– PreOp Planning: – consider NG tube and foley catheter; – have proper sized C-collar available for post operative care; – position: supine w/ halter cervical traction (3-5 lbs) w/ head turned slightly to the right; – consider placing a rolled towel between the … Read more
– See: – Anterior Approach to the Shoulder – Discussion: – with plate fixation of the humerus, the anterior approach is preferred for proximal and mid-diaphyseal frx w/ application of plate to anterolateral aspect of the humerus (see humeral shaft fractures); – interval lies … Read more
– Discussion: – lesion labeled annuular tear or internal disruption is based on concept of leaking disc, one which permits the irritating liquid material normally restricted to the center of the disc to come into contact with the innervated tissue; – annular tissue that permits egress of this liquid has a poor capacity for healing; – at most, … Read more
– See: Annular Tear: – Discussion: – anulus fibrosus makes up peripheral portion of disk structure; – composed of fibrocartilage and type I collagen; – fibers of anulus run obliquely between vertebrae and are arranged primarily in concentric layers; – direction of the fibers … Read more
– Discussion: – select appropriately sized 6.5 mm or 7.0 mm canulated screw (threads must cross the frx site); – consider direction of maximal deformity and displacment; – guide wire insertion (for cannulated screw insertion); – K wire is inserted from deep w/ in sinus … Read more
origin: posterior surface of lateral epicondyle of humerus; insertion: lateral side of olecranon process and posterior surface of proximal portion of ulna; action: extension and pronation of the forearm at the elbow; nerve supply: radial, C5, C6; synergist: triceps brachii The aconeus muscle flap: its anatomy and clinical application.
– Discussion: – pulsatile, tender mass – vasospastic symptoms (burns’s) – digit ischemia and/or gangrene – embolic showers from mural thrombi – adjacent nerve compression – may be erythematous and mimic an abscess – systolic bruit or thrill – Exam: – allen’s test may be positive if … Read more
– Anatomy: – PCL is approximately twice as strong and twice as thick as the normal ACL (therefore less commonly injured); – size: 13 mm, its length, 38 mm, (approximates that of ACL); – origin: – PCL originates from the antero-lateral aspect of … Read more
– See: Rotator Cuff Tear – Discussion: – see abductors of the shoulder; – common tendon covering top, front, & back of humeral head; – 4 muscles fuse to form this tendon: (subscapularis, supraspinatus,, infraspinatus, teres minor;) – supraspinatus – lies … Read more
– Discussion: – upper end of sacrum, base of triangle, is directed forward & upward; – in middle is upper surface of body of the first sacral vertebra; – its anterior border forms the sacral promontory. – it is concave & fairly smooth on its pelvic surface, … Read more