: flexor digiti minimi brevis, abductor digiti minimi; nerve supply: deep palmer branch of ulnar nerve, C7, C8, T1 … Read more
– See: Hallux Valgus: – for mod hallux valgus in younger pts (HVA < 30 & IMA < 13-15 deg); – usually no pin or screw fixation is required; – no shortening of metatarsal will occur; – if a Silver Procedure is being performed, concomitantly, the excised medial eminence can be fashioned into a trapezoidal … Read more
– Discussion: – favored for advanced disease, especially in diabetics, and is indicated for patients w/ multiple involvement; – use transverse incisions in the palm at the distal palmar crease, as well as transverse incisions at the base of fingers, and at PIP crease; – limited fasciectomy is performed; … Read more
See: Arthroscopic Acromioplasty Rotator Cuff Tear Repair – Discussion: – indications: – impingement syndrome – patients w/ a stable impingement syndrome w/ good shoulder function should participate in a formal rehabilitation program for 6 months; – patients … Read more
– See: Obstetrical Paralysis: – Discussion: – injury to the lower roots (C8 and T1 ) & or C7; – may follow forceful abduction of shoulder, produces weakness in intrinsics of hand as well as long flexors & extensors of the fingers; – these lesions are usually preganglionic; … Read more