– Discussion: – surgical indications include diabetic neuropathy, osteoarthritis, posttraumatic injury, talar AVN, and RA involving ankle and subtalar joints; – position for pantalar arthrodesis: – 0-5 deg of calcaneus (not equinus) and 5 deg of valgus; – in the report by Chou, et al, the authors … Read more
– Adamantinoma – Basal Cell Carcinoma: – Calcinosis – Chondrosarcoma: – the most common bony malignancy in the hand; – CMC Boss: bony growth at bases of second and third metacarpals; – special radiographs can demonstrate the osteophytes, which may be resected if symptoms warrent; – associated with ganglia at least 30% of the time, … Read more
Anyone interested in posting orthopaedic educational links should send e-mail to: crwmd@msn.com Orthopaedic Links Page Orthopaedic Network Slack Inc. Orthopaedic Mailing List Doctor’s Guide to the Internet Prosthetic Research Study American Academy of Orthopaedic Surgeons TraumaNet Ruth Jackson Orthopaedic Society: Southern California Orthopedic Institute: University of Texas Southwestern, Department of Orthopaedics University of Washington Department … Read more
– Discussion: – see flexor tendon repair – see FDP lacerations: FDS and FDP – almost all tendon injuries in zone 2 are due to lacerations; – this is where 2 tendons enter fibro-osseuous tunnel at mid-palm level; – once the FDS and FDP tendons enter flexor tendon sheath, the FDS separates into 2 … Read more
– See: – FDP Avulsion – FDP Lacerations – tendon pull thru technique – Anatomy: – in zone 1, FDP has emerged from between & beneath decussating FDS and travels to its insertion in the distal phalanx; – zone 1 contains: A4, C3, … Read more
– Hand: Physical Exam Flex Ext R/Dev. U/Dev. Pro Sup Radial-Ulnar Art. 75 70 25 45 60 60 5/5 5/5 2+ … Read more
– Indications: – painful or unstable wrist joint w/ advanced destruction due to OA, RA, post traumatic arthritis, SLAC wrist, spastic flexion contracture, degenerative scaphoid non-union, unsuccessful wrist arthroplasty, and Keinbock’s dz; – this procedure is more beneficial for young, active pts or middle aged pts, but not for elderly pts; – PreOp Considerations: – in … Read more
– Discussion: – arthrography may be used in diagnosis of carpal instability because it is technically easy & is only minimally invasive; – normally there should be no communication between the radiocarpal, mid-carpal, and distal radial-ulnar joints; – it is noteworthy that in normal wrists there may be communications … Read more
– Discussion: – KCI Vacuum Assisted Closure Device: (Company Web Site) and V.A.C.® Therapy Indications and Safety Information – Soft Tissue Coverage (Austere Environment) – Flaps and Vacuum-Assisted Closure (VAC) – technique: – debride all devitalized tissue and contaminated material; – sterile reticulated … Read more
– Trauma Management: – damage control resusitation – ref: Damage-Control Orthopedics Versus Early Total Care in the Treatment of Borderline High-Energy Pelvic Fractures – fluid management – hypotension is associated with an increased risk of mortality, ARDS, and multiple organ failure; – IV access is secured with at least … Read more