Co-authors: Milford H. Marchant Jr., M.D., Allston Stubbs, M.D., Carl J. Basamania, M.D. March 15, 2005 – Background: – Definition: In situ death of bone within the humeral head due to disruption of blood supply – Other Names: Avascular … Read more
– Discussion: – indicated in cases where a minimal number of group fasicles can clearly be indentified; – may be indicated in lacerations of the median and ulnar nerves in the distal forearm; – Operative Technique: – expsure and debridement: – see: phalangeal incisions: … Read more
– See: Green Stick Frx – Discussion: – occurs most often in children less than 8 yrs of age as a result of a fall on an outstretched hand; – anatomically the frx tends to occur just distal to insertion of pronator teres, and therefore distal fragment is supinated as compared … Read more
– Discussion: – Grayson’s & Cleland’s ligament hold skin in position during flexion and extension of the finger; – Grayson’s ligaments are thin and go from tendon sheath to the skin, and to some extent protect the nervovascular bundle (prevent bow stringing of the N/V bundle during flexion); – … Read more
– See: Shoulder Menu: – Anatomy: – GHJ has a greater ROM than any other joint; – Bony Anatomy: – its shallow, & is more akin to a grapefruit in saucer than ball in socket. – lack of bony stability & wide ROM … Read more
– Discussion: – glomus body is a neuromyoarterial apparatus; – glomus is a controlled arteriovenous anastomosis or shunt between terminal vessels; – its function is to regulate peripheral blood flow in the digits; – majority of the lesions occur in females between the ages of … Read more
– Discussion: – a common benign but locally aggressive lesion of unknown etiology; – occurs chiefly in men between 20-50 yrs (after epiphyseal closure); – tumor is expansile lytic lesion that involves the epiphysis & metaphysis; – tumor may enlarge to occupy most of epiphysis & adjacent metaphysis; … Read more
– Discussion: – GCT of tendon sheath are not really tumors but reactive lesions, which are similar to PVNS; – they do not always arise from the tendon sheath but may arise from the synovium; – it is the second most common benign hand tumor next to ganglions; … Read more
– Discussion: – this procedure allows long toe flexors to behave like intrinsic muscles producing active plantar flexion at MP joints & extension at IP joint; – indicated for flexible hammer toes and claw toes; – inform pt that toe ischemia sometimes follows correction of this … Read more
– See: – Radiographic Features: – Histologic Features: – Painful Tumors: – clinical features associated with bone tumors include pain, deformity, and impairment of function; – pain is feature common to almost all malignant tumors of bone, but may or may not be present in … Read more