Ortho Oracle - orthopaedic operative atlas

Distal Radius Frx: Dorsal Angulation

  – See:             – Reduction of Dorsal Angulation – Discussion:     – measured on lateral, from angle created between articular surface of distal radius & line perpendicular to long axis of radius;     – normal volar tilt measures between 0 to 22 degrees (mean 11 to 14.5 deg); … Read more

Distal Radius Fracture: Percutaneous Pinning

– See: – Distal Radius Frx Menu – External Fixators for Distal Radius Frx – Intra-Articular Fractures of the Distal Radius – Unstable Distal Radius Frx – Discussion:       – clinical outcome studies – Radiographs: – r/o concomitant scapholunate dissociation; – Anatomic Considerations: – die punch fragment: – following fixation of the radial styloid fragment, the … Read more

Adult Distal Radius Frx: Non Operative Treatment

– Discussion: (distal radius fracture menu)       – technique of closed reduction       – position of immobilization:              – generally need to avoid positions of marked palmar flexion & ulnar deviation (Cotton-Loder position);              – a truly stable fracture will probably be stable in any position once it is reduced;         … Read more

Distal Radial Frx: Radial Length

        – Distal Radial Length:     – shortening results from extensive comminution and impaction of frx fragments into the metaphysis;     – shortening of radius is more disabling than an angulatory deformity of the distal radius (ie, dorsal tilt or loss or radial inclination);     – radial shortening following … Read more

Distal Forearm References

 (See Ref for Colles Fx) Current Concepts Review.  Fractures of the Distal End of the Radius. Forearm fractures. Early functional bracing – A preliminary report. Hand and wrist function after external fixation of unstable distal radial fractures. Fractures of the distal end of the radius in young adults: a 30-year follow-up. Comminuted fractures of the proximal … Read more

Dislocation Menu

   CarpoMetaCarpal    Elbow    Hand and Fingers:          CMC Instability in the Metacarpals:          MP joint dislocation:          PIP dislocation::          Thumb CMC Joint:          Thumb MP Joint:    Hip    Knee    Patellar Dislocation:;    Perilunate Dislocation;    Radial … Read more

Discussion of Fibroma

– See:          – Soft Tissue Menu          – Desmoplastic fibroma          – Fibromatosis – Discussion:     – solitary, beinign fibrous tumor of sof tissue;     – it may occur at any age;     – lesions arise as a slowly enlarging soft tissue mass;     – palmer and planter aspects … Read more