Ortho Oracle - orthopaedic operative atlas

Space of Poirier

– See:     – Ligaments of the Wrist – Discussion:     – an atomical defect or weak spot in the floor of the carpal tunnel;     – it lies at the volar aspect of the proximal capitate, lying between the volar radiocapitate and volar radiotriquetral ligaments (see ligaments);     – area expands … Read more

Smith’s Fracture

– See:        – Barton’s Fracture – Discussion:      – extra-articular palmarly displaced distal radius frx;      – volar angulation of frx is referred to as “Garden Spade” deformity (reversed Colles Fracture);      – hand & wrist are displaced forward or volarly w/ respect to forearm;      – frx may … Read more

Snake Bite Wounds

– See: necrotizing fascitis – Discussion:     – snake bite resources     – snake types:          – pit vipers (crotaline) which include rattlesnakes, cottonmouths, and copperheads;                – crotalus (rattlesnakes)                – agkistrodon (copperheads, water moccasins)                – micrurus … Read more

Scapholunate Interosseous Ligament and Anatomy of SLD:

– Discussion: (see ligaments of the wrist and SLD)    – three main ligamentous structures which bind the scaphoid to lunate;              – volar radioscapholunate ligament (largest);              – radiocapitolunate ligament;              – scapholunate interosseous ligament (consists of dorsal, proximal, and palmar segments bridging the scaphoid and lunate);                        – dorsal portion:                                 – 2-3 mm thick with transversely oriented … Read more

SLD: Acute Ligament Tear – Repair Technique

– See: Ligaments of the Wrist – Discussion: – dorsal incision is centered of Lister’s tubercle; – dorsal capsule is reflected in line with the skin incision; – radial capsule is reflected from the scaphoid to its waist; – reduce lunate and scaphoid w/ K wire; – joysticks inserted in a dorsal to palmar direction; … Read more

Skin Grafts: for Hand Defects

– Full Thickness Skin Grafts:     – skin can be taken from the hypothenar area or from the instep of the foot, but forthese grafts to provide truly critical sensibility,             they must be full thickness grafts;            – full thickness grafts will transfer Meissner’s corpuscles (required for     … Read more

Simple Dislocations of the MP joint

– See: Complex Dislocations of the MP Joint – Discussion:     – two types of dorsal dislocation occur in MP joint: simple & complex;     – simple dislocations: may be reduced by closed reduction,     – complex dislocations: usually cannot be reduced primarily;     – results from hyperextension injury;     … Read more