– See: Surgical Treatment of Dupuytren’s: – Discussion: – originally described by Baron Guillaume Dupuytren in 1831; – ref: Guillaume Dupuytren: His Life and Surgical Contributions – usually appears between age 40 to 60 years; – disease occurs more often and is more severe in males or … Read more
Case Example by James R. Urbaniak MD. – Discussion: – regional fasciectomy is the most commonly performed procedure … Read more
– See: Intrinsic Muscles of the Hand; – Origin: each from the 2 metacarpal bones between which it inserts; – Insertion: – superficial belly: – inserts onto the lateral tubercle at the base of the proximal phalanx (proximal phalanges of 2nd, 3rd, and 4th digits) to function as … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> – See Compartments: a href=”/muscles-tendons/extensor-tunnel-i/”>I/a>, a href=”/bones/hand/extensor-carpi-radialis-longus/”>II/a>, a href=”/bones/hand/extensor-pollicis-longus/”>III/a>, a href=”/muscles-tendons/extensor-digitorum-communis/”>IV/a>, a href=”/muscles-tendons/extensor-digiti-minimi-quniti/”>V/a>, a href=”/bones/extensor-carpi-ulnaris/”>VI/a> and a href=”/ortho/9430″>approach to the distal radius/a>;a href=”/ortho/anatomy_of_the_upper_limb_6″>img alt=”” align=”right” src=”/image4/armm9a.jpg”/>/a>br/> br/> strong>- Technique:/strong>br/> – straight dorsal incision centered over the wrist;br/> – because the skin is loose … Read more
– Discussion: – dorsal rim frxs usually result from a fall on the outstretched hand; – proximal carpal row impacts against the dorsal lip of the articular surface of the radius, which fracture in compression and displaces proximally and dorsally; – volar radiocarpal ligaments fail in tension, and dorsal … Read more
– Discussion: – distal radius fracture w/ dislocation of radiocarpal joint; – most common frx dislocation of the wrist joint; – comminuted frx of distal radius may involve either anterior or posterior cortex and may extend into the wrist joint; – frx dislocation or subluxation … Read more
– See: – Differential Dx of PIP Injuries – Fracture Dislocations of the PIP Joint – Phalangeal Injury – Discussion: – anatomy of the injury: – volar plate is always detached (usually from middle phalanx) in PIP dorsal dislocations; … Read more
– See: – Dorsal Dislocation of PIP joint – Extension Block Casting – Phalangeal Injury – Discussion: – long moment arm of the PIP joint, places this joint for higher risk of this injury; – mechanism and anatomy of injury: … Read more
– See: – Carpal Instability – Kinematics of the Wrist – Discussion: – lunate will tend to flex w/ loss of ulnar ligamentous support from the triquetrum; – lunate extends when there is loss of radial ligamentous stability; – DISI may arise as … Read more