The Hip - book

Supinated Oblique View

    – used to image the pisiform and pisotriquetral joint     – technique:           – hand rests on its ulnar border and tilts 30 to 35 deg dorsally;           – thumb is slightly abducted;           – central beam is directed to the … Read more

Subcutaneous Transposition of Ulnar Nerve

– See:      – Ulnar Nerve:      – Anatomy & Sites of Compression of Cubital Tunnel: – Surgical Considerations:     – transposition can entail subQ or submuscular transposition with excision of medial intermuscular septum, and release of             arcade of Struthers;     – in the presence of H.O. the nerve should be … Read more

Steindler Flexorplasty

– Theory:     – flexor-pronator muscles arising from medial epicondyle are transposed to more proximal point on the humerus so that their moment for          elbow flexion is incresed enough to permit active control;     – muscles originating from the medial epicondyle (Pronator Teres, FCR, PL, & FCU) must have normal or … Read more

Staged Flexor Tendon Reconstruction

– See:      – Primary Flexor Tendon Grafting      – Pulley Reconstruction      – Prosthetic Grafts – Discussion:     – indicated for delayed or neglected flexor tendon injuries, tendon rupture following previous attempted repair, and in some cases is indicated for zone II tendon injuries;           – probably in most cases, … Read more

Soft Tissue Coverage for the Leg

 – See:          – Arteriography           – Foot Reconstuctive Surgery           – Microanastomosis           – Pharmocological Agents in Vascular Surgery  – Initial Wound Care of Open Tibia Fractures – Soft Tissue Coverage Following Tibial Frx: (Tibia Frx)     – STSG;           – split thickness skin grafts require a … Read more