Data Trace Editor – Discussion: – injury may develop over weeks so patient needs to be followed closely; – need to determine if triangular ligament is intact; – see if pt can maintain active PIP Joint extension; – if triangular ligament is intact, then … Read more
– Discussion: – soft tissue procedures will work only passive ROM is re-established; – Staged Method of Treatment: (from Raymond et al 1982) – use a metacarpal block for anesthesia (for intial three stages); – stage I and II: – lazy “S” incision over … Read more
– Discussion: – used to determine if PIP Joint capsule & extensor mechanism are working normally; – if functioning normally, blocking MP joint hyperextension allows IP joint extension; – Diff Dx of Positive Test: – attentuation of central slip – adherent central slip at the PIP Joint; … Read more
– See: – Biopsy – Chemotherapy: – General Features – radiographic features – histologic features – Location of Tumors: … Read more
– Diff Dx: Painful Joint: – four conditions may cause an excruciatingly painful joint; – infection – Gout or, rarely, Pseudogout; – Rheumatic Fever; – Tumor; – Diff Dx Tumor: – osteoid osteoma … Read more
Calcaneus Capitate Clavicle Coracoid Process Femur Fibula Foot Hamate Humerus Lunate Navicular Olecranon Patella Pisiform Radius Sacrum Scaphoid Scapula Sesamoid Bones (Foot) Sesamoid Bones (Hand); Talus Tibia Trapezium Triquetrium Ulna
– Assessment of Reduction: – amount of radial bow is determined by drawing a line from the biciptial tuberosity to the ulnar aspect of the distal radius; – at the point of maximal radial bow, measure the distance of a line drawn perpendicular to the first line; – Frx Malunion: … Read more
– Discussion: – lag screw: (see: lag screw theory) – in oblique or wedge fractures 3.5 mm cortex screws are inserted as lag screws either separately first or thru the plate; – radial frx: – radial plate is most … Read more
– Discussion: – there is inherent graft weakness during period after implantation when allograft& autograft tissues undergo necrosis, revascularization, and cellular proliferation; – weakest link initially is graft fixation site; – it is important to achieve strong fixation initially; … Read more
– Technique: – at this point, No 2 Ethibond stay sutures will have already been passed thru drill holes made in each bone plug; – proposed tibial bone plug should have an additional stay suture passed thru the bone-tendon interval (as a safety feature should the interference screws … Read more