– 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
– See: – Obstetrical Paralysis – Shoulder in brachial plexus injuries: – Discussion: – nonbirth-related Brachial Plexus injuries in children are rare; – as result, very little has been written about this topic; – over 50% have assoc head injuries consistent with high-energy … Read more
– Discussion: – transverse carpal ligament, is a heavy band of fibers which runs between hamate & pisiform medially to scaphoid and trapezium laterally, and forms fibrous sheath which contains carpal tunnel anteriorly within fibro-osseous tunnel; – posteriorly, tunnel is bordered by carpal bones, and transports median nerve & finger flexor … Read more
– Evaluation of Muscle: – about 5% of shoulders that have had an anterior dislocation will sustain a irrepairable injury to the subscapularis, which will contribute to further instability; – in this case, a pectoralis transfer would be indicated; – Preparation: – identify the anterior humeral circumflex … Read more
– Discussion: – upper trunk brachial plexus injuries are common football tackling injuries, which may be refered to as “stingers;”; – named for temporary sensation that radiates from the shoulder to the hand; – most often involves C5 and C6 nerve roots, which make up the upper trunk of the brachial plexus … Read more
– Discussion: – type of supracondylar fractures that occurs within joint capsule; – most commonly occurs w/ osteoporotic bone; – Treatment: – nondisplaced frxs are treated w/ splinting or percutaneous pinning; – displaced frx will require ORIF; – consider molding … Read more
– Exposure of the Subscapularis: – the upper portion of the subscapularis tendon is exposed by partial release of the CA ligament off the coracoid, by placement of a Homan retractor directly above the coracoid, and by abduction and external rotation of the arm; – the upper portion of the … Read more
– Discussion: – up to 80 % of patients w/ traumatic DJD may expect a good to excellent result at 5 years; – up to 30 % of patients will sustain a major complication over 5 years, which often will require and additional operation; – indications: – end stage rheumatoid arthritis; – severe intractable pain … Read more
– See – Total Hip Arthroplasty Anterior Approach – Surgical Technique: (posterolateral approach) – Hip and Knee Infiltration Technique – Local Analgesia Infiltration Techniques – Hip and Knee Arthroplasty – pre op planning: – post operative evaulation of THR: – Acetabular Component – Acetabular Fracture and THR – Approach: – anterior approach – anterolateral approach … Read more