Data Trace Editor – See: Abductors of the Shoulder : Origin: dorsal surface of inferior angle of the scapula on the lower 1/3 of scapular axillary border; Insertion: medial lip of bicipital groove of humerus; medial to latissimus dorsi tendon; Action: adducts and medially rotates humerus at the shoulder; extends the shoulder joint; Reversed origin insertion action: … Read more
– 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
– 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
– See: Iliotibial Band Syndrome – General Anatomy: – origin: – anterior iliac crest outer lip, anterior border of the ilium, outer surface of anterior superior iliac spine; – insertion: – iliotibial band of fascia lata on lateroanterior aspect of thigh, … Read more
– 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
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
– 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
– See: tendon excursion – Discussion: – FCR to EDC transfer; – this transfer is also well suited for finger extension; – advantages: – uses same incision as for the pronator and … Read more
– Discussion: – tendon transfers are never indicated in the initial treatment of club foot, but they may be of benefit in special circumstances; – even though the major deformities have been corrected satisfactorily, flexible fore part of the foot may tend to supinate during the swing phase of gait; – … Read more
– See: – combined injuries of the median and ulnar nerves: – nerve repair – median nerve repair at the wrist – Discussion: – patient’s ability to oppose is weak, and the FPL provides most of the strength in flexion; – loss of the radial … Read more