– See: – Arterial Development of the Limbs : – Upper Extremity Arteriogram of the Limbs : Subclavian Artery Axillary Artery Supreme Thoracic Artery Thoracoacromial Artery Lateral Thoracic Artery Subscapular Artery Anterior Humeral Circumflex Artery Posterior Humeral Circumflex Artery Brachial Artery Profunda Brachi Median Artery Radial Artery Ulnar Artery – Upper Extremity Emboli: – upper … Read more
– See: venous malformations – Discussion: – high flow lesion – may start small in childhood and be triggered to enlarge after trauma – spontaneous bleeding may occur – associated conditions: – Klippel-Trénaunay syndrome: capillary, lymphatic, and venous malforma-tions with skeletal overgrowth; … Read more
– See: – Arterial Injuries Assoc. w/ Fractures: – Arterial Trauma: – Femoral Arteriogram: – Upper Extremity Arteriogram of the Limbs – Discussion: – pts w/ obvious signs of vascular injury, such as rapid external bleeding, an expanding hematoma, signs of distal ischemia, or palpable thrill, … Read more
– See: – Adult Upper Limb Arteries: – Discussion: Upper Limb Development; – subclavian artery projects into the early upper limb bud & forms subclavian-axillary-brachial trunk; – its distal portion becomes interosseous artery that initially supplies plexus of arteries in the primitive hand; … Read more
– Discussion: – in middle of the arm, ulnar nerve pierces medial intermuscular septum and descends in front of the medial head of the triceps; – in 70-80% of individuals, nerve passes under arcade of Struthers; – the arcade is a thin aponeurotic band extending from medial head of … Read more
– Classification: – Type I: – conjoined finger tips with well formed webs w/ normal depth; – treatment involves separation and contouring of the tips of the digits; – partial digit ablation may be required; – … Read more
– See: – Orthofix – Over Distraction of Wrist Joint – Positioning: – supine, hand table, flouro; – prep for contralateral iliac crest (ipsilateral w/ less personel); – Frame Configuration: – Lateral Frame: – 45 deg Oblique Frame: … Read more
– See: – Plating Techniques – Technique: – incision begins in front of radial styloid process, extending proximally in straight line along anteromedial border of the brachioradialis; – brachioradialis is reflected laterally to expose superficial radial nerve in proximal portion; – avoid injury this nerve as … Read more
– Positioning: – foley and appropriate IV access established; – place patient into left lateral decubitus position (L side up) – break table in the middle; – Incision and Exposure: – incision is made along 10th rib which then curves along anterior abdomen as appropriate (based on size of patient); – 10th rib is identified, … Read more
– See: – Anterior Dislocation – Posterior Dislocations: – Discussion: – note: w/ true AP of shoulder there should be no overlap of the humerus over the glenoid; – Greater Tuberosity and Acromio Humeral Interval; – AP in ext. rot. brings greater tuberosity into clear … Read more