– Technique: – 5 cm incision is made over the fracture site, in a direction perpendicular to the platysma fibers; – incise thru the platysma muscle with care to avoid the underlying supra-clavicular nerve; – mobilize the supraclavicular nerve if it is found; – … Read more
– Discussion: (distal radius fracture menu and colles fracture) – volar surface of distal part of radius is slightly flattened, except for its distal margin, which slopes volarly to form a prominent ridge from which volar radiocarpal ligaments originate. – short radiolunate ligament originates off of volar margin of lunate facet and attaches to volar surface of lunate and helps maintaining stability … Read more
– Origin: flexor retinaculum and tubercle of trapezium bone; – Insertion: radial side of entire length of first metacarpal bone; – Action: flexes & abducts first metacarpal w/ medial rotation at hand; – Synergists: abductor pollicis, adductor pollicis; – Nerve: Median, C8 > T1; – Discussion: … Read more
– Recommended Position of Ankle Fusion: – it is essential to position forefoot perpendicular to long axis of tibia; – if minimal resection of the joint surfaces is carried out (to minimize shortening), then it will often be necessary to lengthen the heel cord in order to obtain the optimal position; … Read more
– see distal radius fracture menu (volar Barton’s frx) – orif of distal radius fractures – Surgical Approach: – standard volar approach: – most indicated for simple extra articular fractures and when there is absence of ulnar comminution / displacement: – incision starts at thenar crease of palm, curves toward middle of forearm, w/ … Read more
– Technique: – stratedgy involves, performing articular surface reduction, and then to secure proximal portion to tibial metaphysis w/ use of lateral butress plate along w/ possible use of medially applied external fixation; – application of lateral plate takes advantage of the better soft tissue envelop on the lateral side of … Read more
– Discussion: – main indication for operative Rx is failure of closed Rx: – when closed reduction requires forced, abnormal positioning of foot (forced plantar flexion and inversion); – when displaced or unstable fractures of either or both malleoli result in displacement of talus or widening of mortise greater than 1 to 2 mm; – Indications for Treatment: … Read more
– Treatment Options: – percutaneous pinning w/ 1.6 mm or 2.00 m K wires in small fragments; – ref: Complications of smooth pin fixation of fractures and dislocations in the hand … Read more
– Surgical Approaches: – if operative treatment has been selected, it is essential that a near anatomic reduction be obtained; – malunion may lead to reduction is subtalar motion and eventual arthrosis; – its essential to avoid varus and dorsal angulation; – the area of … Read more
this is a test . the word finger should origin: hamulus of the hamate bone and flexor retinaculum; insertion: entire length of ulnar border of 5th metacarpal; action: flexes and slightly rotates the 5th metacarpal; helps to cup the palm of the hand; synergists: flexor digiti minimi brevis, abductor digiti minimi; nerve … Read more