– See: Hand Tumors – Discussion: – cystic lesion (actually a ganglion) over dorsum of finger near DIP & fingernail; – it is associated w/ degenerative lesions and spur formation (Heberden’s nodes) over DIP joint; – ganglion may or may not be connected to DIP joint by a synovial stalk; … Read more
ORIF of Calcaneal Frx Using Lateral Approach: – Preoperative Planning: – Surgical Stratedgy: – pt in true lateral position – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap); – extension from tuberosity to calcaneo-cuboid (watch peroneals) – reduction of critical angle of Gissane/ anterior process to … Read more
– See: MP joint in RA – Planning: – indications: – irretrievable articular cartilage damage; – volar subluxation; – dislocation are indications for surgery; – cautions: – cervical spine … Read more
– Discussion: – index finger is most commonly involved, often found in older pts w/degenerative arthritis; – Etiology: – muscular contracture or trauma; – collateral ligament or volar plate tethering on prominent MP head or osteophyte (on either side or volar aspect of metacarpal head); – torn palmar … Read more
– Discussion: – it is not a neuroma but a perineural fibrosis and it was not first accurately described by Morton but by Durlacher, a chiropodist in 1845; both Thomas G. Morton (1876) and Thomas K. Morton (1892) mistook it for a painful affection of the fourth MTP articulation – it is a type of nerve compression … Read more
– Mosaicplasty: – refers to the technique of harvesting small circular (4-8 mm) autogenous grafts from the knee from non wt bearing regions of the knee, and transplanting the grafts in a mosaic pattern until the osteochondral defect is filled; – typically the grafts are harvested from the periphery of the supero-lateral trochlea, but often, the … Read more
– Discussion: – most common pattern of motor branch of median nerve is extraligamentous take off from main branch of median nerve (distal to TCL in 50% pts) – in 30% of pts motor branch exits proximal to TLC; – in 20% of pts motor branch exits distal to TLC; … Read more
Discussion short trunk disproportionate dwarfism is established by age of 2 or 3 and progresses; inherited as autosomal recessive trait; children have normal intelligence and survive well into adulthood; pectus carinatum is also apparant; other problems include corneal opacity and abnormal dentition; type of mucopolysaccharidoses in which keratan sulfate accumulates in the tissues; measurement of … Read more
– See: Watson Jones Approach Smith Peterson Approach – Discussion: – in direct lateral approach, a curvilear split is made thru the anterior portion of the gluteus medius and vatus muscles, in order to gain access to the anterior face of the hip joint; … Read more
– See: – Thumb Soft Tissue Defects – Amputation of Fingers and Hand – Indications and Advantages: – most indicated for amputations distal to thumb IP joint, in which a V-Y flap cannot be used; – may cover upto 1.5 cm palmar defect (but not … Read more