Ortho Oracle - orthopaedic operative atlas

Tumors of Hand and Distal radius

[ooo id=”101957″] – 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 … Read more

Tunnel of Guyon

[ooo id=”11792″] – Discussion: – Guyon (French Urologist) described this space in 1861; – Guyon’s canal is approximately 4 cm long beginning at the proximal extent of transverse carpal ligament and ends at the aponeurotic arch of hypothenar muscles; – depression between pisiform & hook of hamate is converted into fibrosseous tunnel, the tunnel of Guyon, … Read more

Wrist Menu

(see also: Hand Menu; Physical Exam; Radiographs) – Arthroscopy – Arthrography – Aspiration – Arthrodesis – Capitate – Carpal Instability – Carpal Tunnel Syndrome – CarpoMetaCarpal Fracture – CMC Arthritis – CMC Instability in the Thumb – CMC Instability in the Metacarpals – Darrach’s Procedure – DeQuervain’s Disease – Distal Radial Fractures – Dorsal Intercalated … Read more

Type III Radial Head Fracture

– Discussion: – comminuted fractures of the entire head; – classification: – type A: – fracture of the entire radial neck, with the head completely displaced from the shaft; – type B: – articular fracture involving the entire head, which consists of more than two large fragments; – each fragment is completely displaced from the … Read more

Zero Rotation Views

– Discussion:      – used to show ulnar variance;      – technique:            – shoulder is abducted 90 deg, the elbow flexed 90 deg, and forearm is held in neutral rotation;      – AP View:             – patient places the forearm flat on … Read more

X-ray Findings in SLD

          – See:       – PA View       – AP View        – Radiology of Hand & Wrist        – Radiology of Scaphoid Fracture – Discussion:    – clenched fist AP – ulnar deviation view (see: AP view:)         – proper technique: for visualizing … Read more

Wrist Arthrodesis

[ooo id=”21119″] – 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: … Read more

Wrist Arthrography

– 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

Wrist Arthroscopy

[ooo id=”17410″] – Positioning and Preparation: – joint is distended w/ finger traps (to index and long fingers) w/ about 10 lbs, using a pulley system; – counter traction is applied to the arm w/ use of a second 10 lb pulley – this allows the elbow to be flexed 90 deg; – gravity assistant inflow; … Read more