Ortho Oracle - orthopaedic operative atlas

Extensor Tendon Lacerations

      – See:      – Extensor Tendon Rupture      – Extensor Digitorum Communis      – Extensor Mechanism of Digits – Anatomy of EDC:       – note that EDC is less tolerant of shortening than FDS due to differential in                   tendon excursion (50 mm compared to 70 mm, respectively);       – references:                   – The terminal tendon … Read more

Extension Block Casting

        – See: Phalangeal Injury – Discussion:     – takes advantage of stabilizing forces of flexor & intrinsic on phalanges with the MP joint held in 90 deg flexion;     – intact dorsal extensor mechanism functions as  “tension band” to palmar cortex, and helps maintain the reduction;     – digital rotation … Read more

Exam for Scapholunate Instability

– See:       – Carpal Instability:               – scapholunate advanced collapse               – scapholunate instability   – Discussion:     – scapholunate and lunate injuries cause tenderness just distal to Lister’s tubercle;            – marked prominence of the entire carpus dorsally may indicate … Read more