The Hip - book

Hand & Wrist in Arthrogryposis

– Discussion:     – hands of wrists in arthrogryposis are marked by weak muscles, stiff MP & IP joints, adducted thumb, and flexed and ulnar-deviated wrist;     – hand that has pinch and grasp is best left untreated;     – sublimis release>           – for flexion of proximal … Read more

Hanging Cast

– See:  – Forces Displacing the Fracture – Cast Brace – Caldwell (1933)  – for displace frx of the humeral shaft with shortening, and also for oblique and spiral fractures;  – Indications:  – used for comminuted humeral frx  – disatl humeral shaft frx;  – cast must be light wt. and must extend from at least … Read more

Harrington Instrumentation

– Spinal Fracture:     – this type of fixation is now outdated, and the text is maintained for historical context;     – capable for providing adequate fixation for most spine fractures;     – will reduce angular deformities and restore vertebral body height;     – indications:           – … Read more

Safety of Hamstring Harvest:

The semitendinosis and gracilis tendons are often used in orthopaedics for reconstruction of ACL deficient knees as well as being used for reconstructions of the shoulder, elbow, ankle, and foot.  The question arises for this research study (hamstring arthroplasty) is specifically, what are the risks and long term morbidity of hamstring harvest? Specific risks and morbidity of hamstring harvest … Read more

Hand and Metacarpal Fractures

– See: – Metacarpal Neck Frx: (See 5th MCP Frx) – Unstable Metacarpal Shaft Frx – Extra-articular Base Frx – X-Rays: – isolated metacarpal views are not possible; – 30 deg pronated lateral: for index and long metacarpals; – 30 supinated lateral: for ring and little metacarpals; – Non Operative Treatment:   – wrist is … Read more

Hand and Wrist Ref

Current Concepts Review.  Carpal Instability. Problem Disorders of the *Wrist–Symposium:* On Resection of the Proximal Carpal Row. Problem Disorders of the *Wrist–Symposium:* Radiography of the *Wrist.* Trends in Subspecialties–Symposium: Adhesive Capsulitis of the *Wrist:* Diagnosis and Treatment. Problem Disorders of the Wrist–Symposium: The Vascularity of the Wrist: Identification of *Arterial* Patterns at Risk. Symposium–Progress in Sports Medicine: Athletic … Read more

Upper Extremity in Cerebral Palsy

– See: Cerebral Palsy Menu: – Discussion: – most pts w/ hemiplegic cerebral palsy have functionless hand marked by: – flexion of the elbow with pronation of the forearm; – flexion of the wrist and fingers: spasticity, weakness, flexion deformity of the wrist & fingers – thumb in palm deformity; – loss of sensation and … Read more

Hammer Toes

– Anatomy and Discussion:     – term describes abnormal flexion posture of PIP joint of one of lesser 4 toes;     – the hammer toe deformity is similar to the curly toe deformity but is not malrotated;     – flexion deformity of PIP may be fixed or supple;     – w/ … Read more