– See: – Adult Radial Neck Frx and Radial Head Frx; – Pediatric Elbow Injuries – Discussion: – radial neck frx are more common in children, whereas frx of radial head occur primarily in adults; – site of frx in childhood is either thru physis w/ … Read more
– Discussion: – presents w/ differing degrees of shortening (or absence) of radius, carpal bones, and radial rays (including thumb); – bowing of the ulna may contribut to the deformity; – elbow may have fixed extension contracture or may have deficit of active motion; … Read more
– Discussion: – as with ulnar injuries, a mid subtance tear is rare; – Treatment Acute Tears: – if there is no instability and no sign of volar subluxation, the thumb is immobilized for 3 to 4 weeks; – Surgical Treatment: – after curved incision and mobilization of skin flaps, … Read more
– See: – Adult Radial Neck Frx / Pediatric Radial Head Frx – Discussion: – radial head frx is most common type of elbow fracture in adults; – frx of the radial head occurs primarily in adults, whereas fractures of the radial neck are more common in children; – frx of the radial head and … Read more
– See: – Dislocations of Elbow: – Radial Head Frx: – Management of Complex Elbow Dislocations – Discussion: – upto 10 % of comminuted frx of radial head occurr in assoc w/ elbow dislocation; – there is usually significant soft tissue injury of both joint … Read more
– Discussion: – long-term result for excision of “isolated” radial head frx w/ competent MCL and interosseous membrane are predictably good; – however, if frx is associated w/ disruption MCL radial head excision is contraindicated; – instead, consider use of silastic or metallic radial head prosthesis to serve as … Read more
– Discussion: – marginal radial head frx w/ displacement, depression, or angulation. – by definition has less than 30% of articular involvement and more than 2 mm of displacement; – motion may be blocked by articular step off; – Non Operative Treatment: – decisions regarding treatment … Read more
– See: Stages of Rheumatoid Arthritis – Discussion: – affects 1-3% of adult population; – female predominance of about 3 to 1; – peak age of onset 35 and 45 years; – most often presents with involvement in the feet and hands (intial involvement occurs in 15% … Read more
– See: – Rheumatoid Arthritis – Extensor Tendon Lacerations – Mallet Finger – Rheumatoid Wrist – Teno-synovectomy – Discussion: – ulnar side of wrist is most common site of extensor tendon ruptures; – pathophysiology: (caput ulnae syndrome) – this most often due to attritional changes due to caput ulnae syndrome; – volar subluxation of the … Read more
– See: Vascular Problems of the Wrist and Hand: – Radial Artery in the Forearm: – in the mid forearm, the radial artery lies beneath the brachioradialis – here the brachioradialis recieves arterial branches just below elbow; – Radial Artery in Wrist: – at wrist ulnar artery … Read more