– See: – Ligaments of the Wrist – Discussion: – an atomical defect or weak spot in the floor of the carpal tunnel; – it lies at the volar aspect of the proximal capitate, lying between the volar radiocapitate and volar radiotriquetral ligaments (see ligaments); – area expands … Read more
– See: – Barton’s Fracture – Discussion: – extra-articular palmarly displaced distal radius frx; – volar angulation of frx is referred to as “Garden Spade” deformity (reversed Colles Fracture); – hand & wrist are displaced forward or volarly w/ respect to forearm; – frx may … Read more
– See: necrotizing fascitis – Discussion: – snake bite resources – snake types: – pit vipers (crotaline) which include rattlesnakes, cottonmouths, and copperheads; – crotalus (rattlesnakes) – agkistrodon (copperheads, water moccasins) – micrurus … Read more
– Discussion: (see ligaments of the wrist and SLD) – three main ligamentous structures which bind the scaphoid to lunate; – volar radioscapholunate ligament (largest); – radiocapitolunate ligament; – scapholunate interosseous ligament (consists of dorsal, proximal, and palmar segments bridging the scaphoid and lunate); – dorsal portion: – 2-3 mm thick with transversely oriented … Read more
– See: Ligaments of the Wrist – Discussion: – dorsal incision is centered of Lister’s tubercle; – dorsal capsule is reflected in line with the skin incision; – radial capsule is reflected from the scaphoid to its waist; – reduce lunate and scaphoid w/ K wire; – joysticks inserted in a dorsal to palmar direction; … Read more
– Full Thickness Skin Grafts: – skin can be taken from the hypothenar area or from the instep of the foot, but forthese grafts to provide truly critical sensibility, they must be full thickness grafts; – full thickness grafts will transfer Meissner’s corpuscles (required for … Read more
– See: Complex Dislocations of the MP Joint – Discussion: – two types of dorsal dislocation occur in MP joint: simple & complex; – simple dislocations: may be reduced by closed reduction, – complex dislocations: usually cannot be reduced primarily; – results from hyperextension injury; … Read more
– See: – Diff Dx of Shoulder Pain: – Shoulder Examination Tests (from shoulderdoc.co.uk) – History: (questions for modified Simple Shoulder Test); – C-Spine: – r/o radiculopathy as well as axillary nerve hypaesthesia; – Spurling’s manuever: – mechanical stress, such as excessive vertebral motion, may exacerbate … Read more
– See: – Burn Management: – Chemical Burns: – Electrical Burns: – Frost Bite: – 2nd degree / superficial: – partial thickness which involves the dermis and a portion of the dermis; … Read more
– See: vascular malformations of the upper extremity – Clinical Presentation: – usually begins incidiously – vague weakness, wt loss, diffuse stiffness, aching, burning polyarticular arthritis; – diffuse edema of hands; – skin and GI manifestations are common; – hand: … Read more