– See: Innerv. Musc. Lower Limb: – Anatomy: – tibial nerve is derived from L4, L5, S1, S2, S3; – the anterior component, supplies muscles of posterior thigh (except short head of biceps whch is supplied by peroneal nerve); – in popliteal space it gives off branches that supply … Read more
– General Discussion of IM Nails – PreOp Planning – positioning – note rotational alignment of the opposite non injured side. – cautions: – proximal tibial fractures (high complication rate w/ IM nailing) – distal tibia fracture – IM nailing of open tibial fractures – segmental tibia fractures: / treatment methods for tibial … Read more
– Discussion: – mangled extremity severity score: – main controversy is whether tibial defect reconstruction and soft tissue reconstruction are indicated; – indications: – high velocity open tibia frx, w/ concomitant nerve, artery, &/or massive soft tissue disruption; – types IIIB … Read more
– See: throwing injuries: and elbow throwing injuries – Phases of Throwing: – wind up – early cocking: deltoid and rotator cuff are active; – late cocking phase: – muscle activity: – shoulder is placed in … Read more
– See: – CMC Joint Instability – Gamekeeper’s thumb – Phalangeal Injury – RA Thumb Tendon Ruptures – Trapezium – Pathologic Findings: – boutonniere deformity – most common thumb deformity in RA; – flexion … Read more
– Discussion: – main goal is to prevent THR dislocation but also to maintain optimal offset; – prior to reducing the hip, ensure that center of femoral head is approximately at level of the greater trochanter; – once trial reduction has been completed, the trial acetabular liner is removed, the … Read more
– Discussion: – anesthesia considerations: – note that with spinal anesthesia, the table will be tilted reverse trendelenburg inorder to prevent high spinal (this will have the effect of predisposing for vertical cup position if note remedied; – note that leg lengthening is more common with spinal vs general; … Read more
(see: Total Hip Replacement Menu) – PreOp: – Theory and Background: – Checklist for THR and Radiographs: – Initial Exposure: – positioning, prepping and antibiotics: – posterolateral skin incision: – incise thru iliotibial band: – split gluteus maximus: – The course of the superior gluteal nerve in the lateral approach to the hip; – identify the … Read more
– positioning and prepping – posterolateral skin incision – incise thru iliotibial band – split gluteus maximus – peel back the trochanteric bursa: – divide trochanteric bursa and sweep it posteriorly to expose vastus lateralis, short external rotators and posterior border of gluteus medius; … Read more
– See: Neurologic Injuries in THR: – Discussion: – sciatic nerve is palpated by rolling it under surgeon’s finger as it crosses ischial projection from posteroinferior aspect of the acetabulum; – palpate sciatic nerve as it passes superficial to obturator internus & gemelli; – sciatic … Read more