Ortho Oracle - orthopaedic operative atlas

Finger and Hand Incisions

– See:     – Finger Tip Injuries – Brunner Type Incisions:     – The zig-zag volar-digital incision for flexor tendon surgery. – Midaxial Incision:     – indications: septic arthritis of IP joints and MP joint of thumb;     – site for placing midaxial incision is performed by  flexing finger & marking the … Read more

Finger Tip Injuries

– See:       – Phalangeal Injury – Menu       – Thumb Defects:              – Moberg Flap   – Nail Bed Injuries:          – if injury damages the distal phalanx, particularly when the damage extends into germinal matrix, the nail will probably be irregular and                  … Read more

Finkelstein’s test and the Grind Test

– Finkelstein’s test:     – ask patient to make a fist over his thumb, and ulnarly deviating wrist     – sharp pain at this site is produced by active extension and abduction of the thumb against resistance; – Differential Diagnosis:      – DeQuervain’s tenosynovitis must be differentiated from degenerative arthritis & trapeziometacarpal joint; … Read more

Fresh Ankle Osteochondral Allograft Transplantation for Tibiotalar Joint Arthritis

Foot Ankle Int. 2005 Oct;26(10):793-802   Meehan R, McFarlin S, Bugbee W, Brage M ABSTRACT  BACKGROUND: Conventional treatment for tibiotalar joint arthritis relies on arthrodesis or prosthetic arthroplasty. Fresh osteochondral allografting is an alternative procedure to replace diseased articular cartilage.   METHODS: Eleven patients (average age 43 years; range 18 to 65 years) had fresh … Read more

Functional Evaluation of the Scandinavian Total Ankle Replacement

Foot Ankle Int. 2004 Jun;25(6):377-381   Dyrby C, Chou LB, Andriacchi TP, Mann RA ABSTRACT   BACKGROUND: The purpose of this study was to evaluate the function of the ankle joint during walking before and after Scandinavian Total Ankle Replacement (STAR™ Ankle).   METHODS: Nine patients (six males and three females) with an average age … Read more

Fibrosarcoma of Bone

– Discussion:     – fibrosarcoma of bone occurs most often in adolescents or young adults;     – presents in major long bones, presenting as painful mass;     – preoperative staging studies are needed  to differentiate low grade stage I fibrosarcomas from high grade stage II lesions; – X-rays     – poorly defined, … Read more

Fibrosarcoma of Soft Tissue

– See: Soft Tumor Menu – Discussion:     – an invasive, malignant, spindle cell tumor which demonstrates cellular atypia, mitosis, & formation of type I collagen;     – it is less aggressive in soft tissue than in bone;     – most common soft tissue sarcoma in infants;     – lower limb … Read more