– Tendon Transfers for Specific Palsies: – Brachial Plexus Palsy – High Ulnar Nerve Palsy – Low Ulnar Nerve Palsy – High Median Nerve Palsy – Low Median Nerve Palsy – Radial Nerve Palsy – Prerequisites: – full passive joint mobility; … Read more
– Discussion: – it is important that the injection site be at distance proximal to site of injury; – if this cannot be performed w/ ease, retrograde axillosubclavian technique should be utilized; – insertion of needle into brachial artery is facilitated by immobilizing artery against humerus; … Read more
– Discussion: – length & alignment are restored by use of femoral distractor in saggital plane, w/o need for fracture table; – this permits hip and knee to be flexed on the table during nailing; – the distractor may be particularly suited to poly trauma patients; – disadvantage … Read more
– See: Radiographic Findings – Unstable Frx Patterns: – Barton’s frx, Radial-styloid frx, and Smith’s frx, will often be unstable; – dorsal angulation: > initial 20 deg implies instability; – radial shortening of 5 mm or more; – articular frxs that involve radiocarpal joint; … Read more
– Discussion: – uncovertebral joint arthrosis involves what is known as the joints of Luschka, extending from C3 to C7; – lateral aspect of vertebral body has superior projection (uncinate process); – as the disks become degenerative, these projections approximate w/ body of the next highest vertebra; … Read more
– See: – Facet Joint Injuries – Hyperflexion Injuries – Oblique projections; – Pillar View – Discussion: – simple unilateral facet dislocation is often a stable injury, eventhough there is disruption of the posterior ligament complex (involved joint capsule, posterior longitudinal ligament, … Read more
– See: – Ulnar Nerve: – Cubital Tunnel Syndrome: – Discussion: – ulnar nerve neuritis is a reported of operative treatment for elbow frxs; – one of complications of ORIF of elbow frxs is adherence of the ulnar nerve directly to medial epicondylar region w/ … Read more
– Discussion: – osseous related pain: – hamate fracture – pisiform fracture – ulnar styloid frx – base of the fifth metacarpal – TFCC – radioulnar joint – … Read more
– See: – MP joint deformities – Distal Ulna Arthroplasty – Rheumatoid Hand – Anatomical Contributing Factors: (to ulnar drift) – normal mechanical advantage of the ulnar intrinsic muscles – asymmetry & ulnar slope of MC heads of index & middle fingers; – asymmetry of the collateral … Read more
– See – Cubitbal Tunnel Syndrome – Differential Dx: Ulnar Nerve Dysfunction: – Martin Gruber Anastomosis – Ulnar Nerve Blocks: – Ulnar Nerve in Condylar Fractures: – Anatomy: – brachial plexus: – C8 and T1 nerve roots give rise to the medial cord which in turn, forms the ulnar nerve; – ulnar nerve passes distally, … Read more