Triceps Brachii
– origin: lateral head: superior 1/2 of post. lat. surface of humerus; long head: infraglenoid tuberosity of scapula; medial head: – inferior 2/3 on posterior surface of the humerus, beginning at the spiral … Read more
Muscles Tendons
Triceps Reflecting Approach to the Elbow
– See: Posterior Approach to the Humerus; – Positioning: – patient is in lateral position w/ arm brought across the chest; – plan on adusting flexion of elbow inorder to increase or decrease tension; – sterile tourniquet is required; – Technique: – straight longitudinal incision beginning 7-10 … Read more
Triceps Splitting Approach to the Elbow
– See: Posterior Approach to the Humerus; – Discussion: – the distal triceps can be split down the middle with the dissection carried straight down to bone over the olecranon; – care is taken to mobilize full thickness fascial and periosteal flaps both medially and laterally; – the dissection … Read more
Trigger Finger: Non Operative Treatment
– DIP Joint Immobilization: – immoblization of the DIP joint is extremely useful in preventing triggering in all of the fingers including the thumb; – DIP immobilization (leaving the PIP free), has minimal functional limitations and most patients can work without restrictions; – technique: consider applying two layers of … Read more
Trigger Finger / Tenosynovitis
– See: – Phalangeal Injury – Congenital Trigger Thumb – Rheumatoid Trigger Finger – Discussion: – results from localized tenosynovitis of superficial and deep flexor tendons adjacent to A1 pulley at a metacarpal head; – inflammation causes nodular enlargement of tedon distal to pulley; – occurs most often in middle or ring fingers (occassionally in … Read more
Treatment: SCFE:
– Discussion: – acute slip: – acute on chronic slip: – chronic slip: – treatment of is designed to fuse epiphysis on femoral neck which prevents further slipping; – this usually involves insertion of one or more screws into anterior aspect of greater trochanter or … Read more
Triangular Fibrocartilage Complex
– See: – Ligaments of the Wrist and RU Joint – Discussion: – is ulnar continuation of distal radius & presents concave surface for articulation w/ lunate & triquetrium; – ular side of the wrist is supported by the TFCC, which articulates w/ both the lunate and the triquetrum; – TFCC is prone to injury due … Read more
Treatment of DDH: New born (birth to 6 months)
– Discussion: – treatment is directed at stabilizing hip that has positive Ortolani or Barlow test or to reducing dislocated hip w/ mild to moderate adduction contracture; – implications of positive Ortolani & Barlow’s Test are different; – Barlow’s Test identifies unstable hip that requires dynamic … Read more
Treatment of Displaced Scaphoid Fractures
– See: – Casting of Scaphoid Fractures – Surgery and Approach to the Scaphoid – Herbert Screw Fixation of Scaphoid Fractures – Closed Reduction of Scaphoid Fractures – Radiographic Imaging – Definition: Unstable Scaphoid Fracture – Discussion: – one must differentiate between stable & unstable acute frx, since stable fractures … Read more
Treatment of Distal Radius Frx Malunion
– Discussion: – often patients will note pain weeks to months after the cast is removed; – w/ excessive dorsal tilt, will often develop a symptomatic ulnar mid-carpal instability (or carpus adaptive DISI); – in the report by Taleisnik and Watson (1984), the average amount … Read more