– PreOp Planning: – tendon transfer is chiefly indicated for stage II tenosynovitis; – subtalar joint must demonstrate nearly a full range of inversion; – early synovectomy of the tendon sheath not only relieves discomfort but will possibly delay or prevent attenuation or rupture; – in … Read more
– Post Op Care: – consider keeping the knee in 45-60 deg flexion; – for the first 5 postop days, the pts leg is maintained in a CPM machine, and the ROM is increased to a range of 15 to 70 deg; – POD #3: active assisted ROM exercises … Read more
– Anatomy of CMC joint – Sesamoid Bones of the Thumb – Radiographs – AP view taken w/ hand in maximum pronation (Robert View); – Types of Injuries and Treatment: – Mallet Fracture of Thumb – Gamekeeper’s Thumb – Frx Dislocations of the Thumb MP Joint – … Read more
– See: – Phalangeal Injury – Finger Swan Neck Deformity – Discussion: – this deformity is more common in OA than in RA; – deformity results from CMC joint dz (where as boutonniere deformity is mainly at MCP joint); – result is erosion of articular … Read more
– See: – CMC Joint Instability – Gamekeeper’s thumb – Phalangeal Injury – RA Thumb Tendon Ruptures – Trapezium – Pathologic Findings: – boutonniere deformity – most common thumb deformity in RA; – flexion … Read more
– See: CMC Joint Arthritis CMC Instability in the Metacarpals Dislocations of the Thumb MP Joint – Discussion: – dorsal instability is usually due to disruption of the dorsal radial ligament; – dorsal-radial ligaments connects the trapezium to the dorsal radial side of the … Read more
– Discussion: – main goal is to prevent THR dislocation but also to maintain optimal offset; – prior to reducing the hip, ensure that center of femoral head is approximately at level of the greater trochanter; – once trial reduction has been completed, the trial acetabular liner is removed, the … Read more
– See: THR dislocation: – Checklist: – need complete muscular relaxation; – irrigate any debris from acetabulum; – Difficult Reduction: – capsule might have to be further released, esp if head and neck segment was short preoperatively; – if reduction is not possible & leg is lengthened, … Read more
– See: – operative considerations for hip dyplasia – reaming technique: – component insertion: – component position: – screw placement: – acetabular component revision: – bone grafting for acetabular defects: – … Read more
– Patient Position: – ensure that patient has not rotated anteriorly, for this may allow acetabular component to be placed in retroverted position; – ensure that patient’s torso is not tilted inferiorly (as can occur from a bean bag), as this can cause reaming in an excessive … Read more