Ortho Preferred Malpractice Insurance

Lister’s Tubercle

– Discussion:     – at wrist, Lister’s tubercle is palpable on dorsum of radius;     – it serves as a pulley for the EPL;     – radial and ulnar styloid processes are also palpable, w/ tip of radial styloid process projecting 1 cm distal to that of ulna;     – on … Read more

Lisfranc’s Fracture / TarsoMetatarsal Injuries

– See: Midfoot/Forefoot Fractures – Discussion:     – anatomy of the midfoot     – mechanism:           – because 2nd metatarsal is the longest metatarsal proximally, it will often be frxed at its base,                     with the other metatarsals dislocated;           – dorsal capsule of Lisfranc’s … Read more

Limb Development

– See:       – Anatomy of the Physis       – Deformities       – Enchondral Ossification       – Longitudinal Growth:       – Pediatric Bone Circulation       – Salter Harris – Discussion:     – at about the 4th week of development, paired upper and … Read more

Limb Length Inequalities / Growth Deformities

– Discussion:     – see: limb development and physeal anatomy;     – leg length discrepancy leads to awkward gait, & pelvic obliquity.     – treatment of limb length inequality, requires an ability to predict leg length discrepancy at skeletal maturity;     – differential diagnosis of limb length inequality     – … Read more

Ligaments of the Wrist

– Volar Wrist Ligaments:     – ligaments of wrist are most highly developed on palmar side of wrist;     – palmar wrist ligaments originate laterally from radial styloid, & are directed in a distal ulnar direction;     – intrinsic ligaments:             – radial ligaments arise on palmar … Read more

Ligament Reconstruction and Tendon Interposition

                                                                                                                                                    Case Example by Dr. James R. Urbaniak MD – Discussion:     – indicated for patients with basal joint arthritis or CMC instability;     – LRTI involves partial or complete resection of the trapezium and recreation of the palmar oblique ligament using the distally based radial half of FCR            to reconstruct … Read more

Lateral View of Wrist

– Discussion:     – view should demonstrate the metacarpals, lunate and radius aligned     – hand will appear slightly palmar flexed;     – w/ proper technique, the volar pisiform will lie between the distal aspect of scaphoid and the palmar aspect of the head of the capitate; – Specific Point of Evaluation: … Read more

Lateral Frame

– Discussion:        – may position frame laterally if its cross bars are made of carbon (radiolucent);        – disadvantage: relatively weak stabilization in AP plane;        – if two pins are used at metaparpal level, 6 cortices are obtained by distal pin capturing two cortices & more proximal pin … Read more