Nerves
Alphabetical Site Index
The entire site can be found directly or indirectly by using the alphabetical listing of topics below. You can also use the clickable image skeleton to the right, the topical Tabs along the top and the Search Site by Word box. Click the letter below to display all entries starting with that letter. A B C … Read more
Skin Grafts: for Hand Defects
– Full Thickness Skin Grafts: – skin can be taken from the hypothenar area or from the instep of the foot, but forthese grafts to provide truly critical sensibility, they must be full thickness grafts; – full thickness grafts will transfer Meissner’s corpuscles (required for … Read more
Shoulder: Physical Exam
– See: – Diff Dx of Shoulder Pain: – Shoulder Examination Tests (from shoulderdoc.co.uk) – History: (questions for modified Simple Shoulder Test); – C-Spine: – r/o radiculopathy as well as axillary nerve hypaesthesia; – Spurling’s manuever: – mechanical stress, such as excessive vertebral motion, may exacerbate … Read more
SI Joint Dislocations: Posterior Screw Fixation
– Discussion: – indicated for SI joint disruptions and for some sacral fractures; – Operative Technique: – radiographs: – surgical stratedgy: – if anterior pelvic injury: – note that the biggest … Read more
Shoulder Dislocation: Associated Injuries
– Associated Injuries: – Bankart lesion – up to 90% of first time dislocators will have this lesion; – fracture dislocation: – fracture of humeral head, neck, or greater tuberosity; – associated greater tuberosity frx may actually have less … Read more
Shoulder Impingement Syndrome
– Discussion: – impingement syndrome describes pain in subacromial space when the humerus is elevated or internally rotated; – during humeral flexion, the supraspinatus tendon and bursa become entrapped between the anteroinferior corner of the acromion (and CA ligament) and the greater tuberosity; – this syndrome is thought to precipitate … Read more
Shoulder Arthroscopy: Anterior Portal
– Anterior Portal: – anterior portal is usually used for introduction of instruments; – this portal is placed under arthroscopic visualization from the posterior portal; – the needle is placed halfway between the AC joint and the lateral aspect of the coracoid; – this … Read more
Shoulder Arthroscopy: Thermal Capsular Shrinkage
– Discussion: – may be indicated for shoulder instability; – in the report by Greis PE, et al, the authors evaluated 4 cases in which axillary nerve injury which was observed after radiofrequency capsular shrinkage of the shoulder; – authors conclude that injury to the … Read more
Sesamoiditis of the Foot
– Discussion: – inflammation and swelling around the sesamoid (tibial > fibular) and FHB can be secondary to trauma, infection, AVN, stress fractures, or a systemic disorder; – sesamoiditis may also be precipitated by a cavus foot w/ excessive wt bearing under the first metatarsal; … Read more