Ortho Preferred Malpractice Insurance

Extensor Tendon Lacerations

      – See:      – Extensor Tendon Rupture      – Extensor Digitorum Communis      – Extensor Mechanism of Digits – Anatomy of EDC:       – note that EDC is less tolerant of shortening than FDS due to differential in                   tendon excursion (50 mm compared to 70 mm, respectively);       – references:                   – The terminal tendon … Read more

Extensor Digitorum Brevis

– Anatomy:     Origin: the forepart of the supralateral surface of the Calcaneus;lateral talocalcaneal ligament and cruciate crural ligament;     Insertion: braches into 3 tendons that insert into the lateral sides of the tendons of EDL of 2nd, 3rd, & 4th toes at the level               of the MTP joint;     Action: extends the … Read more

Extension Type Supracondylar Fractures

– Discussion:     – extension type accounts for 95% of cases, & is caused by a fall on outstretched hand with hyperextension of the elbow;     – anterior periosteum is torn;     – there may be a significant amount of local bleeding and swelling;     – nerves & blood vessels are contused, compressed, … Read more

Extension Block Casting

        – See: Phalangeal Injury – Discussion:     – takes advantage of stabilizing forces of flexor & intrinsic on phalanges with the MP joint held in 90 deg flexion;     – intact dorsal extensor mechanism functions as  “tension band” to palmar cortex, and helps maintain the reduction;     – digital rotation … Read more

Excision of Olecranon

– Discussion:     – in elderly pts w/ comminuted frx, excision of up to 50% of olecranon can be well tolerated (no instability)             – if distal surface of semilunar notch of ulna & coronoid are not injured upto 80% of olecranon may be excised w/o producing instability; – … Read more