– See: Phalangeal Injury Menu: – Discussion: – fractures of the proximal phalanx are potentially the most disabling fractures in the hand; – direct blows tend to cause transverse or comminuted frx, where as twisting injury may cause oblique or spiral fracture; – proximal fragments are usually flexed by intrinsics while distal fragments … Read more
– Discussion: – coverts a complex link joint to a simple hinge by creating a radiocarpal articulation; – motion between the radius and capitate is both translational and rotational, which has the effect of dissipating forces on the radius; – expect 60-80% of contralateral motion (w/ about an 80% flexion-extension arc); – expect preservation of … Read more
– Anatomy: (see forearm flexors) – origin: – humeral head: medial epicondyle of humerus & common flexion tendon; – ulnar head: medial side of coronoid process of ulna; – insertion: middle 1/3 of lateral surface of … Read more
– Discussion: – see: compression of the median nerve at the elbow and forearm; – compression of median nerve where it passes between the two heads of the pronator teres; – Differential Dx: – lacertus fibrosus: – draws tightly across the median nerve when the … Read more
– used to image the scaphoid, triquetrum, body of hamate, scapho-triquetral and trapezium-trapezoid joints; – hand rests on its ulnar border and tilts 40 to 50 degrees palmarly; fingers are slightly flexed and held together; – central beam is directed to the center of the carpus
– See: TKR Menu – Checklist: – surgical risk assessment – preop cardiology, dental, GI, and urological consults – risk factors for infection: are taken into consideration; – tranexamic acid – anesthesia consult and posting – Pulmonary embolism prophylaxis in more than 30,000 total knee arthroplasty patients: is there a best choice? – autologous blood / … Read more
– Frx – Menu (See: Post Op Orders) – Axial Skeleton – C-spine – Spine – Pelvis – Upper Extremity – Shoulder – Humerus – Elbow – Wrist – Hand – Lower Extremity – Hip – Femur – Knee – Tibia – Ankle – Foot – Systems – Neuro – Cranio-Maxillo-Facial – Spine – Cardiac … Read more
– See: PIN – Inciting causes: – radiocapitellar joint ganglions and synovitis – congenital tightness of ligamentous arcade of Frohse; – include poorly placed screws for fracture fixation – PIN is vulnerable during ORIF of proximal radius; – in 25% … Read more
– See: Autograft Discussion – PreOp Planning: – if patient has undergone previous bone graft harvests, consider CT scan to determine amount of remaining bone left in the crest; – Technique: – ensure that appropriately sized self retaining retractors are available; – straight longitudinal incision is made over posterior superior … Read more
– Anatomy: – this nerve is deep motor branch of radial nerve & supplies all of extrinsic wrist extensors except for the ECRL; – radial nerve enters the anterior compartment of the arm lying deeply between brachialis medially & BR & ECRL laterally; – PIN passes thru supinator muscle in its course from anterior to … Read more