Ortho Oracle - orthopaedic operative atlas

Subscapular Nerve

– See: brachial plexus – Discussion:     – subscapular and thoracodorsal nerves arise from posterior cord of brachial plexus            while this is on costal surface of subscapularis;     – both subscapular nerves usually receive fibers from C5 and C6;     – upper subscapular nerve passes directly into … Read more

Subluxation / Dislocation of the Patella

– Discussion – Examination of Patellofemoral Joint – exam considerations: – generalized hyperlaxity – femoral anteversion – vastus medialis obliquus atrophy – genu valgum – external tibial torsion – patellar dysplasia – trochlear dysplasia – patella alta – pes planus – Radiographic Features: (see: radiographic evaluation of the knee) – lateral view – look for … Read more

Subscapular Artery

    – Discussion:     – subscapular artery is usually largest branch of Axillary Artery and arises from the 3rd part of the artery;     – branches of subscapular artery enter costal surface of  Subscapularis muscle, & frequently one or more small twigs arising directly from          Axillary Artery do likewise;     – from its origin it … Read more

Subclavian Vein Approach

– See: subclavian artery and internal jugular approach – Anatomy:     – subclavian vein, which in the adult is approximately  3-4 cm long and 1-2 cm in diameter, begins as a continuation of the            axillary vein at the lateral border of the first rib, crosses over the first rib, and passes in front of the … Read more

Shoulder Arthroscopy – Subacromial Bursectomy:

– Surgical Considerations: (arthroscopic rotator cuff repair / acromioplasty)    – note that the subacromial bursa is an anterior structure; – it is located from anterior 1/2 to 1/3 of acromion to just medial to A-C joint to 1 to 2 cm anterior to acromion & 2.5 cm laterally; – posterior busrsal wall is thick posteriorly (called posterior bursal … Read more

Subacromial Bursa

Discussion (see also: subacromial bursectomy) subacromial bursa is large synovial membrane which is adherent to undersurface of coracoacromial ligament, acromion, & delltoid laterally, an is adherent to rotator cuff & greater tuberosity; it envelops proximal humerus, & facilitates gliding of proxiaml humerus under coracoacromial arch References Synovial osteochondromatosis in the subacromial bursa. Subacromial/subdeltoid bursa abscesses. An overlooked diagnosis.

Subclavian Artery

– See:       – arteries of the upper limb       – subclavian vein       – thoracic outlet syndrome; – Discussion:     – injuries are rare because of overlying bony skeleton;     – right subclavian artery originates from innominate artery & passes into neck behind the right SC … Read more

Sub Talar Dislocation

– See: Sub-Talar Joint – Discussion:     – involves dislocation of distal articulations of talus at both talocalcaneal & talonavicular joints;     – ankle joint is undisturbed;     – distinguish between medial and lateral subtalar dislocation;           – method of reduction is different w/ each type     … Read more

STSG Donor Site

– Discussion:     – determine required thickness for the STSG:           – since a thick STSG graft harvested from donor site w/ a thin dermal thickness, may lead to a full thickness wound, as well as causing hyperpigmentation of the transplanted STSG;           – thick donor sites: posterolateral … Read more