– Discussion: – most common pattern of motor branch of median nerve is extraligamentous take off from main branch of median nerve (distal to TCL in 50% pts) – in 30% of pts motor branch exits proximal to TLC; – in 20% of pts motor branch exits distal to TLC; … Read more
– See: MP joint in RA – Planning: – indications: – irretrievable articular cartilage damage; – volar subluxation; – dislocation are indications for surgery; – cautions: – cervical spine … Read more
– Discussion: – index finger is most commonly involved, often found in older pts w/degenerative arthritis; – Etiology: – muscular contracture or trauma; – collateral ligament or volar plate tethering on prominent MP head or osteophyte (on either side or volar aspect of metacarpal head); – torn palmar … Read more
Discussion short trunk disproportionate dwarfism is established by age of 2 or 3 and progresses; inherited as autosomal recessive trait; children have normal intelligence and survive well into adulthood; pectus carinatum is also apparant; other problems include corneal opacity and abnormal dentition; type of mucopolysaccharidoses in which keratan sulfate accumulates in the tissues; measurement of … Read more
– See: Watson Jones Approach Smith Peterson Approach – Discussion: – in direct lateral approach, a curvilear split is made thru the anterior portion of the gluteus medius and vatus muscles, in order to gain access to the anterior face of the hip joint; … Read more
– See: – Thumb Soft Tissue Defects – Amputation of Fingers and Hand – Indications and Advantages: – most indicated for amputations distal to thumb IP joint, in which a V-Y flap cannot be used; – may cover upto 1.5 cm palmar defect (but not … Read more
– Discussion of Treatment of Recent Dislocations and Fracture-Dislocations of the Shoulder – maintains that biceps and subscapularis muscle offers the chief resistance to reduction; – in anatomic position, w/ humerus at side, direction of various muscles around shoulder girdle seems to completely haphazard; – constancy of this effect must be attributed … Read more
– See: – Characteristics of Phalangeal and Metacarpal Fracture: – Injury to the Phalanges: – Discussion: – important deforming force is the insertion of central slip into the dorsum of the base of the middle phalanx & insertion of flexor digitorum superficialis volarly; – … Read more
– Discussion: (see: dynamic instability); – type of non dissociative carpal instability; – capitolunate joint has high potential for instability, since it is mainly stabilized only by radiocapitate ligament (and captiotriquetral ligament, to a lesser degree); (see wrist ligaments); – may result from malreduced radial styloid frx, or any … Read more
– Discussion: – extends lateromedially from mid-palmar septum to hypothenar eminence; – extends proximodistally to level of superficial palmar arch; – dorsally the bursa is bordered by the middle, ring, (and ? little) finger metacarpals and palmarly by the flexor tenons and lumbricals; – bursa functions to … Read more