– See: – PA View – Radial Inclination – Discussion: – AP has the dorsum of the hand touching the film, with the x-ray beam passing palmar to dorsal, whereas in a PA film, the palmar surface lies flat on the film and the x-ray beam passes from the dorsal to palmar surface; – palmar … Read more
– See: Watson Jones Approach – Discussion: – Smith Petersen improved & revived the anterior iliofemoral approach; – entire ilium and hip joint can be reached thru iliac part of incision; – w/ this approach there is a need for extensive detachment of tendinous insertions & retraction of muscle, w/ potential damage to femoral artery and … Read more
by William Mallon MD – Skin Incision: – Identification of Radial Nerve: – Identification of 3-4 Interval: – Longitudinal Arthrotomy: – arthrotomy performed just distal to Lister’s tubercle over scapholunate interval; – this should provide clear exposure of scaphoid and lunate; – alternatively, a distally based capsular flap can be … Read more
used to evaluate the extent of ligament injury to the A-C joint Technique patient is erect; 10 to 20 pound wts (depending on patient size) are looped over the patient’s wrists suspending them from the wrists; these are not to be griped by the patient, as the act of gripping may tense the shoulder muscles … Read more
Discussion may result from complete excision of the flexor digitorum sublimis; it is especially likely to occur in patients with a hyperextensible PIP joint; major vinculum exists at the insertion of the sublimis tendon; when tendon is exised to to its insertion, the vinculum is violated, creating major source of adhesion formation for reconstructed tendon; … Read more