Ortho Oracle - orthopaedic operative atlas

Tendon Transfers

– 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

Tendon Repair Techniques

– Discussion:     – core suture techniques;     – strength of flexor tendon repair is proportional to the number of sutures crossing the repair;     – note that a average force of 20 N required for active digital flexion in humans and most tendon repair techniques need initial            strength of more than … Read more

Tendon Injuries of the Thumb

– See:       – Excursion, of Tendons       – Thumb Deformities in Rheumatoid Arthritis       – Thumb Soft Tissue Defects       – Flexor Pollicis Longus       – Extensor Pollicis Longus – Tendon Sheath Anatomy:     – A1 pulley: spans the MP joint, approximately 8 mm in width;           … Read more

Tendon Injuries of the Hand

– Archetecture – Excursion, of Tendons – Extensor Tendon Lacerations – Extensor Tendon Rupture – Flexor Tendon Repair – Flexor Tendon Pulleys and Sheath – Flexor Tenolysis – Infectious Tenosynovitis – Injury & Repair – Tendon Reconstruction / Grafting – Tendon Repair Techniques – Tendon Transfers in the Upper Extremity – Thumb-Tendon Injuries – Trigger … Read more

Tendon Architecture

– Discussion:     – tendon is composed of heavy, parallel bundles of collagenous fibers;           – these bundles are held together by tissue resembling perimysium;     – between bundles of fibers are fibroblasts, nerves, & blood vessels that supply the tendon;     – surrounding the tendon is a … Read more

Temporal Arteritis

– Manifestations:  – decrease / loss in vision / jaw claudication;  – that temporal arteritis is a systemic illness (low grade fever, malaise, weight loss, anorexia, weakness) seen in patients over 50 years of age;  – if this condition is suspected, order ESR;  – visual loss in Temporal arteritis is a medical emergency and should … Read more

Temazepam / Restoril

– for insomnia, short acting Benzodiazepine; – Adult:15-30mg PO qhs; – Must use lower doses in elderly or debilitated patients; Avoid use ETOH and CNS depressants; – Has one active compound w/ t/2==9-12hr; No active metabolites

Telangiectatic Osteosarcoma

– Discussion:     – an uncommon type of osteosarcoma w/ early pulmonary metastasis & an especially poor prognosis;     – telangiectatic osteosarcoma has a complex karyotypes with multiple chromosomal abnormalities. – Differential Dx:      – Aneurysmal bone cyst;            – this is both radiographically and pathologically similar to … Read more