– Discussion: – polydactyly in the foot usually involes a single duplication (hexadactyly) – associated anomalies: – duplications occur bilaterally in about 40-50% of patients, but often the duplications are not symmetric; – polydactyly of hand … Read more
– See: – Polydactyly of the Thumb: – Polydacyly of the Foot: – Discussion: – polydactyly is most common hand anomaly; – may involve autosomal dominant transmission in which case an asociatted syndrome is generally not present; – … Read more
– Discussion: (see olecranon frx menu) – indicated for comminuted olecranon frx and frx which occur at or distal to the coronoid process; – if frx extends distally past midpoint of trochlear notch, it no longer represents only a disruption of the triceps mechanism but also comprimises the stability of elbow in withstanding varus & … Read more
– See: Innerv. Musc. Lower Limb – Plantar muscles of the foot are divided into 4 layers; – 1st Layer: – first two layers originate from calcaneal tuberosity and the other two from the metatarsal shafts; – first subfascial layer consists (from lateral to medial) of the ADM, FDB, & abductor hallucis; – plantar fascia … Read more
– Surgical Considerations: – preoperative anticoagulants: – consider use of cell saver; – if patients have a medical condition that requires preoperative anticoagulants, then consider using press fit femoral and acetabular components; – a prerequisite for cementing femoral stems, is the ability to … Read more
– See: – Anterior Cruciate Ligament – Anterolateral Rotatory Instability – Clunk Test – Lachman – Losee Test – Reverse Pivot Shift Test – Discussion: – pivot shift assesses degree of incapacitating dysfunction in knee … Read more
– Discussion: – flexion contractures of PIP joint are more difficult to correct; – flexion deformities of PIP joint may be caused by contracture of a diseased central cord (which is an extension of palmar pre-tendinous cord); – PIP join contracture may be presaged by development of firm, fixed … Read more
– Discussion: – evaluate the freedom of motion in an AP as well as pain an crepitus – with one hand, firmly stabilize the distal radius; – w/ other hand, grasp the head of ulna between the thumb and index fingers
– Discussion: – its essential to consider the differential dx and to examine the patient from the neck down to the finger tips; – in taking the history, be sure to inquire as to whether the patient’s main complaint is hand/wrist pain versus paresthesias; – it is also important … Read more