Ortho Oracle - orthopaedic operative atlas

Soft Tissue Coverage for the Leg

 – See:          – Arteriography           – Foot Reconstuctive Surgery           – Microanastomosis           – Pharmocological Agents in Vascular Surgery  – Initial Wound Care of Open Tibia Fractures – Soft Tissue Coverage Following Tibial Frx: (Tibia Frx)     – STSG;           – split thickness skin grafts require a … Read more

Soleus

– See:      – Blood Supply of the Soleus:      – Soleus Muscle Flap:      – Superficial Posterior Compartment: – origin:         – posterior surface of the head and upper 1/3 of the shaft of the fibula;         – middle 1/3 of the medial border of … Read more

Soleus Muscle Flap

– Discussion:  – soleus is a bipiniform (double feather) shaped muscle;  – its width encompasses the posterior two thirds of the calf;  – it originates from the upper one third of the dorsum & medial surface of the fibula and mid-posterior tibia;  – it inserts into the achilles tendon over a 5 cm area just … Read more

Somites

– See: limb development – Discussion:     – skeleton and skeletal muscle develop from the mesoderm;           – thin layer of cells in early embryo located between ectoderm & endoderm & interrupted in midline by notochord;     – mesoderm on either side of notochord forms longitudinal mass, paraxial mesoderm; … Read more

Space of Poirier

– See:     – Ligaments of the Wrist – Discussion:     – an atomical defect or weak spot in the floor of the carpal tunnel;     – it lies at the volar aspect of the proximal capitate, lying between the volar radiocapitate and volar radiotriquetral ligaments (see ligaments);     – area expands … Read more

Sliding Screw-Plate Angle

– See:       – High Angle Plates       – Low Plate Angle       – Nail Placement in Femoral Head and Neck       – Screw Length       – Unstable Intertrochanteric Fractures – Discussion:     – sliding device w/ screw plate angle closest to combined force … Read more

Sliding Trochanteric Osteotomy

– Discussion:     – osteotomy is made in a manner which leaves the vastus lateralis and gluteus medius muscles are left attached to the osteotomy fragment;     – has a lower incidence of abductor dysfunction and proximal migration of trochanter;     – presence of an intact vastus helps not only to preserve … Read more

Scapholunate Interosseous Ligament and Anatomy of SLD:

– Discussion: (see ligaments of the wrist and SLD)    – three main ligamentous structures which bind the scaphoid to lunate;              – volar radioscapholunate ligament (largest);              – radiocapitolunate ligament;              – scapholunate interosseous ligament (consists of dorsal, proximal, and palmar segments bridging the scaphoid and lunate);                        – dorsal portion:                                 – 2-3 mm thick with transversely oriented … Read more

Slipped Capital Femoral Epiphysis:

– Discussion: – slip of the captial femoral epiphysis occurs with in a narrow window of physiologic maturity of the growing child; – arises from mechanical and constitutional factors; – pts may have underlying endocrine dz (such as hypothyroidism) delayed puberty & bone age; – position of growth plate of proximal femur normally changes from … Read more