– See: – Anterior Approach to Radial Shaft: – @<c:ovvuimgp -s c:osdiagfor.1[Diagram – Plating Techniques: – Discussion: – incision begins distal to flexor crease of elbow & extends distally for approx 15 cm along the anterior border of brachioradialis; … Read more
Discussion – descision to excise the head of the radius depends associated elbow injuries as well as severity of radial head frx; – it has been determined that the stabilizing effect of radial head comes into play only when the MCL ligament has been disrupted, which explains why excision of radial head (w/ … Read more
– Technique: – patient is placed on a bean bag in a true lateral position; – slightly flexing the knee and placing it on a padded Mayo stand may facilitate positioning; – calcaneus is approached thru an extensile right angled incision, which curves sharply between … Read more
– See: Back Pain in Children – Discussion: – results of exam may be normal in child w/ spondylolysis or mild (Grade-I or Grade-II) spondylolisthesis. – Back: – tenderness to palpation in the low back; – splinting as well as guarding & restriction of side-to-side motion of low back, particularly … Read more
– Clinical Findings: – history: patient may complain of a subjective knee hyperextension sensation, and twisting or pivoting are also difficult; – lack of contained effusion is suggestive of posterolateral capsular injury; – look for diffuse tenderness over the posterolateral joint region, fibular head, and joint line; … Read more
– See: – Brachial Plexus – Neuro Exam – Management of Spinal Cord Injury: – Assess for Spinal Shock & Sacral Sparing – bulbocavernosus – anal sphincter S-3 – bladder sphincter S-2 – FHL S-1 – level of a spinal cord … Read more
– See: – PE of C-Spine: – Neuro Exam – Inspection: (scoliosis, thoracic kyphosis, lumbar lordosis, zoster ect.) – ROM: – extension: Phalen’s test (lumbar stenosis) – flexion: – frequently assessed by patient’s ability to touch the floor; … Read more
– See: – Obstetrical Paralysis: – Upper Trunk Brachial Plexus Injuries in Adults; – Discussion: – most common birth related neuropraxia (about 48%); – lesion of C5 & C6 roots are usually produced by widening of the head shoulder interval (in some cases C7 is involved as … Read more
Images kindly provided by Donald Serafin M.D., Duke University Medical Center – Discussion: – epineural repair is currently the gold standard for repair, as no prospective studies have indicated than fasicular repair is superior; – it is probably most indicated w/ pure sensory or pure motor nerves; – Technique: … Read more
– See: Anterior Interosseous Nerve Sydrome: – Site of Proximal Forearm Compression; – supracondylar process of the humerus and struther’s ligament: – median nerve may be compressed as it passes under the bondy spur – pt c/o of weak hand grip and in pronating, … Read more