– Technique: The fibula is approached through a lateral incision simultaneous to the hip approach. The surgeon stands on the posterior side. The incision is planned on a line directly over the fibula. The fibular bone cuts will be 15 cm apart with the distal cut at 10 cm proximal from the distal fibular tip. … Read more
– See: – Burn Management: – Chemical Burns: – Electrical Burns: – Frost Bite: – Discussion: – full thickness injury which extends thru the entire dermis, and therefore spontaneous re-epithelialization will not occur; – clinical features: wound is insensate, … Read more
– See: – Adult Lateral Condylar Fractures – Pediatric Elbow – Discussion: – common frx in children (20% of pediatric elbow frx); – occurs most often between 6-10 yrs of age; – mechanism: fall on the outstretched arm w/ forearm in abduction & elbow in extension; … Read more
– Technique: – centered in groove at upper margin of eyebrows, between supraciliary ridge and the frontal prominences; – saggitally, fromt pins should be placed just superiorly to outer half of eyebrows, to avoid the supraorbital nerve and vessels; – placed too inferiorly, the pins might … Read more
– Pathophysiology: – effects of cooling: – temperature of the hands and feet is partially determined by ateriovenous regulation of blood flow; – vascular effects: – severe vasoconstriction 2nd to increased sympathetic tone; … Read more
– See: – Pediatric Frx of the Olecranon – Radial Head Fractures – Discussion: – low energy olecranon fractures: – most commonly occur in elderly patients, and result from indirect trauma; – fracture and results from a … Read more
– See: – Lateral Collateral Ligament – Maisonneuve Fracture – Discussion: – occur most often in association w/ proximal tibial fractures, esp w/ split compression, bicondylar, and subcondlylar fractures; – look for injury to peroneal nerve, anterior tibial artery, biceps tendon, & lateral collateral ligament; … Read more
– Discussion: – hip dislocations are typically caused by high-energy trauma, usually from motor-vehicle accidents. – they occur most frequently in young patients; – types of dislocations: – anterior dislocation – central acetabular fracture dislocations … Read more
– Technique: – Brunner Incision is made extending from distal phalanx of thumb to the MP crease; – digital nerves and vessels are identified (protected by Grayson’s ligament); – dissection procedes down to the oblique and transverse flexor tendon sheaths; – the proximal … Read more
– See: Plantar Muscles of the Foot: Origin: between the tendons of the flexor digitorum longus, except the1st, which arises from the middle side of the first tendon of the flexor digitorum longus; Insertion: on the medial side of the proximal phalanx, into the expansions … Read more