– Discussion: – in the presence of H.O. the nerve should be placed in the subcutaneous position, since H.O. forms between muscle layers; – sub-muscular transposition (or subQ transposition) is also indicated to relieve tension following ulnar nerve repairs; – is often indicated in revision cubital tunnel surgery; … Read more
– See: – Soft Tissue Replacement in the Hand – Finger Tip Injuries – Discussion: – crossed finger flaps can be used to cover finger tip injuries w/ excessive loss of volar pulp tissue; – rectangular flap is raised from 3 sides of the dorsal … Read more
– Discussion: – involves a combination of ligamentous injury at inferior portion of SI joint, and verticle fracture of the posterior ilium which extends thru iliac crest; – posterior superior iliac spine remain attached to the sacrum; – often occurs as a part of lateral compression fractures; … Read more
– Discussion: – the Coventry type of HTO, creates an osteotomy above the tibial tubercle; – in choosing a closing wedge osteotomy, the surgeon should be sure that the major deformity is on the tibial side (vs femoral side); – the disadvantages of this type of osteotomy include possible … Read more
Anatomy: coracoid process can be palpated thru anterior deltoid muscle one to two finger breadths below outer portion of clavicle; one finger breadth lateral to coracoid is the GHJ; provides a palpable guide to deltopectoral groove; serves as an anchor for coracoid muscles (coracobrachialis & short head of biceps) that separate lateral safe side from medial … Read more
– Discussion: – stenosing tenosynovitis of the flexor pollicis longus in childhood is relatively uncommon condition which causes triggering, IP joint flexion contracture, and a flexor tendon nodule over the metacarpal head level (Notta’s nodule); – although present at birth, dx often not made until 4-6 months of age – … Read more
– Discussion: – this fracture most commonly splits off a single condyle, resulting in disruption of the joint and angular deformity of the finger; – common atheletic injury; – best diagnosed with an oblique x-ray; – can be mistreated as sprain which results in finger angulation and … Read more
– See: – Absent Thumb – Annular Band Syndrome – Camptodactyly – Delta Phalanx – Hypoplastic Thumb – Lobster Hand – Macrodactyly: – Pouce Flottant Thumb – Polydactyly … Read more
– Acute Complications of ORIF of Distal Radius Fractures: – median, radial or ulnar sensory neuropathy; – acute and late carpal tunnel syndrome; – loss of reduction – deformity – decreased motion – arthritis … Read more
– See: Fasciotomy of the Leg – Discussion: – general discussion of compartment syndrome – compartment syndrome following tibia fractures are most common in closed frx (upto 20% of frx) but may also occur following open frx; – references: – Outcome at 12 to 22 years of 1502 tibial shaft fractures – Compartment syndrome in … Read more