Frost Bite
– Pathophysiology: – effects of cooling: – temperature of the hands and feet is partially determined by ateriovenous regulation of blood flow; – vascular effects: – severe vasoconstriction 2nd to increased sympathetic tone; … Read more
Hand
Free Vascularized Fibular Grafting
– Surgical Technique: – Post Operative Care and Rehab: – FVFG at Duke University: The staff of the Duke University Orthopaedics wishes to provide efficient & effective care for you. The following information will enable you to utilize our practice most effectively. – Clinic Visits and … Read more
Fractures of the Sesamoid Bones of Thumb
– Anatomy: – sesamoids of MP joint of thumb lie with in lateral margins of palmar plate at origin of fibrous tunnel of flexor pollicis longus; – accessory collateral ligaments insert into lateral margins of sesamoids; – tendon of adductor pollicis inserts on ulnar sesamoid – tendon … Read more
Fractures of the Distal Radial Physis
– Discussion: – occurs in children between ages of 6-10 yrs who sustain injury by falling on an outstretched hand; – shearing forces of hyperextension & supination displace the distal radial epiphysis dorsally; – great majority are Salter I and II: – physeal … Read more
Fracture through Proximal Third of the Scaphoid
– Discussion: – frx is associated w/ injury to arterial supply of minor fragement; – this may be manifestated by AVN; – vascular supply to proximal scaphoid: – proximal two thirds to three fourths of scaphoid is supplied by vessels entering dorsal surface; … Read more
FPL Advancement and Pull Thru
– Technique: – Brunner Incision is made extending from distal phalanx of thumb to the MP crease; – digital nerves and vessels are identified (protected by Grayson’s ligament); – dissection procedes down to the oblique and transverse flexor tendon sheaths; – the proximal … Read more
Forearm Extensors
– See: Flexor muscles of the Forearm: – Superficial muscles arise from a common tendon attached to the lateral epicondyle of the humerus, and divide into lateral and medial groups; – Lateral three of these muscles: Brachioradialis Extensor … Read more
Foot Inclusion for External Fixators
– Indications: – temporary fixation of foot to eliminate ankle & soft tissue motion at frx site may be needed w/ open frx treated w/ external fixators; – patient w/ concurrent head injury or severe soft tissue wounds involving muscles that control ankle or foot motion; – foot inclusion … Read more
Foot Lumbricals
– See: Plantar Muscles of the Foot: Origin: between the tendons of the flexor digitorum longus, except the1st, which arises from the middle side of the first tendon of the flexor digitorum longus; Insertion: on the medial side of the proximal phalanx, into the expansions … Read more
Flexor Tendon Reconstruction: Proximal Tendon Anchorage
– Discussion: – it is essenital to accurately determine the optimal tension to be applied to the motor unit; – use the relaxed natural cascade of the fingers to assist in determining the optimal tension; – most often the tendon graft is sutured to the proximal FDP in the … Read more