Ortho Oracle - orthopaedic operative atlas

Treatment of Volar Wrist Ganglions

– Discussion:     – 20% of all ganglia     – most common site at volar wrist crease between the FCR and APL at the scaphotrapezoid joint;     – volar ganglions may be less amenable to aspiration than dorsal ganglions since the radial artery may be adjacent to the cyst     – recurrence … Read more

Treatment of Displaced Scaphoid Fractures

– See:   – Casting of Scaphoid Fractures   – Surgery and Approach to the Scaphoid   – Herbert Screw Fixation of Scaphoid Fractures   – Closed Reduction of Scaphoid Fractures   – Radiographic Imaging – Definition: Unstable Scaphoid Fracture – Discussion: – one must differentiate between stable & unstable acute frx, since stable fractures … Read more

Treatment of Dorsal Wrist Ganglions

– Open Resection:     – short transverse incision directly over the mass;     – dorsal ganglions are often located between the EPL and EDC tendons;     – retinaculum is incised between the 2nd and 4th extensor compartments (EPL tendon sheath need not be incised);     – main cyst and its pedicle … Read more

Trapezius

                        – Discussion:     – trapezius and serratius anterior  stabilize scapular base from which the arm operates;     – trapezius, which arises from spinous processes of  cervical and thoracic vertebrae  & inserts on spine of scapula            and acromion, is innervated by spinal accessory nerve and branches from third … Read more

Trauma and Fractures Menu

(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more

Transverse Fracture of Acetabulum

– See:       – Associated Transverse & Posterior Wall Fracture        – T Shaped Fractures       – AO Foundation Transverse Fracture – Discussion:     – transverse frxs extend across both the anterior and posterior columns;            – frx divides the innominate bone into superior segment containing acetabular                     roof … Read more

Transverse Metacarpal Fractures

    – Discussion:     – usually result from direct blow;     – presents w/ dorsal angulation & increased palmar displacement of metacarpal heads because of deforming force of interosseous muscles and long flexor muscles, which are volar to the fracture plane;     – more proximal frxs (ie, shaft frx) are more likely to … Read more