– Discussion: – there are many surgical options for restoring digital extension in radial nerve palsy; – as w/ all tendon transfers, consider not only synergistic muscle activity, but also amplitude as well as muscle power and tendon excursion; – if surgery must be delayed, … Read more
– See: tendon excursion – Discussion: – FCR to EDC transfer; – this transfer is also well suited for finger extension; – advantages: – uses same incision as for the pronator and … Read more
– Archetecture – Excursion, of Tendons – Extensor Tendon Lacerations – Extensor Tendon Rupture – Flexor Tendon Repair – Flexor Tendon Pulleys and Sheath – Flexor Tenolysis – Infectious Tenosynovitis – Injury & Repair – Tendon Reconstruction / Grafting – Tendon Repair Techniques – Tendon Transfers in the Upper Extremity – Thumb-Tendon Injuries – Trigger … Read more
– See: – Excursion, of Tendons – Thumb Deformities in Rheumatoid Arthritis – Thumb Soft Tissue Defects – Flexor Pollicis Longus – Extensor Pollicis Longus – Tendon Sheath Anatomy: – A1 pulley: spans the MP joint, approximately 8 mm in width; … Read more
– See: – Architecture – Tendons of Hand – Extensor Tendon Injuries – Excursion, of Tendons – Flexor Tendon Repair: – Zone I Injuries – Zone II injuries … Read more
– See: – Skin Grafts: for hand defects; – Discussion: – indicate for soft tissue contracture including Dupuytren’s; – Technique: – all three parts of the Z plasty should always be of equal length; – angle: most often a 60 deg Z plasty is used; … Read more
– Discussion: – all seven cervical vertebra and the C7-T1 junction are visualized; – Technique: – patient is supine. head is straight in the neutral position; – central beam is directed horizontally to a point 2.5 – 3.0 cm caudal to … Read more
– See: – Foot Inclusion: – Safe Zone of Pin Insertion: – Debridment: – aggressive & repeated debridments of all devitalized tissue, including large fragments of bone; – consider debridment of bone ends with a hall burr inorder to promote bony opposition and compression; – … Read more
– 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
– Discussion: – indicated when vessel anastomosis cannot be performed w/o tension; – Vein Graft Harvest: – donor site: – dorsum of hand, dorsal and volar aspect of forearm, & dorsum of foot; – veins should roughly approximate the diameter of … Read more