– See: – Intrinsic Muscles of the Hand – origin: each from the 2 metacarpal bones between which it inserts; – insertion: – proximal phalanges of the 2nd, 3rd, and 4th digits & posterior expansion of the finger extensor tendons; – action: – 1st abducts index finger, … Read more
– Discussion: – most commonly used tendon graft for the hand; – palmaris longus tendon is extrasynovial and does not have synovial membrane; – instead of synovial membrane, the tendon has a paratenon which does not promote gluiding as well as intrasynovial tendons; – PreOp Planning: – determine … Read more
– Discussion: – distraction (or ligamentotaxis) is used to facilitate reduction of distal radius frx; – overdistraction will cause increased mid & proximal carpal joint space widening & resistance to passive flexion of finger tips to distal palm; – look for over distraction when proximal … Read more
– See: Bone Tumor Menu – Discussion: – benign osseous tumor usually less than 1.5 cm in diameter, comprising 11% of all benign bone tumors; – no cases of malignant transformation has been reported; – occurs primarily in adolescents and less often in children; … Read more
SCFE Trauma Inflammatory arthritis Calcium Pyrophosphate Dihydrate Crystal Arthritis – these pts may have symptomatology at atypical sites of the hand such as the second and third MP joints; Osteonecrosis Intra-articular Steroids Hyperparathyroidism – it can cause subchondral bony erosions and collapse of the articular … Read more
Pagets Disease Panner’s Disease Parathyroid hormone Parsonage-Turner Syndrome Paronychia: Parosteal Osteosarcoma Patella / Patello-Femoral Function … Read more
– See: – Anesthesia and Timing for Femoral Neck Fractures: – Anesthesia in the Spinal Cord Injured Patient: – Cardiac Orders / Meds: – Malignant Hyperthermia: – Risk Assessment: – Anesthetic Agents: – Lidocaine: … Read more
Note: it is the responsibility of the physician to ensure that these codes are correct. Debridement Excision of Skin Lesions / Ulcers Excision of Foreign Body or Superficial Tumors Spinal Procedures (and rib) Shoulder, Clavicle, and Humerus Procedures Elbow, Wrist, and Hand Procedures Hip, Femur and Knee Procedures … Read more
– Discussion: – causative organism of leprosy is M. leprae; – acid-fast, obligate, intracellular gram-positive bacillus that reproduces maximally at 27°C to 30°C; – frequent subacute polyarthritis involving the small joints of the hands and feet; – organism infects the skin and cutaneous nerves, … Read more
– See: dorsal barton’s frx and dorsal approach to the wrist: – Surgical Approach: – patient is supine w/ wrist slightly flexed & placed on arm board; – perform a provisional reduction before the incision is made; – Z or S shaped incision from base of second metacarpal over wrist … Read more