Ortho Oracle - orthopaedic operative atlas

Thenar Space Infections

    – See: Infections of the Hand – Anatomy:     – extends mediolaterally from long metacarpal bone to the thenar eminence;     – extends proximodistally from transverse carpal ligament to just proximal to superfical palmar arch;     – borders of the thenar space include:             – … Read more

TFCC Repair

– Discussion:     – indicated primary for traumatic peripheral ulnar sided TFCC tears;     – negative predictive factors for successful repair include concomitant ulnocarpal impaction syndrome (associated w/ degenerative tears) and peripheral radial tears (due to the relative avasucularity of the disc in this region;            – some surgeons feel … 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

Systemic JRA: (Still’s Disease)

– See: Juvenile Rheumatoid Arthritis – Discussion:     – characterized by high fever, rash, lymphadenopathy, and polyarthritis;     – usually appears at 5-10 years of age;     – least common type of JRA: < 20 % of patients. – Clinical Presentation:     – acute onset, often accompanied by a sore throat … Read more