– Discussion: – its essential to consider the differential dx and to examine the patient from the neck down to the finger tips; – in taking the history, be sure to inquire as to whether the patient’s main complaint is hand/wrist pain versus paresthesias; – it is also important … Read more
– Signs and Symptoms: (see C-spine Exam) – pain is earlly symptom, which may be ischemic in origin; – Myelopathy: – characterized by weakness (upper > lower extremity); – ataxic broad based suffling gait, sensory changes; – rarely urinary retention; – myelopathy hand: … Read more
– Dicussion: – assess for swelling and tenseness of the forearm compartments; – assess carrying angles of the affected and non affected arms; – r/o neurologic deficits – median nerve injuries are more often associated w/ posteromedial displacement; – … Read more
– See: – Brachial Plexus – Neuro Exam – Diff Dx of Cervical Pathology: – Neuro Exam: – PE of Lumbar Spine: – Upper Cord Involvement: (see: cervical radiculopathy / myelopathy) C5 C6 C7 C8 T1 Sens: Lat arm Thumb … Read more
– Neurological Exam: – be sure to examine the AIN, PIN, and median nerve at the wrist; – carpal tunnel syndrome; – evaluate the strength of the APB; – injury from contact with bone spicules; – … Read more
– Discussion: – pt w/ anterior dislocation keep affected arm at side of body in external rotation; – shoulder will loose its usual roundness and will be full anteriorly to palpation; – axillary nerve f(x) should be documented; – rotator cuff is frequently damaged & should be … Read more
– Amputation of the Finger and Hand – Arthrodesis of the MP joint and Finger Joints – Boutonnere Injuries – Characteristics of Phalangeal and Metacarpal Fractures – Compression Screws – Condylar Frx – Crossed Finger Flap – Dislocations of PIP – Digit Reimplantation – Dislocations: … Read more
– Discussion: – loss of normal medial longitudinal arch leads to pes planus, which can be flexible or rigid; – may arise as a consequence of hyper-pronation or from increased eversion of the subtalar joint; – hence, the calcaneus lies in valgus and external rotation relative … Read more
– Anatomy: – origin: distal 2/3 of the lateral surface of the body of fibula and the adjacent intermuscular septa; – insertion: tuberosity on lateral side of proximal end of 5th metatarsal; – action: – plantar flexion and eversion of the foot … Read more