Ortho Oracle - orthopaedic operative atlas

Extensor Mechanism Injuries of the Knee

– 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

Extensor Digitorum Longus

    – 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

Extensor Hallucis Longus

– Origin:     – middle 1/2 of the anterior surface of the fibula and adjacent interosseus membrane.     – the EHL lies dorsal to the EHB and is prevented from subluxation by the dorsal extensor hood; – Insertion:     – dorsal surface of base of distal phalanx of hallux – Nerve supply:   … Read more

Extension Gap

– Discussion:     – see flexion gap     – is space between transverse cut on distal femur & transverse proximal tibial cut while the knee is in complete extension;     – while minor loss of knee flexion or mild instability in flexion can be tolerated, priority is always be given to extension gap               adjustments; … Read more