Ortho Oracle - orthopaedic operative atlas

Median Artery

– See: Arterial Development of the Limbs: – Embryologic Anatomy:     – subclavian artery projects into early upper limb bud in axial position, its proximal portion becoming subclavian-axillary- brachial             trunk, & its distal portion becoming interosseous artery that initially supplies a plexus of arteries in the primitive hand;           … Read more

Medial Release

– Discussion:      – following are components of a Medial Release:      – recession or excision of abductor hallucis;      – elongation/release of                – tibionavicular portion of deltoid ligament                – tibialis posterior tendon                – talonavicular joint capsule                – talocalcaneal joint capsule                – interosseous ligament (only rarely performed) … Read more

Medial Suprapatellar Plica

– Discussion:     – medial suprapatellar plica lies above the patella and medial synovial shelf;     – size of plica may vary from partial plica to a complete suprapatellar membrane dividing the joint into two distinct compartments; – Clinical Manifestation:      – symptoms from this plica are considered rare unless the plica is … Read more

Medial Protrusio Technique:

– Discussion:     – Acetabular Component Menu:              – crowe classification:  (paprosky classification)             – THR for DDH             – bone grafting for THR:              – protrusio deformity in THR     – cotyloplasty technique: by Hartofilakidis G, et al. (1996)              – technique creates a controlled comminuted fracture of the medial wall which allows … Read more

Medial Oblique Axial View

– Discussion:     – demonstrates the middle and posterior facet of sub-talar joint;     – taken with the foot dorsiflexed, inverted, and internally rotated 60 deg;     – Broden described a similar projection w/  limb internally rotated 45 deg;           – he recommended taking 4 exposures with the … Read more

Medial Patellofemoral Ligament

 – Anatomy and Function: (see medial compartment of knee / patellar subluxation); – medial patellofemoral ligament, a distinct condensation of capsular fibers in coronal plane which originates at the medial epicondyle (adductor tubercle and adductor tendon) as well as the MCL; – deep fascia and aponeurotic edge of the VMO fuses with the superior border … Read more