Wheeless' Textbook of Orthopaedics
Presented by Duke Orthopaedics
– Adamantinoma – Basal Cell Carcinoma: – Calcinosis – Chondrosarcoma: – the most common bony malignancy in the hand; – CMC Boss: bony growth at bases of second and third metacarpals; – special radiographs can demonstrate the osteophytes, which may be resected if symptoms warrent; – associated with ganglia at least 30% of the time, … Read more
– Discussion: – Guyon (French Urologist) described this space in 1861; – Guyon’s canal is approximately 4 cm long beginning at the proximal extent of transverse carpal ligament and ends at the aponeurotic arch of hypothenar muscles; – depression between pisiform & hook of hamate is converted into fibrosseous tunnel, the tunnel of Guyon, by pisohamate … Read more
– See: – Revision TKR: – TKR Menu – Discussion: – asymmetrical bone loss often occurs in the proximal tibia; – CT scan have shown that once one get more than 1 cm below joint line quality and quantity of the supporting cancellous bone diminishes precipitously; – equally important, attachments of iliotibial band, pes anserinus, … Read more
(see also: Hand Menu; Physical Exam; Radiographs) – Arthroscopy – Arthrography – Aspiration – Arthrodesis – Capitate – Carpal Instability – Carpal Tunnel Syndrome – CarpoMetaCarpal Fracture – CMC Arthritis – CMC Instability in the Thumb – CMC Instability in the Metacarpals – Darrach’s Procedure – DeQuervain’s Disease – Distal Radial Fractures – Dorsal Intercalated … Read more
– Discussion: – see flexor tendon repair – see FDP lacerations: FDS and FDP – almost all tendon injuries in zone 2 are due to lacerations; – this is where 2 tendons enter fibro-osseuous tunnel at mid-palm level; – once the FDS and FDP tendons enter flexor tendon sheath, the FDS separates into 2 … Read more
– Discussion: – comminuted fractures of the entire head; – classification: – type A: – fracture of the entire radial neck, with the head completely displaced from the shaft; – type B: – articular fracture involving the entire head, which consists of more than two large fragments; – each fragment is completely displaced from the … Read more
– See: – FDP Avulsion – FDP Lacerations – tendon pull thru technique – Anatomy: – in zone 1, FDP has emerged from between & beneath decussating FDS and travels to its insertion in the distal phalanx; – zone 1 contains: A4, C3, … Read more
– Discussion: – slope of “stress/strain” curve (below yield point) denotes material’s stiffness; – steeper the curve, the stiffer material, gradient is known as modulus of elasticity or Young’s modulus; – in the elastic range of the stress strain curve it is the slope
– See: – PreOp Planning: – TKR Menu – Lateral View: – note if AP size of lateral femoral condyle > medial condyle; – w/ large discrepancy of small degree of Internal Rotation may be necessary to prevent undercutting anterior cortex; – careful preoperative planning, using templates & … Read more