– See: – Phalangeal Injury – Thumb Swan Neck Deformity – Transverse Retinacular Ligament – Discussion: – deformity involves hyperextension of PIP Joint w/ flexion of DIP joint; – deformity may start at either the PIP or DIP; – at PIP joint, there … Read more
– Discussion: – primary internal fixation is treatment of choice for unstable scaphoid frxs; – frx treated by primary internal fixation, avg time for return to work is 3.7 wks w/ union rate, 97 %; – this compares very favorably with conservative treatment; – indications for surgery: – main indication is an unstable scaphoid frx … Read more
– Discussion: – insert blunt Homan retractors superiorly & inferiorly to obtain exposure of entire superior, posterior, & inferior portions of capsule; – divide exposed portion of capsule along its attachment to femur; – make a longitudinal or T shaped extension of capsular incision along axis of femoral neck, directing incision … Read more
– Discussion: – bluntly split gluteus maximus proximally in direction of its fibers & coagulate any vessels w/in substance of muscle; – note that muscle does not have to be split in line w/ incision, but can be split in line w/ its fibers in a direction superior to skin incision; … Read more
– See: – Incision: – skin incision begins on mid-lateral aspect of the ulnar side of the thumb, is curved over the MP joint, and extends proximally just ulnar to the EPL tendon; – take care to identify branches of the superfical radial nerve at the proximal aspect of … Read more
– Surgical Indications: – MCP contracture greater than 30 deg; – PIP joint: any significant contracture (more than 20); – precautions: – take care to note any sluggish filling of the digital vessels (Allen’s test); – women may have … Read more
– See: Anesthetic Options – Skin Incision: – begins on mid-lateral aspect of the ulnar side of the thumb, is curved over the MP joint, and extends proximally just ulnar to EPL tendon; – take care to identify branches of the superfical radial nerve at the proximal aspect of the incision; – Adductor … Read more
– Main Menu: – PreOp Planning – radiographs and templating – Surgical Exposure: – Patient Positioning, Preping, Draping – Anterior Longitudinal Midline Approach – Deep Articular Exposure – Patellar Eversion: – Patella: – patellar resurfacing – prior to patellar resurfacing, determine the propensity for the native patella to subluxate; – if subluxation is present (tibial component … Read more
– See: extenal rotators: – Discussion: – divide trochanteric bursa & bluntly sweep it posteriorly to expose short external rotators & posterior edge of medius; – anatomy: – from superior to inferior external rotators include: … Read more
– Two Incision Exposure: – prior to open exposure, a markedly displaced frx should be reduced and held in place w/ K wires; – 6-7 cm linear incision beginning 2 cm proximal to Lisfranc joint & extending distally over first intermetatarsal space; – avoid damage to … Read more