– See: – Scaphoid Reconstruction for Nonunion – Vascular Anatomy of Scaphoid: – Discussion: – may be associated w/ longstanding nonunion of proximal pole fractures, especially when associated w/ previous surgery; – AVN of scaphoid is often difficult to diagnose radiographically and therefore it … Read more
– Post Op Care: – following surgery, the wrist is splinted in neutral or slight extension; – this avoids anterior displacement of median nerve w/ entrapment between divided margins of the TCL; – some believe early motion (with in days … Read more
– See: Nerve Entrapment – Discussion: – cubital tunnel serves as major contraint for the ulnar nerve as it passes behind elbow; – the syndrome occurs most commonly between 30 to 60 years, and is exceptionally uncommon in children under 15 years; – inciting events: – symptoms may appear several years after trauma (hence tardy … Read more
– Discussion: – note carrying angle of the elbow (for cubitus valgus); – r/o subluxation: – palpate the nerve in the cubital tunnel and note its mobility; – it is essential to know whether ulnar nerve subluxation is present; – motor … Read more
– Discussion: – w/ flexion the cubital tunnel becomes taunt, and with extension the cubital tunnel becomes lax; – sharp freee margin of aponeurosis is stretched tightly over nerve during flexion; – volume of the cubital tunnel decreases, and extrinsic pressure increases during … Read more
– Discussion: – in the presence of H.O. the nerve should be placed in the subcutaneous position, since H.O. forms between muscle layers; – sub-muscular transposition (or subQ transposition) is also indicated to relieve tension following ulnar nerve repairs; – is often indicated in revision cubital tunnel surgery; … Read more
– Discussion: – plain x-rays may fail to demonstrate dorsal angulation of proximal pole-lunate complex and the concomitant flexion of distal pole; – CT scan is indicated w/ any hint of foreshortening due to angulation is suspected; – scaphoid may be well visualized w/ 6-8 CT sections made along true longitudinal axis; … Read more
– See: – Absent Thumb – Annular Band Syndrome – Camptodactyly – Delta Phalanx – Hypoplastic Thumb – Lobster Hand – Macrodactyly: – Pouce Flottant Thumb – Polydactyly … Read more
– Acute Complications of ORIF of Distal Radius Fractures: – median, radial or ulnar sensory neuropathy; – acute and late carpal tunnel syndrome; – loss of reduction – deformity – decreased motion – arthritis … Read more
– Antebrachial Compartment Syndrome: (see compartment syndrome menu) – causes: – may follow supracondylar fr(x) of humerus, or both bone forearm fractures; – compartment syndromes in the forearm after wrist fractures usually involve the volar compartment; – compartment syndrome monitoring – technique of forearm fasciotomy: (see … Read more