The Hip - book

Tuberculosis

Discussion although the disease is generally more likely to be chronic, acute mycobacterial arthritis has been reported; periarticular bone lesions may accompany the synovial involvement; pulmonary tuberculosis is evident in only half the patients with skeletal involvement; pulmonary TB signs vary with stage of dz, few early on; later high fever, wt loss, prolonged, productive … Read more

Triquetrium

        – See:       – Blood Supply to the Wrist       – Triquetrolunate Dissociation – Discussion:      – triquetrium is the 3rd most commonly fractured carpal bone;      – ular side of the wrist is supported by TFC, which articulates w/ both lunate and the triquetrum; … Read more

Treatment of Volar Wrist Ganglions

– Discussion:     – 20% of all ganglia     – most common site at volar wrist crease between the FCR and APL at the scaphotrapezoid joint;     – volar ganglions may be less amenable to aspiration than dorsal ganglions since the radial artery may be adjacent to the cyst     – recurrence … Read more

Treatment of Dorsal Wrist Ganglions

– Open Resection:     – short transverse incision directly over the mass;     – dorsal ganglions are often located between the EPL and EDC tendons;     – retinaculum is incised between the 2nd and 4th extensor compartments (EPL tendon sheath need not be incised);     – main cyst and its pedicle … Read more

Trauma and Fractures Menu

(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more

Trapezium

– See:       – Blood Supply to the Wrist       – Thumb Deformities in Rheumatoid Arthritis       – Thumb Fractures – Discussion:     – articulates w/ thumb;     – move distal to snuff box to snuffbox to palpate trapezium-thumb articulation;     – trapezium-thumb articulation is saddle … Read more

Transstyloid Perilunar Dislocation

– See: Trans-scaphoid Perilunar Dislocation – Discussion:     – occurs as oblique frx through radial styloid, extending thru scapholunate ligament and around the lunate, through the triquetral attachments;     – due to the radiocapitate ligament, the fractured styloid process migrates  with the distal carpal row;     – because styloid is held by radiolunate … Read more