– Discussion: – performed as soon a possible ( < 8-12 hrs) – either in OR under GEA (optimal) or in ER w/ sedation if delays are expected; – reduction may be performed w/ flouro, but orthopaedist may find that flouro interferes w/ hip flexion, which frequently is essential to … Read more
– See: Infections of the Hand / Human Bite Wounds – Discussion: – MP joint and the adjacent tissues and spaces are most commonly involved because teeth of the opponent are struck with knuckle of the clenched fist; – when the hand is unclenched, the skin wound retracts proximally … Read more
– See: Predisposing Conditions – OA of Hip: – pain on wt-bearing felt in the groin, buttock, or medial thigh; – trendelenburg gait will decrease mechanical stress on joint and thereby lessen pain (forces acting on hip joint); – pain during sleep results from loss of protective function of … Read more
– Discussion: – Grayson’s & Cleland’s ligament hold skin in position during flexion and extension of the finger; – Cleeland’s ligaments are firm fascia bands that run from side of phalanges to the skin, dorsal to the neurovascular bundle; – they are not involved in Dupuytren’s dz; – … Read more
– See: – PA View of the Wrist – X-ray findings: in scapholunate dislocation – Discussion: – used to evaluate widening of scapholunate interval; – those pts suspected of having SLD should have compression stress view, which is performed by having pt clench his fist … Read more
– See: – Total Hip Replacement Menu: – Acetabular Component Revision – Femoral Bone Grafting for THR – Frozen Allograft – Dysplastic Hip – Discussion: – in planning of acetabular reconstruction, major goal is to establish … Read more
– Discussion: (see: dynamic instability); – capitolunate joint has high potential for instability, since it is mainly stabilized only by the radiocapitate ligament (and captiotriquetral ligament, to a lesser degree); (see wrist ligaments); – may result from malreduced radial styloid frx, or any condition which shortens or reduces tension in the … Read more
– Discussion: – rare disorder characterized by short limb dwarfism, polydactyly, dysplasia of the fingernails and toenails, dental deficiencies, & congenital heart disease; – common in the Amish; – short limb disproportionate dwarves are characterized by acromesomelia, w/ the forearms, hands, legs, and feet involved to a greater extent than … Read more
– Choice of Incisions: – attempt to raise flaps so that normal skin lies at the base of the flap whereas diseased skin (nodules or cords) should lie at the flap tip; – if a flap is not to be raised, incisions should be placed directly over skin … Read more
– Discussion: – standard forearm flap is vascularized by a pedicle that consists of the radial artery and two vena comitantes that are ligated proximally and turned distally toward the defect in the hand; – it provides a thin, vascularized wound cover and a vascular bed for skin grafting; – … Read more