– Discussion and Indications: – definitive stabilization of frx may be achieved w/ external fixation in certain rotationally unstable but vertically stable injuries; – relative contraindication is iliac wing fractures; – antero-posterior compression injuries: – external fixation is most applicable to stable “open book” … Read more
– Location of Pin Insertion Sites: – depending on type of frame used, at least two or three pins are placed along iliac wing; – 1st pin is usually placed about 2 cm posterior to anterosuperior spine. – rest of pins should then be placed along iliac crest using … Read more
– Mid-Shaft Humeral Fractures: – consider screw placement in the short frx segment first, since the longer fragment will be more forgiving for shorter or longer screw placement; – take care to avoid injury to axillary nerve proximally and the radial nerve distally; – proximal pin … Read more
– See: – Rupture of the Quadriceps – Patellar Tendon Injury – Tibial Tubercle Frx – Discussion: – extensor mechanism includes quadriceps, quadriceps tendon, medial & lateral retinaculum, patellofemoral and patellotibial ligaments, Patellar Tendon (ligament), and tibial tubercle; – superficial location of extensor mechanism make it suseptable to injury; … Read more
– Anatomy: – extensor tunnel I – origin: – posterior side at the distal end of the body of both the ulna and radius near their middle; – insertion: – posterior surface of the base of the proximal phalanx of thumb; … Read more
– See: Extensor Pollicis Longus Rupture: – Anatomy: – origin: posterior surface of the middle 1/3 of the ulna & interosseous membrane; – insertion: posterior surface of the base of the distal phalanx of thumb; – action: extends the distal phalanx of the thumb; continued action, extends proximal phalanx and adducts the … Read more
– Anatomy: Origin: the forepart of the supralateral surface of the Calcaneus;lateral talocalcaneal ligament and cruciate crural ligament; Insertion: braches into 3 tendons that insert into the lateral sides of the tendons of EDL of 2nd, 3rd, & 4th toes at the level of the MTP joint; Action: extends the … Read more
– See: – Forearm Extensors: – Extensor Tendon Laceration – origin: lateral epicondyle of humerus; – tunnel IV: – narrow retinaculum over dorsum of wrist forms pulley system for extensor tendons; – above the wrist its four slips spread out joined together by juncturae; … Read more
– Origin: – lateral condyle of the tibia, head and proximal 3/4 of the anterior surface on the body of the fibula, proximal portion of interosseus membrane, deep fascia and intermuscular septa; – Insertion: – divides into 4 tendons after passing under the extensor retinaculum; – … Read more
– Origin: – the forepart medial aspect of calcaneus; lateral talocalcaneal ligament; – the EHB travels over the dorsum of the metatarsal head; – Insertion: – dorsal surface of the base of proximal phalanx of hallux; – Nerve Supply: – Deep peroneal, L4, … Read more