The Hip

Wrist Disarticulation

– Discussion:     – wrist disarticulation: include the removal of the radius and ulna to styloid processes;     – shape of stump remains bulbous, thus permitting prosthetic attachment, leaving the elbow free and preserving full pronation & supination;     – wrist disarticulation retains distal radio-ulnar joint preserves more forearm rotation, & retaining distal radial flare dramatically … Read more

Wrist Joint Aspiration & Arthroscopy

– Discussion:       – joint is entered dorsally;       – if there is any difficulty in entering Wrist Joint, hand can be suspended in Chinese finger traps to help open the joint space;       – there are 2 main entry sites, 3-4 & 4-5 sites;         … Read more

Work Up for Scaphoid Frx

– History and Exam:     – fracture of the scaphoid is suspected w/ fall on an outstretched hand;     – snuff box tenderness (see clinical differential diagnosis:)            – scaphoid impaction syndrome     – tenderness to palpation over scaphoid tuberosity and/or proximal pole just distal to Lister’s tubercle; … Read more

Wheeless’ Textbook of Orthopaedics – Journal Watch

Journal of Bone and Joint Surgery Long-Term Results of Treatment of Fractures of the Medial Humeral Epicondyle in Children Operative Treatment of Interdigital Neuroma. A Long-Term Follow-up Study The Effects of Tibial Rotation on Posterior Translation in Knees in Which the Posterior Cruciate Ligament Has Been Cut Patellar Resurfacing in Total Knee Arthroplasty. A Prospective, … Read more

Hand

– see wrist menu Amputation of the Finger and Hand Bennett’s Fracture Blood Supply to the Wrist Boutonnere Injuries Bouvier’s Test Burns of the hand Carpal Tunnel Syndrome Cerebral Palsy Claw Hand Clenched Fist Injuries Congenital Deformities of the Hands Compartment Syndromes of the Hand and Forearm CMC Arthritis DeQuervain’s Disease Digit Reimplantation Distal Phalangeal … Read more

Watson test

– Discussion:     – this manuever helps diagnose SLD but the test is not specific for SLD, because it may reposition entire proximal carpal row if row, rather than the scaphoid;     – manipulation of scaphoid by examiner may reproduce pt’s sensation of instability or even cause subluxation of proximal pole of the scaphoid;     … Read more

Vitamin-D Deficient Rickets

– See: Rickets: – Discussion:     – this is the classic form of the disease;     – it usually results from a deficiency in dietary intake of vitamin D, often coupled with inadequate exposure to sunlight;     – reduced vitamin-D intake causes a diminution in the absorption of calcium from the GI … Read more