– Position: – beach chair position; – position should allows full shouler extension, exernal and internal rotation (note that the posterior cuff will be brought into the operative field by extending and internally rotating the shoulder – which is acomplished by pinning the patient’s arm between the OR table … Read more
– Company Specific Products: – Innomed Products: – Biomet® Flexible Osteotome System – Screw Drivers: – manufacturer specific screw drivers are necessary to remove the acetabular screws; – High-Speed Drills: – disadvantage: these drills remove bone more easily than they do harder cement; – may be needed to remove distal … Read more
– Incision: – although the closed reduction may require external rotation of the hip, the initial incision is facilitated w/ slight internal rotation of the leg; – make straight lateral incision two finger breadths below the vastus ridge to a point 5-7 cm distally; – typically the … Read more
– Anatomy: – suprascapular nerve is derived from upper trunk of brachial plexus, typically receiving fibers from C5 and C6; – it contains both motor and sensory components, and sends sensory branches to both the glenohumeral and AC joints, but does not innervate the skin; – it passes downward, laterally (deep to the omohyoid and … Read more
– Pertinent Surgical Anatomy – Operative Treatment: Choice of Hardware: – 95 deg. condylar blade plate: – dynamic screw and side plate: – condylar buttress plate: – IM nails for supracondylar fractures: – zickel nail: – may be used for extra-articular … Read more
– See: Innervation of Lower Limb Muscles – Anatomy: – from the lumbo-sacral plexus, arises from posterior branches L4, L5, S1; – exits the pelvis and enters the gluteal regioin through the upper margin of the greater sciatic notch, just superior to the piriformis muscle. – it … Read more
– See: Deep Palmar Arch – Discussion: – superficial arch is much larger & important than the deep arch – classical complete arch present in only 34% (from radial & ulnar) – variations: – entirely from the ulnar artery in … Read more
– See: proximal biceps tendonopathy – Discussion: – refers to a detachment lesion of the superior aspect of glenoid labrum, which serves as the insertion of long head of biceps; – relatively common injury in throwing atheletes, but may most commonly occur in patients who have fallen or who have received a blow on the shoulder; – references: – Kinetics … Read more
– See: Bone Healing w/ Plates – Discussion: – useful in subtrochanteric frxs since it permits insertion of at least two cortical screws into proximal fragment (calcar); – having multiple points of fixation above and below the fracture prevents varus or rotational migration; … Read more