– Discussion: – GCT of tendon sheath are not really tumors but reactive lesions, which are similar to PVNS; – they do not always arise from the tendon sheath but may arise from the synovium; – it is the second most common benign hand tumor next to ganglions; … Read more
Management of Difficult Shoulder Problems–Symposium: The Frozen Shoulder Diagnosis and Management. Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. The frozen shoulder. Diagnosis and management. Frozen shoulder. A long-term follow-up. Combination treatment for adhesive capsulitis of the shoulder. The resistant frozen shoulder. Manipulation … Read more
– Discussion: – two processes, lateral & posterior, project from body of talus – either process may be fractured, either as isolated injury or assoc w/ other ankle or talar injuries; – diff dx of posterior ankle pain: (os trigonum) – embryology: … Read more
– See: Flexor Pollicis Longus: – Discussion: – rupture of the flexor pollicis longus tendon is common in RA; – etiology: – rupture of FPL occrus as result of attrition over scaphoid (osteophyte), which had eroded through volar wrist capsule; – arises from … Read more
– Anatomy: – origin: distal 2/3 of posterior fibula, interosseous membrane and adjacent intermuscular septum; (see deep posterior compartment) – tendon passes through posterior aspect of fibro-osseous tunnel, plantar midfoot (knot of Henry); – insertion: – plantar surface of base of distal phalanx … Read more
– See: Forearm Flexors – Discussion: – origin: medial epicondyle of humerus; – anatomy at the wrist: – when pt flexes wrist & radially deviates his hand, tendon becomes prominent next to the palmaris longus; – FCR lies radial to the … Read more
– See: Forearm Flexors – Anatomy: – origin: 2 heads from medial epicondyle of humerus & medial border of olecranon; – insertion: palmar surface of pisiform, hamate, and bases of 5th metacarpal; – action: flexes and adducts the hand at the wrist; – synergists: flexor carpi radialis; … Read more
– See: boutonniere injury – Discussion: – flexion contracture: – treatment should start with static or dynamic splinting; – in the study by Bruser, et al (1999), a midlateral incision yielded a more normal ROM than a palmar incision; … Read more
– Finkelstein’s test: – ask patient to make a fist over his thumb, and ulnarly deviating wrist – sharp pain at this site is produced by active extension and abduction of the thumb against resistance; – Differential Diagnosis: – DeQuervain’s tenosynovitis must be differentiated from degenerative arthritis & trapeziometacarpal joint; … Read more
– Discussion: – the two incision (“backdoor”) approach has remained the gold standard for ACL reconstruction, because it is the only technique which can reliably position the femoral tunnel at the 10 o’clock (or 2 o’clock) position (which is necessary for anatomic reconstruction); … Read more