Ortho Oracle - orthopaedic operative atlas

Terazosin / Hytrin

– alpha blocker, decreases sympathetic tone;  – side effects include hypotension and tachycardia;  – Adult Dose: 10 mg PO tid

Tension Band for Patella Frx

      – Discussion:     – theory of tension band wiring:     – modified anterior tension band technique is indicated for both transverse and comminuted fractures of the patella;     – for maximal strength, wires are placed on tension surface of bone (anterior surface), as compared to circumferential cerclage wiring;   … Read more

Tension Band Fixation: w/ Screws

– Discussion:     – interfragmentary screw fixation can be easily and securely combined w/ the use of an anterior tension band which provides resistance to            fracture displacement from anterior distraction when knee is in extension as well as resistance to displacement as the knee moves into            flexion;     – this method is most appropriate … Read more

Tenolysis of Flexor Tendons

– See: Technique of Free Tendon Grafting – Discussion:     – indications for tenolysis include failure to improve ROM after 3 months;     – if patient has had previous flexor tendon repair, surgery should be delayed until 6 months post op (inorder to avoid tendon rupture);     – consider using a wrist block … Read more

Tennis Elbow – Lateral Epicondylitis

Discussion overuse syndrome or tendinosis involving the region of the lateral humeral epicondyle; most often the origin of the ECRB displays an abnormal vascular proliferation and focal hyaline degeneration; ref: Anatomic Factors Related to the Cause of Tennis Elbow EDC may also be involved in some cases; ref: The role of the extensor digitorum communis … Read more

Tendon Vascular Supply and Nutrition

– Discussion:     – tendons have limited blood supply;     – each tendon receives its vascular supply from segmental vessels arising from surrounding peritenon & extending from forearm to midportion of the proximal phalanx;     – in digits, however, blood supply reaches flexor tendons thru vincula;     – these are folds of mesotenon … Read more