Ortho Oracle - orthopaedic operative atlas

Raynaud’s Phenomenon and Disease

– See: vascular malformations of the upper extremity – Discussion:     – first described by Maurice Raynaud in 1862;     – involves vasoconstriction of the cutaneous arteriovenous shunts, digital arteries, and precapillary arterioles;     – pallor of the digits with or w/o cyanosis on exposure to cold;     – Raynaud’s disease … Read more

Radiology of the Hand and Wrist

– Findings:      – Carpal height & Carpal height ratio       – Distal Radius Fracture      – Radial Length & Width       – Scapholunate Dislocation      – Scaphoid Fracture – Types of Radiographs:      – Arthrography of the Wrist      – AP View      – Carpal Tunnel View      – Clenched Fist … Read more

Radiographs for the Thumb Basal Joint

– Roberts View:     – true AP view described by Roberts:     – take AP view of thumb w/ forearm in maximal pronation & dorsum of thumb resting on the x-ray cassette; – True Lateral of CMC:     – obtained w/ forearm flat on table, hand pronated approx 20 deg w/thumb flat … Read more

Radial Nerve Block

– See: Radial Nerve: – Discussion:    – superficial or sensory branch passes downward emerging dorsally from beneath Brachioradialis  tendon about 5 cm proximal to radial           styloid; they lies just deep to the superficial veins;     – just proximal to the wrist, several branches fan out to provides sensory … Read more

Radial shortening

– Indications:     – indications for radial shortening must be strict;     – no significant collapse or fragmentation of lunate is present;     – there should be some distal radioulnar discrepancy; – Technique:     – use radiovolar approach;     – six-hole compression plate is measured;     – 2 screws … Read more