Ortho Oracle - orthopaedic operative atlas

High Ulnar Nerve Lesions

– See:     – Tendon transfers:     – Nerve Repair:     – Combined Injuries of the Median and Ulnar Nerves: – Discussion:     – ulnar innervated intrinsic muscles of hand, FCU, & FDP units to ring & little fingers & part of long finger;     – functional deficit:     … Read more

High Tibial Osteotomy

 – See: TKR following HTO: – Discussion: – indications for HTO: – associated conditions: – posterolateral corner deficiency – osteoarthritis of the knee: – motivation for procedure: – narrowed medial cartilaginous space may regenerate (and associated degenerative features may reverse) if weight bearing stresses are partially shifted from the medial to the lateral side of the … Read more

High Median Nerve Lesions

– See:       – Entrapment of Median nerve  at the Elbow and Forearm:       – Combined Injuries of the Median and Ulnar Nerves:       – Median Nerve       – Nerve Repair – Deficit:     – loss of pronation of forearm, wrist flexors, index & long finger … Read more

High Anterolateral Portal

– Discussion:  – w/ the knee flexed 70 deg, the patella apex is palpated, and a longitudinal stab incision is made just lateral to the border of the patellar tendon using a No. 11 or 15 knife blade;  – placing the incision close to the lateral border of the patellar ligament facilitates inspection of the … Read more

Heterotopic Ossification

– See: Ossification of Soft Tissues: and Myositis Ossificans – Discussion:     – occurence and formation of mature bone in non-osseous tissue;      – may present w/ signs of localized inflammation or pain, elevated skin temp, ect.     – tends to occur after thr, spinal injury, head injury (11%), burns, bruises, elbow trauma, total hip replacement;     … Read more

Hetastarch/Hespan

  – plasma volume expander, for treatment of shock, – Discussion: – synthetic colloid with actions similar to Albumin;  – can be safelly used to a total volume of 1.5 liters;  – its available as 6% solution in normal saline w/ osmolarity of 310 mOsm/l;  – it generally provides plasma volume expansion for more than … Read more

Herpes Simplex Finger Infections

– See: Diff Dx of Hand Infections – Discussion:       – most often involves the tip of the digit;       – occurs from contact w/ oral tracheal secretions and self inoculation (common w/ dentists);       – incubation period from two to 14 days;       – characterized by … Read more

Herniated Disc in the Child

– Diff Dx: slipped vertebral apophysis – Discussion:     – disc herniation is uncommon in children;     – herniations are most common at the disc spaces between the fourth and fifth lumbar vertebrae & between 5th lumbar and 1st sacral            vertebrae; – Clinical Findings:     – children experience little or no back … Read more