– PreOp Planning: – knee deformities should be corrected prior to any forefoot fusions; – stability of talus in mortise is necessary for successful arthrodesis; – determine if flexibility of forefoot and hindfoot; – if foot can be reduced to a satisfactory position then an in situ type of arthrodesis may be considered; – if … Read more
– See: – Blair Fusion – Charcot Marie Tooth – Equinovalgus – Grice Arthrodesis – Kocher approach – Ollier incision – Subtalar Fusion – Discussion: – results in fusion of subtalar, calcaneocuboid, and talonavicular joints; – most effective … Read more
– See: Operative Treatment of Posterior Malleolar Fractures – Discussion: – involves frxs of medial malleolus & fibula, along w/ frx of posterior lip of articular surface of tibia is frxed & displaced, allowing posterior & lateral displacement and external rotation w/ supination of the foot; – medial malleolus may remain … 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
– See: Posterior Approach to the Humerus; – Positioning: – patient is in lateral position w/ arm brought across the chest; – plan on adusting flexion of elbow inorder to increase or decrease tension; – sterile tourniquet is required; – Technique: – straight longitudinal incision beginning 7-10 … Read more
– See: Posterior Approach to the Humerus; – Discussion: – the distal triceps can be split down the middle with the dissection carried straight down to bone over the olecranon; – care is taken to mobilize full thickness fascial and periosteal flaps both medially and laterally; – the dissection … Read more
– DIP Joint Immobilization: – immoblization of the DIP joint is extremely useful in preventing triggering in all of the fingers including the thumb; – DIP immobilization (leaving the PIP free), has minimal functional limitations and most patients can work without restrictions; – technique: consider applying two layers of … Read more
– See: – Phalangeal Injury – Congenital Trigger Thumb – Rheumatoid Trigger Finger – Discussion: – results from localized tenosynovitis of superficial and deep flexor tendons adjacent to A1 pulley at a metacarpal head; – inflammation … Read more
– Discussion: – acute slip: – acute on chronic slip: – chronic slip: – treatment of is designed to fuse epiphysis on femoral neck which prevents further slipping; – this usually involves insertion of one or more screws into anterior aspect of greater trochanter or … Read more
– See: – Ligaments of the Wrist and RU Joint – Discussion: – is ulnar continuation of distal radius & presents concave surface for articulation w/ lunate & triquetrium; – ular side of the wrist is supported by the TFCC, which articulates w/ both the lunate and the triquetrum; – TFCC is prone to injury due … Read more