– See: Rheumatoid Arthritis – Pathoanatomy: – RA Disease in the Wrist – Extensor Tendon Rupture – Tenosynovitis – diff dx: w/ RF negative tenosynovitis consider myobacterium marium infection; – Flexor Tendon Rupture – Ulnar drift – MP joint – PIP Joint – Boutonniere – Swan Neck Deformity – Thumb Deformities – Intrinsic Contracture – … Read more
– See: – Rheumatoid Hand – MP Ulnar Drift – Deformites of MP Joints; – approximately 40% of pts w/ RA will have intrinsic contracture; – in some cases the intrinsic contracture will result from MP joint dislocation, and in other cases, the intrinsic contracture will … Read more
– See: – Rheumatoid Boutonniere – RA – Swan Neck Deformity – Arthrodesis: of PIP – expect improved key pinch strength w/ fusion of PIP joint of index finger; – arthroplasty of PIP joint of index is least successful … Read more
– See: – Boutonniere Injuries – Menu – Thumb Boutonniere Deformity – Discussion: – rheumatoid boutonniere deformity begins w/ PIP synovitis & elongation capsule; – inflammation leads to lengthening of central extensor slip and triangular ligament (becoming dysfunctional) and volar displacement of the lateral bands … Read more
– See: – FDP rupture – FPL rupture – Teno-synovectomy – Discussion: – when flexor tendon ruptures occur, there are two usual causes: – attrition or direct invasion by tenosynovitis; – these occur in carpal canal due to invasion or attrition; – scaphoid bone … Read more
– Assistance provided by Michael Berend MD. … Read more
Revision Total Knee Arthroplasty – Assistance provided by Michael Berend MD – PreOperative Considerations and Implant Selection: – work up of the painful TKR: – Surgical Approach: (Surgical Approach for Primary TKR); – Component Removal: – prior to component removal, take the knee thru a range of motion and evaluate patellar tracking and … Read more
– See: Unstable Intertrochanteric Fractures – Discussion: – in reverse oblique fractures, the major frx line extends from proximal-medial to distal-lateral through intertroch-subtrochanteric region; – marked tendency toward medial dispacement of shaft 2nd hip adductors; – tendency for medial shaft migration may result in … Read more
– Discussion: – dorsal metacarpal vessels contribute to the fascial plexus, which supplies the skin of the dorsum of the hand; – reverse dorsal metacarpal flap, based on the dorsal metacarpal arteries, can cover small soft-tissue defects in the hand; – axis of this flap parallels dorsal interosseous muscles; … Read more
– See: – Rupture of FDP – Flexor Tendon Repair – Staged Tendon Reconstruction: – Tendon Repair Technique: – Zone I Injuries … Read more