Ortho Oracle - orthopaedic operative atlas

THR: Acetabular Component Biomechanics

– See:        – operative considerations for hip dyplasia        – acetabular component revision – Discussion:     – restoration of the normal hip center in acetabular reconstruction encourages restoration            of normal biomechanics;      – medial placement:            – moving hip center medially improves efficiency of … Read more

Thoracis

origin: the transverse process of the 6th to 10 Thoracic vertebrae; insertion: the spinous process of the 1st to 4th thoracic and 6th-7th cervical vertebrae; action: extends the spine and rotates it toward the opposite side; nerve supply: posterior rami of the thoracic nerves,   T1  to T6; synergists: Longissimus Thoracis, Iliocostalis thoracis, Spinalis Thoracis

Thoracoacromial Artery

– See: Arteries of the Upper Limb – Discussion:     – branch of axillary artery;     – pierces the clavipectoral fascia and gives rise to 4 branches;           – clavicular – small branches that run toward sternoclavicular joint, supplying this and a little bit of the anterior thoracic wall; … Read more

Thoracic Outlet Syndrome

– See: Vascular Problems of the Upper Extremity: – Discussion: – thoracic outlet space is created by the clavicle, first rib, subclavius muscle, costoclavicular ligament, and anterior scalene muscle; – most often affects subclavian artery, vein, and lower trunk (C8 & T1) of brachial plexus; – both the subclavian artery and the brachial plexus traverse … Read more

Thenar Space Infections

    – See: Infections of the Hand – Anatomy:     – extends mediolaterally from long metacarpal bone to the thenar eminence;     – extends proximodistally from transverse carpal ligament to just proximal to superfical palmar arch;     – borders of the thenar space include:             – … Read more

Theophylline

– See: Theophylline Preparations: Drug Interactions and Toxicities: Aminophylline;  – Discussion:  – for prevention of bronchial Asthma, reversible bronchospasm assoc w/ chronic bronchitis and emphysema;  – is direct relaxant of smooth muscle of bronchial airway & pulmonary blood vessels (bronchodilator and smooth muscle relaxant);  – Adult Dose:  – can only begiven PO;  – 24mg/kg/24hrs PO … Read more

Theory of Tension Band Wiring

– Theory of Tension Band:     – anterior tension band wiring intentionally creates a small separation of surface of patellar articular surface w/ knee in extension;     – as knee goes into flexion, frx gap at the patellar articular surface closes down;          – this occurs as tension forces of … Read more

The Ankle Joint

– See: Role of the Ankle in Gait     – Discussion:     – is a hinge joint w/ malleoli projecting downward from tibia & fibula forming medial and lateral walls of the mortise, encompassing talus;     – in addition, malleoli serve as pulleys for tendons reaching plantar surface of foot from posterior and lateral compartments of … Read more

TFCC Repair

– Discussion:     – indicated primary for traumatic peripheral ulnar sided TFCC tears;     – negative predictive factors for successful repair include concomitant ulnocarpal impaction syndrome (associated w/ degenerative tears) and peripheral radial tears (due to the relative avasucularity of the disc in this region;            – some surgeons feel … Read more