Data Trace Editor – Fluid Management: – need for continuous outflow; – note that a small amount of continuous outflow will allow for clear visualization and decreased inflow pressure settings; – Bernoulli principle: bleeding can be decreased by decreased fluid turbulence due to egress of fluid from portal sites; – note that continuous outflow will allow reduced pump … Read more
– See: Spinal Shock – Discussion: – fluid resuscitation should be conducted with the knowledge that excessive replacement may cause cerebral edema; – expanded intravascular volume in absence of abnormality in serum Na does not predispose to brain swelling, and hence, fluid restriction is not indicated in the head … Read more
– Discussion: – it is essenital to accurately determine the optimal tension to be applied to the motor unit; – use the relaxed natural cascade of the fingers to assist in determining the optimal tension; – most often the tendon graft is sutured to the proximal FDP in the … Read more
– Anatomy: – on volar aspect of finger, FDP passes through FDS to insert on distal phalanx; – both long flexor tendons are tightly enclosed in common tendon sheath which corresponds to zone II; – anatomical proximity explains the development of adhesions between FDS & FDP tendons & digital fibrous sheaths following injury; – excursion … Read more
– See: discussion flexor tendon repair: theory and modes of failure – Discussion: – Kessler Repair: – Kessler grasping stitch or similar core suture methods of flexor tendon repair are popular types of flexor tendon repair; – references: – Complications After Flexor Tendon Repair: a Systematic Review and Meta-Analysis … Read more
– Discussion: – in the majority of cases, there will be an open fracture of either the femur or tibia; – multiple injuries are common and hospital stays can last over one month; – amputation may be required in upto 20-30% of cases; – Technical Considerations: – … Read more
by James J. Davidson MD – Discussion: – refers to scapular frx and clavicle frx (or AC joint … Read more
– See: Flexor Pollicis Longus: – Discussion: – rupture of the flexor pollicis longus tendon is common in RA; – etiology: – rupture of FPL occrus as result of attrition over scaphoid (osteophyte), which had eroded through volar wrist capsule; – arises from … Read more
Flexor Pulley Repair / Reconstruction – See: – Prosthetic Grafts – Flexor Tendon Sheath Anatomy – Staged Tendon Reconstruction – Discussion: – the A2 and A4 pulleys are essential to prevent flexor tendon bow stringing; – inadequate pulley reconstruction will lead to bowstringing of the flexor tendon; – include use of a portion of FDS, free tendon graft, … Read more
– See: – Pulley Reconstruction – Flexor Tendon Pulleys: – A1 pulley: – arises from volar plate of MP joint, beginning 5 mm proximal to the MP joint and ending at the base of the proximal phalanx; – average length … Read more