– See: – Septic Knee: – Synovium of the Knee: – Anatomy: – four bursae around knee are susecptible to and inflammatory response from direct or indirect trauma; – prepatellar bursae is most commonly affected area (housemaids knee); – may show significant degree of … Read more
– See: – Intrinsic Plus Finger – Lumbical Plus Finger – Phalangeal Injury – Discussion: – lumbical plus finger should be distinguished from intrinsic plus finger; – Clinical Presentation: – gripping medium-sized objects such as hammer handle is done primarily through IP joint flexion because … Read more
– See: – Intrinsic Muscles of the Hand: – Intrinsic Muscles Deficit – Discussion: – involves motor transfer to the radial side of the mid proximal phalanx, just distal to the attachment site of the lumbrical (as opposed to insertion on lateral band); – this … Read more
Discussion type of incomplete cord syndrome: injury to either side of spinal cord produces ipsilateral muscle paralysis (from corticospinal tract injury) and contralateral hypersthesia to pain and temperature (from spinothalamic injury); syndrome results from hemitransection of spinal cord w/ unilateral damage to the spinothalamic & corticospinal tracts and resultant loss of ipsilateral motor & dorsal column … Read more
Discussion based on the assessment of stability; lesions are graded as Type I, Type II, or Type III depending on degree of instability; Bucholz noted that on postmortem dissection of pts w/ pelvic fractures that all injuries to pelvic ring had some injury to both anterior and posterior portions of the pelvis; Type I injuries for which the … Read more
– See: Meniscal Tears – Discussion: – vertical longitudinal tear w/ displacement of inner margin – more common in younger pts & are frequently assoc w/ ACL tear; – 3 times more common in the medial as compared to the lat compartment – can produce the classic … Read more
– Discussion: – remove residual cancellous bone along medial aspect of neck w/ broaches; – begin w/ broach at least two sizes smaller than anticipated stem; – procede w/ consecutively larger broach sizes up to but not exceeding size of the last axial reamer; … Read more
– Work Up for Brachial Plexus Injuries – Brachial Neuritis: – Erb’s Palsy – Leffert Classification of Brachial Plexus Injuries; – Lower Root Injury: (Klumpke) – Obstetrical Paralysis: – Parsonage-Turner Syndrome: – Traumatic Brachial Plexus Palsy in Children – Stinger / Upper Trunk Injuries – Work Up for Brachial Plexus Injuries: – Anatomy: – roots: – … Read more
– Anatomy: – origin: lower 1/2 of the anterior surface of the humerus; – insertion: tuberosity and coronoid process of the ulna; – action: flexes the forearm at the elbow; – nerve supply: branches of musculocutaneous, C5, C6; – synergist: brachioradialis, biceps brachi
– origin: – proximal 2/3 of the lateral supracondylar ridge of the humerus and lateral intermuscular septum; – insertion: – inserts into lateral surface of distal radius, immediately above styloid process; – synergist: Brachialis , biceps brachi ; – nerve supply: radial – C6 > C5 – function: … Read more