Ortho Oracle - orthopaedic operative atlas

Camptodactyly

– Discussion:     – camptodactyly involves a PIP flexion deformity which usually involves the little finger;     – deformity is likely due to imbalance caused by extensor hood insufficiency, a tight FDS, and/or abnormal intrinsic insertion volarward;            – cases which involve contracture of the FDS, may show a dynamic … Read more

Capitate

        – See:       – Blood Supply to the Wrist – Exam of Capitate:       – palpable immediately proximal to the base of the 3rd metacarpal;       – w/ wrist is in neutral position, one may palpate a small depression in capitate;        – … Read more

Calcinosis

– Discussion:     – may be secondary to degeneration;     – symptoms include pain, tenderness, and erythema;     – treatment includes heat, rest, injections/aspirations, and surgery for larger deposits;     – calcinosis circumscripta occurs in SLE, RA, and scleroderma, usually  in fingers, & may be assoc w/ Raynaud’s phenomenon; – Calcification in a … Read more

Calcaneal pins

– Discussion:      – are placed from the medial side to avoid damage to the posterior tibial neurovascular pedicle;      – posterior tibial pulse should be palpated with one hand during the initial placement;      – safe zone is outlined by a vertical line tangential to the posterior border of the medial … Read more

C7 Neurologic Level

– C6-7 Disc Herniation:     – intervertebral disk herniation between 6th & 7th cervical vertebrae would affect 7th cervical nerve root;     – impingement on root at this level would most likely cause sensory changes down the posterior aspect of the arm, posterolateral             aspect of forearm, about dorsum of hand, and long … Read more