Ortho Preferred Malpractice Insurance

Tendon Architecture

– Discussion:     – tendon is composed of heavy, parallel bundles of collagenous fibers;           – these bundles are held together by tissue resembling perimysium;     – between bundles of fibers are fibroblasts, nerves, & blood vessels that supply the tendon;     – surrounding the tendon is a … Read more

Tendon Injuries of the Hand

       – Archetecture              – Excursion, of Tendons         – Extensor Tendon Lacerations         – Extensor Tendon Rupture        – Flexor Tendon Repair         – Flexor Tendon Pulleys and Sheath         – Flexor Tenolysis        – Infectious Tenosynovitis         – Injury & Repair        – Tendon Reconstruction … Read more

Tendon Injuries of the Thumb

– See:       – Excursion, of Tendons       – Thumb Deformities in Rheumatoid Arthritis       – Thumb Soft Tissue Defects       – Flexor Pollicis Longus       – Extensor Pollicis Longus – Tendon Sheath Anatomy:     – A1 pulley: spans the MP joint, approximately 8 mm in width;           … Read more

Technique of Forearm Fasciotomy

– see forearm compartment syndrome; – Discussion:     – see forearm flexors     – in forearm, both volar & dorsal compartments must be relieved by two incisions placed at 180 deg to each other;          – release of volar compartment may quell elevated dorsal compartment;     – on volar surface, lacertus fibrosis (proximally) & … Read more

Talocalcaneal Coalition

– See: Tarsal Coalition – Discussion:     – talocalcaneal coalitions are characteristically on medial side of sub-talar joint;     – coalition tends to ossify between 12 and 15 years;     – although coalition between calcaneus & talus may occur in any of three facets, middle facet is most commonly involved;     … Read more

T1 Neurologic Level

– Anatomy:     – C-8 & T-1 anterior nerve roots convey preganglionic sympathetic fibers for innervation of head & neck            to corresponding spinal nerves, from which they pass to ganglionated sympathetic chain;     – further laterally these 2 spinal nerves acquire bulk of postganglionic fibers for the hand … Read more

Syringomyelia

– See: Myelodysplasia: – Discussion:     – syringomyelia is a condition in which tubular cavity, or syrinx, in central area of spinal cord gradually expands leading to progressive myelopathy;     – it is associated w/ disturbed hydrodynamics of cervical spinal fluid w/ or w/o associated obstruction at the cranial cervical junction;     … Read more