– See: – Erb’s Palsy – Lower Root Injury: (Klumpke) – Shoulder in brachial plexus injuries: – Traumatic Brachial Plexus Palsy in Children – Discussion: – incidence of brachial plexus birth palsy is approx two / 1,000 births; – … Read more
– Frx Malrotation: – tend to shorten & rotate rather than angulate; – may telescope because of proximal pull of extrinsic muscles; – effect of malrotation: – if 5 deg of malrotation is accepted, then displacement will override 10 mm; – Frx Shortening: … Read more
– See: – Proximal Pole Frx: – Bone Grafting of Scaphoid Non Unions: – Scaphoid Nonunions: – Radiographs: – need to determine whether there is AVN of scaphoid: – classic signs of AVN include: … Read more
– Discussion: – most useful in patients with an acute flare-up and in patients with minimal and intermittent symptoms; – avoiance of use of wrist, placement of wrist splint in a neutral position for day and night use, and NSAIDS; – only 20% of these pts … Read more
– See: Phalangeal Injury Menu: – Discussion: – undisplaced frxs and impacted transverse frx of phalanges are treated w/ buddy taping assumming that: – frx is stable (impacted and undisplaced); – no angulation in any plane: (ie, there is no volar angulation); … Read more
– See: – Humeral Fracture Non Union – Tibial Non Unions – Femoral Shaft Non Union – Discussion: – see bone healing and bone blood supply – definition: fracture that lacks potential to heal without further intervention – frx of shaft of long bone should not be considered nonunion until at … Read more
– See: – Scahoid Frx Menu – Non Diagnositic X-ray – Discusion: – tension in palmar radioscaphocapitate ligament leads to displacement of distal pole of scaphoid; – consider immobilization to relaxe palmar … Read more
– See: carpal instability – Discussion: – refers to a proximal row instability which occurs in the absence of instability between the individual proximal carpi; – ie, the scapholunate and lunotriquetral intervals are normal; – potential sites of pathology: – capitolunate … Read more
– Discussion: – defect of the thumb; – long neurovascular island has be marked out to replace soft tissue & to increase the blood supply to the relatively avascular thumb; – long flap has been marked out on the ulnar border of the middle finger & proximal incision marked on the … Read more
– See: Nerve Injury – Discussion: – always consider an occult compartment syndrome before a neurpraxia; – median nerve: – most common neural injury is to anterior-interosseous branch; – in type III frx, upto 50% of pts may show median … Read more