– Discussion: – it is important that the injection site be at distance proximal to site of injury; – if this cannot be performed w/ ease, retrograde axillosubclavian technique should be utilized; – insertion of needle into brachial artery is facilitated by immobilizing artery against humerus; … Read more
– See: – Ulnar Nerve: – Cubital Tunnel Syndrome: – Discussion: – ulnar nerve neuritis is a reported of operative treatment for elbow frxs; – one of complications of ORIF of elbow frxs is adherence of the ulnar nerve directly to medial epicondylar region w/ … Read more
– Discussion: – see: elbow flexion contracture; – indicated for patients w/ loss of motion (out of functional range from 30 to 130 deg) due to anterior and posterior osteophytes; – PreOp Planning and Positioning: – patient is supine w/ bump placed under shoulder, and arm folded across chest; … Read more
– See: Multidirectional Instability: – Radiographic Subtypes: – Subcoracoid – most common type of anterior dislocation – head of humerus is displaced anteriorly w/ respect to glenoid, & is inferior to coracoid process; – greater tuberosity is fixed on anterior glenoid rim; – neck … Read more
– Discussion: – posterior cortex is disrupted w/ no cortical contact; – distal fragment is displaced posteriorly and proximally (by pull of triceps); – w/ medial displacement, the medial periosteal hinge is intact; – w/ lateral displacement, the lateral periosteal hinge is intact; – Physical Exam: … Read more
– See: spine in osteoporosis – Discussion: – caused by long term calcium deficiency; – there is an age related decline in renal production of 1,25 Vit D with subsequent hyperparathyroidism & bone loss; – these pts have already lost most of the bone they ever will lose; … Read more
– Discussion: – frx is displaced & forearm is unstable in relation to humerus; – this injury is really a fracture-dislocation; – Avulsion Fracture – Comminuted Fractures – Distal Olecranon Fracture: … Read more
– See: – surgical neck fracture – lesser tuberosity fractures – greater tuberosity fractures
– Osteosarcoma (common) – Enchondroma (relatively common) – Ewing’s sarcoma: diaphyseal region; – Periosteal chondroma (just proximal to insertion of deltoid) – Osteochondroma – Chondroblastoma … Read more
– origin: lateral head: superior 1/2 of post. lat. surface of humerus; long head: infraglenoid tuberosity of scapula; medial head: – inferior 2/3 on posterior surface of the humerus, beginning at the spiral … Read more