The Hip - book

Anatomy and Function of the Triangular Fibrocartilage Complex

– See: Ligaments of the Wrist – Anatomy of TFCC:     – consists of articular disc (triangulyar fibrocartilage), meniscus homologue (lunocarpal), ulnocarpal ligament, dorsal & volar radioulnar ligament, and ECU sheath;     – it originates from firm attachments on medial border of distal radius and inserts into the base of the ulnar styloid;   … Read more

Anatomic Snuff Box

(See also: DeQuervain’s Disease, Differential Diagnosis) Discussion snuff box is depression within the borders formed by EPB & EPL; distal border is formed by prominent edge of base of first metacarpal & proximal border is formed by styloid process of the radius; lies just dorsal and distal to the radial stylid process; radial border of snuff … Read more

Amputation Menu

– Amputations in the Diabetic Patient – Above the Knee Amputation: – AKA prosthetics – Basic Science: – Below Knee Amputation: – amputation following fractures of the tibia – pediatric BKA: – BKA prosthetics – prosthetic feet – Foot and Ankle Amputation – Syme’s Amputation – Transmetatarsal Amputation – Chopart Amputations – Pediatric Amputations – … Read more

Alendronate / Fosamax

– Discussion: (see bisphosphonates)     – type of aminobisphosphonate (a synthetic analogs of pyrophosphate) which acts as an inhibitor of osteoclast-mediated bone resorption;     – due to substantial reduction in bone resorption, bone formation exceeds bone resorption at these remodeling sites, which leads to                progressive gains in bone mass;     – this … Read more

Adductor Pollicis

    – Discussion:     – adductor pollicis consists of 2 parts, one of which is transverse & other oblique;     – transverse head attaches to the volar crest of the 3rd metacarpal;     – oblique head attaches to ligaments around capitate, trapezium, and covering of the FCR;     – heads … Read more

Acute Ligament Repair for SLD

by William Mallon MD  – Skin Incision:     – Identification of Radial Nerve:   – Identification of 3-4 Interval:   – Longitudinal Arthrotomy:   – arthrotomy performed just distal to Lister’s tubercle over scapholunate interval;  – this should provide clear exposure of scaphoid and lunate;  – alternatively, a distally based capsular flap can be … Read more

ACL Graft Fixation

 – Discussion:     – see Arthrex, Mitek, Linvatec, Smith-Nephew     – in choosing a fixation technqiue consider the need for the following:              – circumferential (360 deg) healing of graft against tunnel wall (interference screws do not permit this);              – bioabsorbable material … Read more

Infraspinatus

(See also: Rotator cuff) origin: infraspinatus fossa of scapula insertion: posterior aspect of greater tuberosity of humerus, capsule of shoulder joint; demensions: infraspinatus has been shown to average 29 mm wide, with a mean medial-to-lateral width of 19 mm action: extension, horizontal extension and lateral rotation of humerus at the shoulder joint. the infraspinatus is the … Read more