– Discussion: – presents w/ differing degrees of shortening (or absence) of radius, carpal bones, and radial rays (including thumb); – bowing of the ulna may contribut to the deformity; – elbow may have fixed extension contracture or may have deficit of active motion; … Read more
– Discussion: – as with ulnar injuries, a mid subtance tear is rare; – Treatment Acute Tears: – if there is no instability and no sign of volar subluxation, the thumb is immobilized for 3 to 4 weeks; – Surgical Treatment: – after curved incision and mobilization of skin flaps, … Read more
– See: Stages of Rheumatoid Arthritis – Discussion: – affects 1-3% of adult population; – female predominance of about 3 to 1; – peak age of onset 35 and 45 years; – most often presents with involvement in the feet and hands (intial involvement occurs in 15% … Read more
– See: – Rheumatoid Arthritis – Extensor Tendon Lacerations – Mallet Finger – Rheumatoid Wrist – Teno-synovectomy – Discussion: – ulnar side of wrist is most common site of extensor tendon ruptures; – pathophysiology: (caput ulnae syndrome) – this most often due to attritional changes due to caput ulnae syndrome; – volar subluxation of the … Read more
– See: – Flexor Pollicis Longus Rupture – Extensor Pollicis Longus Rupture – Disscussion: – rupture of EPL tendon is most common, usually occuring in the 3rd compartment in the area of Lister’s tubercle; – rupture of FPL usually occurs in carpal area and must be considered in dx … Read more
– See: Vascular Problems of the Wrist and Hand: – Radial Artery in the Forearm: – in the mid forearm, the radial artery lies beneath the brachioradialis – here the brachioradialis recieves arterial branches just below elbow; – Radial Artery in Wrist: – at wrist ulnar artery … Read more
– Anatomy: – flexor sheath of thumb usually extends from distal phalanx to a point 2-4 cm proximal to volar wrist crease; – proximal half of tendon sheath is commonly referred to as the radial bursa; – occasionally proximal half of FPL sheath is separate from distal sheath, making them … Read more
– Discussion: – may result from over advancement of the FDP following tendon rupture or repair, from from proximal FDP adhesions, or may result from arthrodesis of PIP joint of ring and long fingers; – the result is weak grasp in remaining fingers due to FDP tethering by scar at … Read more
– See: – Classification: – Stage I: – synovitis; – treated w/ splinting; – Stage II: – joint space narrowing with bone erosions; – treated w/ splinting and surgical synovectomy; – Stage III: … Read more
Discussion short sature beomes evident in early childhood; other manifestations of disorder (enlarged skull, short & broad hands & feet, dstrophic nails, and blue sclerae) usually are recongnized in infancy; pathologic fractures are a frequent complication; on x-ray, bone sclerosis appears during infancy