Work Up for Brachial Plexus Injuries
– See: brachial plexus – Discussion: – hx: persistant pain > 6 months: (poor prognosis); – diff dx: – breast cancer (lower plexus and painful) – radiation therapy (upper plexus and painless) – … Read more
Wrist
Wheeless’ Textbook of Orthopaedics – Journal Watch
Soft Goods: ProMed Prosthetic Devices: Otto Bock Orthotics: Specially For You® Biorthex Inc. Copes Foundation Donjoy Braces Trauma: Stratec Rimlon Acumed AO/ASIF Corin Joints: Link America … Read more
Wheeless’ Textbook of Orthopaedics – Journal Watch
Closed Reduction of Colles Fractures: Comparison of Manual Manipulation and Finger-Trap Traction. A Prospective, Randomized Study Treatment of Reverse Oblique and Transverse Intertrochanteric Fractures with Use of an Intramedullary Nail or a 95° Screw-Plate. A Prospective, Randomized Study Evaluation of the Forearm in Untreated Adult Subjects with Multiple Hereditary Osteochondromatosis Surgical Correction of the Snapping … Read more
Hand
– see wrist menu Amputation of the Finger and Hand Bennett’s Fracture Blood Supply to the Wrist Boutonnere Injuries Bouvier’s Test Burns of the hand Carpal Tunnel Syndrome Cerebral Palsy Claw Hand Clenched Fist Injuries Congenital Deformities of the Hands Compartment Syndromes of the Hand and Forearm CMC Arthritis DeQuervain’s Disease Digit Reimplantation Distal Phalangeal … Read more
Watson test
– Discussion: – this manuever helps diagnose SLD but the test is not specific for SLD, because it may reposition entire proximal carpal row if row, rather than the scaphoid; – manipulation of scaphoid by examiner may reproduce pt’s sensation of instability or even cause subluxation of proximal pole of the scaphoid; … Read more
Volkmann’s contracture
– See: Compartment Syndrome – Discussion: – type of forearm ischemic contracture resulting from brachial artery injury usually associated w/ supracondylar frx of humerus; – may see loss of motor & sensory function, however, classic involvment is w/ anterior interosseous branch of median nerve; – pathology: … Read more
Vitamin-D Deficient Rickets
– See: Rickets: – Discussion: – this is the classic form of the disease; – it usually results from a deficiency in dietary intake of vitamin D, often coupled with inadequate exposure to sunlight; – reduced vitamin-D intake causes a diminution in the absorption of calcium from the GI … Read more
Volar Barton’s Fractures
– Discussion: – characterized by frx of volar margin of the carpal surface of the radius which is associated w/ subluxation of radiocarpal joint; – similar to Smith’s type III; – comminuted frx of distal radius may involve either anterior or posterior cortex and … Read more
Volar Intercalated Segment Instability (VISI)
– See: Carpal Instability – Discussion: – by definition, consists of volar flexion of the lunate relative to the longitudinal axis of the radius and capitate, when the wrist rests in a neutral position; – lunate will tend to flex when there is loss of ulnar support from the triquetrum; … Read more
Vascular Problems of the Wrist and Hand
– See: – Burns of the Hand – Thrombolytic Therapy – Ischemia of the Hand: – History: – infection, cold intolerance, pain, tenderness, of mass, cyanosis – Treatment of digital ischemia with liposomal bupivacaine. – Diff dx: – Aneurysms of the Upper Extremity … Read more