Ortho Oracle - orthopaedic operative atlas

Tennis Elbow – Lateral Epicondylitis

Discussion overuse syndrome or tendinosis involving the region of the lateral humeral epicondyle; most often the origin of the ECRB displays an abnormal vascular proliferation and focal hyaline degeneration; ref: Anatomic Factors Related to the Cause of Tennis Elbow EDC may also be involved in some cases; ref: The role of the extensor digitorum communis … Read more

Technique of Forearm Fasciotomy

– see forearm compartment syndrome; – Discussion:     – see forearm flexors     – in forearm, both volar & dorsal compartments must be relieved by two incisions placed at 180 deg to each other;          – release of volar compartment may quell elevated dorsal compartment;     – on volar surface, lacertus fibrosis (proximally) & … Read more

Syringomyelia

– See: Myelodysplasia: – Discussion:     – syringomyelia is a condition in which tubular cavity, or syrinx, in central area of spinal cord gradually expands leading to progressive myelopathy;     – it is associated w/ disturbed hydrodynamics of cervical spinal fluid w/ or w/o associated obstruction at the cranial cervical junction;     … Read more

Synovial Chondromatosis

Discussion a monarticular synovial proliferative disease which is characterized by the metaplastic conversion of cartilagenous tissue to ossified loose bodies; cartilagenous or osteocartilaginous metaplasia takes place w/in the synovial membrane of joints, bursae, or tendon sheaths; seen most often in middle-aged men; pts report pain and limitation of motion; location over one-half of cases occur … Read more

Syndactyly

        – See: Acrosyndactyly; – Discussion:     – failure of differentiation of the tisses between the fingers at 5th-8th week of intrauterine life (see limb development);     – most common in the middle and ring fingers;     – syndactyly (webbing  or fusion of two or more digits), a result of failure of … Read more

Surgical Treatment of Proximal Humeral Fracture

  – See: Anterior Approach to Shoulder and Synthes Proximal Humerus Products – Operative Treatment Options:      – Lateral Plating (Locking Plating):      – Percutaneous Pinning      – Screw Tension Band Technique:           – reduction:                   – in some cases cancellous bone from the … Read more

Surgical Approach to the Ulna

– See:          – Blount Fracture: Both Bone Forearm Fracture          – Plating Techniques – Position:     – arm is placed on an upholstered armboard w/ medium elbow flexion and full arm pronation; – Surgical Approach:     – interneural approach: lies between ECU (PIN) & FCU (ulnar nerve);     – … Read more