– See: – Rheumatoid Hand – MP Ulnar Drift – Deformites of MP Joints; – approximately 40% of pts w/ RA will have intrinsic contracture; – in some cases the intrinsic contracture will result from MP joint dislocation, and in other cases, the intrinsic contracture will … Read more
– See: Axillary Approach to the Shoulder – Indications: – most often used for Bankhart repairs for anterior shoulder dislocations; – Positioning: beach chair w/ full access to posterior aspect of shoulder; – Incision: – incision is placed in major axillary skin fold; – skin incision begins in the axilla and is centered over pectoralis … Read more
– See: EMG Menu: – Discussion: – normally there is no activity at resting muscle; – denervated muscle fibers become spontaneously active, producing fibrillation potentials & positive sharp waves approx 10-20 days after nerve injury; – this test assists in differentiating neuropathic muscle atrophy from myopathic atrophy
– See: Humeral Frx – Main Menu – humeral shaft fractures – Retrograde IM Nailing: – main advantage over antegrade nailing, is that violation of the rotator cuff is not necessary (and therefore shoulder motion is not affected); – retrograde nailing is also preferred over antegrade nailing for distal shaft fractures; – main disadvantage is … Read more
Discussion: Quantitative gait analysis in patients with medial patellar instability following lateral retinacular release. The diagnosis and treatment of medial subluxation of the patella after lateral retinacular release. Medial subluxation of the patella as a complication of lateral retinacular release Hemarthrosis as a major complication after arthroscopic subcutaneous lateral retinacular release: a prospective study. [Prevention … Read more
– See: medial meniscus – Discussion: – indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery is considered avascular; (see vascularity of … Read more
– See: – Rupture of FDP – Flexor Tendon Repair – Staged Tendon Reconstruction: – Tendon Repair Technique: – Zone I Injuries … Read more
– See: Lateral Meniscus / General Discussion of Meniscal Repair – Indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery is considered avascular; (see vascularity of … Read more
– See: – Kocher Approach: – Elbow Flexion Contracture: – Discussion: – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule; – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture); … Read more
– RSD in Children: – usually occurs in 8 – 16 yr olds (girls > boys); pain is the primary symptom; – pts show marked dysfunction and signs of sympathetic overdrive; (cyanosis, coldness, edema, and hyperhydrosis). – hyperesthesia w/ an incongruent affect is typical; – children w/ R.N.D. are usually compliant and pseudomature; – underlying psychosocial … Read more