– See: venous malformations – Discussion: – high flow lesion – may start small in childhood and be triggered to enlarge after trauma – spontaneous bleeding may occur – associated conditions: – Klippel-Trénaunay syndrome: capillary, lymphatic, and venous malforma-tions with skeletal overgrowth; … Read more
– See: – Arterial Injuries Assoc. w/ Fractures: – Arterial Trauma: – Femoral Arteriogram: – Upper Extremity Arteriogram of the Limbs – Discussion: – pts w/ obvious signs of vascular injury, such as rapid external bleeding, an expanding hematoma, signs of distal ischemia, or palpable thrill, … Read more
(See also: Adult Upper Limb Arteries) Discussion: Upper Limb Development subclavian artery projects into the early upper limb bud & forms subclavian-axillary-brachial trunk; its distal portion becomes interosseous artery that initially supplies plexus of arteries in the primitive hand; branch of trunk artery, median artery, temporarily replaces interosseous artery in supplying the hand; subsequently, ulnar … Read more
– Discussion: – in middle of the arm, ulnar nerve pierces medial intermuscular septum and descends in front of the medial head of the triceps; – in 70-80% of individuals, nerve passes under arcade of Struthers; – the arcade is a thin aponeurotic band extending from medial head of … Read more
– Classification: – Type I: – conjoined finger tips with well formed webs w/ normal depth; – treatment involves separation and contouring of the tips of the digits; – partial digit ablation may be required; – … Read more
– See: – Orthofix – Over Distraction of Wrist Joint – Positioning: – supine, hand table, flouro; – prep for contralateral iliac crest (ipsilateral w/ less personel); – Frame Configuration: – Lateral Frame: – 45 deg Oblique Frame: … Read more
– See: – Plating Techniques – Technique: – incision begins in front of radial styloid process, extending proximally in straight line along anteromedial border of the brachioradialis; – brachioradialis is reflected laterally to expose superficial radial nerve in proximal portion; – avoid injury this nerve as … Read more
– Positioning: – foley and appropriate IV access established; – place patient into left lateral decubitus position (L side up) – break table in the middle; – Incision and Exposure: – incision is made along 10th rib which then curves along anterior abdomen as appropriate (based on size of patient); – 10th rib is identified, … Read more
– See: – Anterior Dislocation – Posterior Dislocations: – Discussion: – note: w/ true AP of shoulder there should be no overlap of the humerus over the glenoid; – Greater Tuberosity and Acromio Humeral Interval; – AP in ext. rot. brings greater tuberosity into clear … Read more
– See: – PA View – Radial Inclination – Discussion: – AP has the dorsum of the hand touching the film, with the x-ray beam passing palmar to dorsal, whereas in a PA film, the palmar surface lies flat on the film and the x-ray beam passes from the dorsal to palmar surface; – palmar … Read more