– Discussion: – historically has yeilded good results in relieving pain; – disadvantages: – thumb shortening and subsidence, weakness of pinch, and decreased ability to adduct the thumb; – Operative Technique: – dorsal longitudinal incision centered over CMC joint; … Read more
– See: CMT Menu: – Discussion: – autosomal dominant inheritance; – type-I and III disorders are due to demyelination of peripheral nerves; – clinical presentation is most common during the second decade of life; – due to defect in the gene coding for peripheral myelin protein-22 on chromosome … Read more
– See: CMT Menu: – Discussion: – autosomal dominant inheritance; – type II is the neuronal form of CMT disease and is seen infrequently; – onset is delayed until the second or third decade of life; – sensory and motor nerve-conduction times that are only mildly abnormal, and … Read more
– See: CMT Menu: – Discussion: – includes the hypertrophic neuropathy of infancy (Dejerine-Scottas); – autosomal recessive trait; – begins in infancy; – EMG in demyelinating neuropathies: – marked slowing in nerve conduction velocity which is more extensive than those seen in … Read more
– See: – Clavicular Frx in Children / Congential Pseudoarthrosis of Clavicle – AC joint / Sternoclavicular Joint Injury / Scapula Fracture – Discussion and Classification – Exam Findings: – brachial plexus – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology: – Serendipity View … Read more
– Discussion: – circumferential soft-tissue release involving posterior, medial, lateral, and plantar aspects of the foot; – its designed particularly to correct the horizontal subtalar rotation of the calcaneus that is associated with congenital club foot; – because of this, the posterior aspect of the calcaneus not only is … Read more
– Anterior Compartment Syndrome: – anterior compartment of leg is involved most often; – pain is often burning in nature which worsens with activity and completely subsides after 15 minutes of activity cessation; – diff dx: – tibial and fibular stress frx; – … Read more
– Discussion: – type I, type II, and type III are most common; – type IV: – is also referred to as Refsum disease; – associated w/ excess phytanic acid; – type V: – inherited spastic paraplegia with distal weakness in the limbs; – usually presents in the second decade of life or later; – … Read more
– Discussion: – radial styloid frxs most commonly occur from tension forces sustained during ulnar deviation and supination of the wrist; – strong radiocarpal ligament, particularly radioscaphocapitate ligament, avulse radial styloid from metaphysis of the radius; – ligamentous attachments maintains alignment radial styloid to carpus, but styloid may be markedly displaced from … Read more
– Anesthesia: – GEA if possible (a neurological exam is often required at the end of the case); – Equipement: – bipolar cautery – hand tray – bone reduction clamps – small Homans – small fragment set (Synthes – Allen Burrus – # … Read more