– See: Avascular Necrosis and Salvage of Talus Fractures – Discussion: – displaced frx of talar neck with dislocation of body of talus from both subtalar joint and ankle joint; – when body dislocates, it is usually found on posterior medial aspect adjacent to the Achilles tendon; – body … Read more
– Type I Talar Fractures: – non displaced fractures of the talar neck without dislocation – AVN: 10% – important challenge w/ this injury is ensuring that anatomic reduction is obtained with no varus rotation; – treated closed, usually w/ short leg cast w/ foot in slight … Read more
– Discussion: – hands of wrists in arthrogryposis are marked by weak muscles, stiff MP & IP joints, adducted thumb, and flexed and ulnar-deviated wrist; – hand that has pinch and grasp is best left untreated; – sublimis release> – for flexion of proximal … Read more
– See: – Axis: – Hyperextension Injury – Discussion: – frx of pars interarticularis of C2 & disruption of C2-C3 junction – type of traumatic spondylolisthesis – “Hangman’s frx” – term “hangman’s fracture” is not accurate for the majority of cases, because mechanism … Read more
– Thumb: – typical problems: stability and retractability; – thumb adduction stop used to gain ROM in first web space; – rigid thumb orthosis allows for stabilizing thumb for prehension; – MP Joints: – usually a hand orthosis; – with no active extension of the … Read more
– See: – Metacarpal Neck Frx: (See 5th MCP Frx) – Unstable Metacarpal Shaft Frx – Extra-articular Base Frx – X-Rays: – isolated metacarpal views are not possible; – 30 deg pronated lateral: for index and long metacarpals; – 30 supinated lateral: for ring and little metacarpals; – Non Operative Treatment: – wrist is … Read more
– Neurological: – two point discrimination: – used to test sensory innervation of the digits in adult patients, where as, the ability of skin to wrinkle (when placed in water) is used to test sensation in children; – normal values: … Read more
Current Concepts Review. Carpal Instability. Problem Disorders of the *Wrist–Symposium:* On Resection of the Proximal Carpal Row. Problem Disorders of the *Wrist–Symposium:* Radiography of the *Wrist.* Trends in Subspecialties–Symposium: Adhesive Capsulitis of the *Wrist:* Diagnosis and Treatment. Problem Disorders of the Wrist–Symposium: The Vascularity of the Wrist: Identification of *Arterial* Patterns at Risk. Symposium–Progress in Sports Medicine: Athletic … Read more
– See: Cerebral Palsy Menu: – Discussion: – most pts w/ hemiplegic cerebral palsy have functionless hand marked by: – flexion of the elbow with pronation of the forearm; – flexion of the wrist and fingers: spasticity, weakness, flexion deformity of the wrist & fingers – thumb in palm deformity; – loss of sensation and … Read more