Triceps Brachii
– origin: lateral head: superior 1/2 of post. lat. surface of humerus; long head: infraglenoid tuberosity of scapula; medial head: – inferior 2/3 on posterior surface of the humerus, beginning at the spiral … Read more
Tibia and Fibula
Triceps Splitting Approach to the Elbow
– See: Posterior Approach to the Humerus; – Discussion: – the distal triceps can be split down the middle with the dissection carried straight down to bone over the olecranon; – care is taken to mobilize full thickness fascial and periosteal flaps both medially and laterally; – the dissection … Read more
Treatment of Calcaneal Fractures
– See: Surgical Approach – Treatment Options: – No Reduction – elevation, compression, early ROM (ROWE) – Closed Reduction – Bohler: distraction/M-L – compression – Open Reduction – Palmer: lateral approach (1948) – Goals of Open Reduction: … Read more
Treatment of Club Foot
– Non Operative Treatment: – Operative Considerations: – surgical indications: – when deformity has not been treated successfully w/ proper manipulation & serial application of casts, supported by limited operative intervention; – operative timing: – surgical goals: … Read more
Treatment Methods for Tibial Fracture Defects
– Discussion: – see tibial non unions – OTA classification: – type I is there is loss of 50% of circumference of bone and less than 2 cm defect; – consider exchange nailing – ref: Critical-sized defect in the tibia: is it critical? Results from the SPRINT trial. – type2 if … Read more
Treatment of ACL Disruption
– Bone Patellar Bone Repair: – Femoral Tunnel: – Tibial Tunnel: – Tendon Graft: – according to Noyes et. al., strength of 14 mm-wide graft of patellar tendon is approximately 175% the strength of normal Anterior Cruciate Ligament; – semitendinosus graft is approx 75%, gracilis tendon is approx 25%, … Read more
Traumatic Dislocations of the Knee
– Discussion: – mechanism of injury: – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries); – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more
Tibia Fracture Infections
– See: tibia fracture menu (open tibia fractures); – Discussion: – worst prognostic feature for healing of tibial frxs is infection; – osteomyelitis of tibia & infected non unions are among the most severe complications after tibial frx, & may lead to amputation; – probability of infection is related … Read more
Trauma and Fractures Menu
(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more
Transfixation Wire Properties
– See: – Safe Zone of Pin Insertion Wires Insertion Techniques – Wire Characteristics: – in general 1.5 to 1.8 mm wires need no incision or drill sheath, but larger, 2.0 wires may be inserted w/ sheath through incision; – larger diameter wires will increase … Read more