– Acrosyndactyly; – Delta Phalanx; – Poland’s syndrome: – hypoplasia of hand and simple syndactyly of fingers on the same side as the absent pectoral muscles (and other chest wall muscles); – Apert’s Syndrome: – when all digits are … Read more
(1) full passive movement of the PIP Joint; – functional loss in these pts is related to loss of DIP joint extension; – consider flexor synovectomy, intrinsic release, FDS tenodesis, dermadesis, retinacular ligament reconstruction or DIP arthrodesis (to correct primary mallet finger deformity); (2) restriction of PIP flexion depending on MCP position … Read more
– See: – Phalangeal Injury – Thumb Swan Neck Deformity – Transverse Retinacular Ligament – Discussion: – deformity involves hyperextension of PIP Joint w/ flexion of DIP joint; – deformity may start at either the PIP or DIP; – at PIP joint, there … Read more
– Discussion: – primary internal fixation is treatment of choice for unstable scaphoid frxs; – frx treated by primary internal fixation, avg time for return to work is 3.7 wks w/ union rate, 97 %; – this compares very favorably with conservative treatment; – indications for surgery: – main indication is an unstable scaphoid frx … Read more
– outcomes: – in the report by Saeden B, et al, the authors compared the long-term outcome in 61 patients (62 fractures) treated operatively or conservatively for an acute fracture of the carpal scaphoid; – total of … Read more
– Discussion: – bluntly split gluteus maximus proximally in direction of its fibers & coagulate any vessels w/in substance of muscle; – note that muscle does not have to be split in line w/ incision, but can be split in line w/ its fibers in a direction superior to skin incision; … Read more
– See: – Incision: – skin incision begins on mid-lateral aspect of the ulnar side of the thumb, is curved over the MP joint, and extends proximally just ulnar to the EPL tendon; – take care to identify branches of the superfical radial nerve at the proximal aspect of … Read more
– Surgical Indications: – MCP contracture greater than 30 deg; – PIP joint: any significant contracture (more than 20); – precautions: – take care to note any sluggish filling of the digital vessels (Allen’s test); – women may have … Read more
– See: Anesthetic Options – Skin Incision: – begins on mid-lateral aspect of the ulnar side of the thumb, is curved over the MP joint, and extends proximally just ulnar to EPL tendon; – take care to identify branches of the superfical radial nerve at the proximal aspect of the incision; – Adductor … Read more
– Main Menu: – PreOp Planning – radiographs and templating – Surgical Exposure: – Patient Positioning, Preping, Draping – Anterior Longitudinal Midline Approach – Deep Articular Exposure – Patellar Eversion: – Patella: – patellar resurfacing – prior to patellar resurfacing, determine the propensity for the native patella to subluxate; – if subluxation is present (tibial component … Read more