– See: – Plating Techniques – Technique: – incision begins in front of radial styloid process, extending proximally in straight line along anteromedial border of the brachioradialis; – brachioradialis is reflected laterally to expose superficial radial nerve in proximal portion; – avoid injury this nerve as … Read more
– See: Medial Approach – Discussion: – allows access to medial malleolar frx; – skin flap, formed with its base posteromedially, usually heals well because of its blood supply from the posterior tibial artery; – saphenous nerve lying adjacent and immediately lateral to saphenous vein must be avoided; – for medial malleolar avulsion fracture: – … Read more
– See: Smith Peterson Approach – Discussion: – major problems with the Watson Jones technique are dealing w/ gluteus medius & minimus, which lie over anteior capsule and must be damaged or cut to obtain adequate exposure; – original Charnely technique used anterolateral approach w/ pt supine, osteotomy of greater troch, … Read more
– Discussion: – allows acces to ankle joint, talus, & other tarsal bones and joints; – it does not allow access to the navicular and 2nd and 1st cuniforms; – avoids all of the important vessels and nerves; – dissection procedes between the peroneus tertius (deep peroneal nerve) and the peroneus brevis (superficial peroneal … Read more
– See: Hetertopic Ossification of the Elbow: – Discussion: – most indicated for flexion contractures of the elbow (w/o extension contracture); – disadvantages: – some patients may gain extension but will loose flexion (especially if they are casted in extension); … Read more
– See: – Arthroscopic Reconstruction – Historic Operations – Revision Bankart Procedure – Bankart Repair: – reattachment of the capsule and glenoid labrum to the glenoid lip; – subscapularis is carefully divided to expose the capsule, and is reapproximated without any overlap or shortening; – PreOp Eval: – rotatory stress test for anterior instability; – … Read more
– See posterior tibial artery – Anatomy: – anterior tibial artery passes from behind through gap above interosseous membrane to enter anterior compartment of leg and supply its muscles; – as it crosses membrane, it gives off a recurrent branch; – ref: The risk of injury to anterior tibial artery in posterolateral approach to … Read more
– Discussion: – see frx dislocations of the hip – comprise 10-15% of traumatic dislocations of hip; – occur when knee strikes dashboard w/ thigh abducted, falls from ht, or from a blow to the back of pt while in squatted position; – neck of femur or greater trochanter impinges … Read more
– Exposure: – similar to the ilioinguinal approach: – it is necessary to expose the iliac crest & SI joint including the ala of sacrum; – ensure that the patient is on a flouro table and that patient’s pelvis is distal to the main table support … Read more
– See: Autograft Discussion – Anterior Crest: Corticocancellous Graft: – position in the supine position with bump under the hip; – make an incision along the undersurface of the anterior crest, beginning about 2 cm posterior to the ASIS which continues a distance of about 7 cm; … Read more