– See: Anatomy of Carpal Tunnel – TCL Incision: – transverse carpal lig is exposed, but this is generally obscured by origin of thenar & hypothenar muscles, which come to lie in opposition in midline; – palmar fascia is incised, & nerve is identified just proximal to the carpal canal; … Read more
– See: Anatomy of Carpal Tunnel – Anesthesia: – Bier Block: – proponents note that regional anesthesia allows a less rushed operation along w/ a synovectomy, if needed; – median nerve block at elbow; – w/ elbow extended brachial … Read more
– Injection of Steroid in pts w/ CTS: – injection of steroids into carpal tunnel can be an effective method of treatment in the short term; – if steroid is injected directly into median nerve, dysesthesias may occur and persist for several weeks; – note that steroid injections into … Read more
– Discussion: – are placed from the medial side to avoid damage to the posterior tibial neurovascular pedicle; – posterior tibial pulse should be palpated with one hand during the initial placement; – safe zone is outlined by a vertical line tangential to the posterior border of the medial … Read more
– Discussion: – type of tarsal coalition: – calcaneonavicular bar is most common, followed by middle facet of the talocalcaneal joint; – ossification occurs between 8 and 12 years; – coalition between calcaneus & navicular is usually seen in pts between 8-12 years of age when cartilaginous … Read more
– C6-7 Disc Herniation: – intervertebral disk herniation between 6th & 7th cervical vertebrae would affect 7th cervical nerve root; – impingement on root at this level would most likely cause sensory changes down the posterior aspect of the arm, posterolateral aspect of forearm, about dorsum of hand, and long … Read more
– Nerves: – Median nerne C5 C6 C7 C8 T1 – Radial Nerve C5 C6 C7 C8 T1 … Read more
– Discussion: – fall from a height, landing on one’s feet, is typical of this fracture; – burst frx involve only compressive failure of vertebral body both anteriorly & posteriorly, w/ failure of both anterior & middle columns; – axial loading applied to intravertebral disc … Read more
– See: – Burn Management: – Chemical Burns: – Electrical Burns: – Frost Bite: – Burn Depth: – first degree: – typical “sun burn” injury; – injury is limited to the … Read more
– See: – Intrinsic Muscles of the Hand: – Intrinsic Muscles Deficit – Discussion: – involves motor transfer to the radial side of the mid proximal phalanx, just distal to the attachment site of the lumbrical (as opposed to insertion on lateral band); – this … Read more