– 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
– 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
– 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
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
– See: Hallux Valgus: – for mod hallux valgus in younger pts (HVA < 30 & IMA < 13-15 deg); – usually no pin or screw fixation is required; – no shortening of metatarsal will occur; – if a Silver Procedure is being performed, concomitantly, the excised medial eminence can be fashioned into a trapezoidal … Read more
– Technique: – there are two approaches that allow decompression of PIN: anterior and posterior (see Henry and Thompson); – Henry’s mobile wad (brachioradialis, ECRL , and ECRB) serves as the focal area for orientation; – anterior approach is more advantages since is allows decompression of all points of … Read more
– See: – Percutaneous Pin Fixation – Type III Supracondylar Frx – Indications: – vascular injuries – inadequate reduction; – brachialis may become interposed at frx site or by proximal humeral frx fragment button-holed thru brachialis (see physical exam); … Read more
– See: Open Frx Menu: – Discussion: – traumatic wound is nearly always anterior in location, and may have a variable degree of damage to the extensor mechanism; – in pts w/ grades I, II, or IIIa open supracondylar frx consider ORIF – for IIIb and IIIc fractures consider external … Read more
– Discussion: – is excellent for triple arthrodesis and for resection of a calcaneonavicular bar; – incision may be extended to expose the subtalar, calcaneocuboid, and talonavicular joints; – wound usually heals well because the proximal flap is dissected full thickness and the skin edges are protected during retraction; … Read more
– Discussion: – used in conjunction w/ a posterior approach: for fixation of condylar fractures, as well as exposure of distal humeral non unions; – olecranon osteotomy can be either non-articularl or trans-articular; – usually the non-articular olecranon osteotomy is used for non-articular condylar fractures; … Read more