– Discussion: – positive Hoffmann’s reflex reflects presence of an upper motor neuron lesion from spinal cord compression; – is elicited by flipping either the volar or dorsal surfaces of the middle finger and observing the reflexcontration of the thumb and index finger; – this sign is evidence by upper motor … Read more
Hip Arthroscopy (see also hip joint and hip capsule) Indications evaluation of hip pain – candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. gadolinium enhanced MRI demonstrated a … Read more
– See: – Tendon transfers: – Nerve Repair: – Combined Injuries of the Median and Ulnar Nerves: – Discussion: – ulnar innervated intrinsic muscles of hand, FCU, & FDP units to ring & little fingers & part of long finger; – functional deficit: … Read more
– See: Innervation – Discussion: – adductors of the thigh take origin from body & inferior ramus of pubis & from ramus of ischium & insert on medial side of femur; – innervated obturator nerve; – Adductors Include: – adductor bevis – longus – magnus – … Read more
– See: – management of burns – ossification of soft tissues – hetertopic ossification – management of elbow flexion contracture – Excision of Hetertopic Bone About the Elbow: – hetertopic bone is most often located along the posteromedial aspect; – medial approach to … Read more
– See: – Entrapment of Median nerve at the Elbow and Forearm: – Combined Injuries of the Median and Ulnar Nerves: – Median Nerve – Nerve Repair – Deficit: – loss of pronation of forearm, wrist flexors, index & long finger … Read more
– Discusion: – high pressure grease and paint guns are most common cause of injury, & site of injury is often the pad od the thumb or index finger; – severity of injury is often underestimated due to the small punctate entrance wound; – injected substance passes rapidly thru … Read more
– Diff Dx: slipped vertebral apophysis – Discussion: – disc herniation is uncommon in children; – herniations are most common at the disc spaces between the fourth and fifth lumbar vertebrae & between 5th lumbar and 1st sacral vertebrae; – Clinical Findings: – children experience little or no back … Read more
– Discussion: – extraarticular bleeding may involve muscles, nerves, blood vessels, and even bones; – slowly expanding hematoma will interfere w/ function & perfusion of surrounding tissues; – intramuscular hematomas that fail to resorb quickly lead to fibrosis, contracture, cyst formation, or myositis ossificans; – bleeding into the calf muscles may cause a severe equinus … Read more
– Thumb: – typical problems: stability and retractability; – thumb adduction stop used to gain ROM in first web space; – rigid thumb orthosis allows for stabilizing thumb for prehension; – MP Joints: – usually a hand orthosis; – with no active extension of the … Read more