Ortho Oracle - orthopaedic operative atlas

Radial Head Prosthetic Replacement

– Discussion: – indicated for comminuted radial head frx which occur w/ concomitant MCL injury, dislocation, or RU joint disruption (Essex Lopresti  Fracture); – will serve as spacer & will prevents proximal migration of radius; – w/ RU joint disruption, radial head spacer alone does not restore satisfactory axial stability w/o pinning the distal radioulnar … Read more

RA: Extensor Tendon Rupture: (Vaughn-Jackson syndrome)

– 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

Radial Artery

– 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

Quadratus Plantae

      – See: Plantar Muscles of the Foot   Origin: 2 heads, the medial surface and the lateral border of the inferior surfaces of the calcaneus;   Insertion: fuses with the tendon of the flexor digitorum longus;   Action: flexes the 2nd to 5th toes;   Nerve Supply: Lateral plantar,  S1, S2; (See … Read more

Quadratus Femoris

– See: external rotators of the hip: Origin: superior aspect of external border of the tuberosity at ischium; Insertion: superior aspect of the linea quadrata, the line which extends downward from the intertrochanteric crest of femur; Synergists: piriformis, obturator externus, obturator internus, gemellus superior, gemellus inferior; Action: external rotation of the femur at the hip; … Read more