Ortho Oracle - orthopaedic operative atlas

Milch Technique of Shoulder Reduction

  – Discussion of Treatment of Recent Dislocations and Fracture-Dislocations of the Shoulder     – maintains that biceps and subscapularis muscle offers the chief resistance to reduction;     – in anatomic position, w/ humerus at side, direction of various muscles around shoulder girdle seems to completely haphazard;     – constancy of this effect must be attributed … Read more

Midtarsal Fracture

(see also: Midfoot/Forefoot Fractures; Navicular Frx; Cuboid Frx; Longitudinal Stress Injuries of Midtarsal Joint) Medial Stress Injury type of sprain of the midtarsal joint; caused by inversion of the foot, inaddition, fracture subluxation of joint may be found; Lateral Stress Injury this injury is frequently misdiagnosed as an ankle sprain; characteristic feature of these injuries … Read more

Midfoot / Forefoot Fractures

– See: – Cuboid Fracture – Jones Fracture – Lisfranc’s Fracture – Midtarsal Injuries – Navicular – Stress Fractures of the Forefoot and Midfoot – Transverse Tarsal Joint – Discussion: – fifth metatarsal fracture patterns; – Avulsion frx of base of 5th metatarsal from pull of peroneus brevis; – Jones frx – transverse fracture thru … Read more

Middle Phalanx Frx

    – See:       – Characteristics of Phalangeal and Metacarpal Fracture:       – Injury to the Phalanges: – Discussion:     – important deforming force is the insertion of central slip into the dorsum of the base of the middle phalanx & insertion of flexor digitorum           superficialis volarly;     – … Read more

Middle Facet of Subtalar Joint

– Discussion:     – slightly concave, is situated on the sustenaculum tali;     – sustenaculum forms the floor of middle facet;     – between middle & posterior articular facets lies interosseous sulcus (calcaneal groove), which opens broadly laterally & forms, w/ talar sulcus, sinus tarsi; – Radiology:     – medial oblique axial … Read more

Middle Column: the posterior half of the vertebral body

– See: Ligamentous Instability: – Discussion:     – compressive forces are transmitted thru the posterior vertebral body wall onto the two Uncovertebral joints;          – there is no significant disk material in this middle column;     – tensile forces are w/ stood by posterior longitudinal ligament and the posterior Annulus fibrosus;   … Read more

Mid Palmar Space

– Discussion:     – extends lateromedially from mid-palmar septum to hypothenar eminence;     – extends proximodistally to level of superficial palmar arch;     – dorsally the bursa is bordered by the middle, ring, (and ? little) finger metacarpals and palmarly by the flexor tenons and lumbricals;     – bursa functions to … Read more

Mid-Carpal Instability

– Discussion: (see: dynamic instability);     – type of non dissociative carpal instability;     – capitolunate joint has high potential for instability, since it is mainly stabilized only by radiocapitate ligament (and captiotriquetral ligament, to a lesser degree); (see wrist ligaments);     – may result from malreduced radial styloid frx, or any … Read more

Microscopic Structure of Bone

– Discussion:     – there are three types of cells intimately associated with bone:  osteocytes, osteoblasts, and osteoclasts;     – osteocytes dwell in small lacunae within the bone matrix;           – they are oval in cross section, their longest diameter being roughly parallel to the lamellae of mature bone; … Read more

Microscopic features of the Meniscus

– Discussion:     – meniscal cells while typical chondrocytes, are called fibrochondrocytes because they synthesize fibrocartilage matrix, rather than hyaline               cartilage matrix typical of articular cartilage;     – menisci are composed of circumferentially oriented collagen fibers, which are parallel to its peripheral border;     – orientation of type I collagen fiber bundles is the major determinant … Read more