– Discussion: – long-term result for excision of “isolated” radial head frx w/ competent MCL and interosseous membrane are predictably good; – however, if frx is associated w/ disruption MCL radial head excision is contraindicated; – instead, consider use of silastic or metallic radial head prosthesis to serve as … Read more
– Discussion: – marginal radial head frx w/ displacement, depression, or angulation. – by definition has less than 30% of articular involvement and more than 2 mm of displacement; – motion may be blocked by articular step off; – Non Operative Treatment: – decisions regarding treatment … Read more
– See: – Rheumatoid Arthritis – Extensor Tendon Lacerations – Mallet Finger – Rheumatoid Wrist – Teno-synovectomy – Discussion: – ulnar side of wrist is most common site of extensor tendon ruptures; – pathophysiology: (caput ulnae syndrome) – this most often due to attritional changes due to caput ulnae syndrome; – volar subluxation of the … Read more
– See: – Flexor Pollicis Longus Rupture – Extensor Pollicis Longus Rupture – Disscussion: – rupture of EPL tendon is most common, usually occuring in the 3rd compartment in the area of Lister’s tubercle; – rupture of FPL usually occurs in carpal area and must be considered in dx … Read more
– See: Vascular Problems of the Wrist and Hand: – Radial Artery in the Forearm: – in the mid forearm, the radial artery lies beneath the brachioradialis – here the brachioradialis recieves arterial branches just below elbow; – Radial Artery in Wrist: – at wrist ulnar artery … Read more
– Anatomy: – flexor sheath of thumb usually extends from distal phalanx to a point 2-4 cm proximal to volar wrist crease; – proximal half of tendon sheath is commonly referred to as the radial bursa; – occasionally proximal half of FPL sheath is separate from distal sheath, making them … Read more
– See: Stages of Rheumatoid Arthritis – Discussion: – affects 1-3% of adult population; – female predominance of about 3 to 1; – peak age of onset 35 and 45 years; – most often presents with involvement in the feet and hands (intial involvement occurs in 15% … Read more
– See: – Innervation – Rectus Femoris / Intermedius / Lateralis / Medialis – Extensor Mechanism Injuries of the Knee – Rupture of the Quadriceps – Rectus Femoris: origin: – straight head: anterior … Read more
– Discussion: – may result from over advancement of the FDP following tendon rupture or repair, from from proximal FDP adhesions, or may result from arthrodesis of PIP joint of ring and long fingers; – the result is weak grasp in remaining fingers due to FDP tethering by scar at … Read more
– See: Trianglular Space – Anatomy: – formed by: – humerus – teres major – teres minor – long head of triceps – contents: – … Read more