– Discussion: – transverse carpal ligament, is a heavy band of fibers which runs between hamate & pisiform medially to scaphoid and trapezium laterally, and forms fibrous sheath which contains carpal tunnel anteriorly within fibro-osseous tunnel; – posteriorly, tunnel is bordered by carpal bones, and transports median nerve & finger flexor … Read more
– Discussion: – often more stable than pure perilunate dislocation if waist frx is transverse and the scapholunate ligament has remained intact; – it is usually more unstable than an isolated scaphoid frx because of ligament damage; – consider internal fixation for the scaphoid frx and a capsular repair … Read more
– Theoretical Considerations: – distance from posterior reesction plane to anterior resection plane must equal the internal dimension of femoral component being used; – this cut must be made at a distance from the anterior cut equal to inner anterior-posterior dimension of femoral component used; … Read more
– see: anesthesia menu – Discussion: – assessment of perfusion: damage control orthopaedics – the most common situation is how to manage the femur fracture in the brain injured patient; – some authors have expressed concern that intraoperative hypoxia and hypotension may commonly occur w/ early IM nail stabilization; … Read more
– See: – Phalangeal Injury – Finger Swan Neck Deformity – Discussion: – this deformity is more common in OA than in RA; – deformity results from CMC joint dz (where as boutonniere deformity is mainly at MCP joint); – result is erosion of articular … Read more
– See: CMC Joint Arthritis CMC Instability in the Metacarpals Dislocations of the Thumb MP Joint – Discussion: – dorsal instability is usually due to disruption of the dorsal radial ligament; – dorsal-radial ligaments connects the trapezium to the dorsal radial side of the … Read more
– See: – CMC Joint Instability – Gamekeeper’s thumb – Phalangeal Injury – RA Thumb Tendon Ruptures – Trapezium – Pathologic Findings: – boutonniere deformity – most common thumb deformity in RA; – flexion … Read more
– See: Vascular Problems of the Upper Extremity: – Discussion: – thoracic outlet space is created by the clavicle, first rib, subclavius muscle, costoclavicular ligament, and anterior scalene muscle; – most often affects subclavian artery, vein, and lower trunk (C8 & T1) of brachial plexus; – both the subclavian artery and the brachial plexus traverse … Read more
– Discussion: – indicated primary for traumatic peripheral ulnar sided TFCC tears; – negative predictive factors for successful repair include concomitant ulnocarpal impaction syndrome (associated w/ degenerative tears) and peripheral radial tears (due to the relative avasucularity of the disc in this region; – some surgeons feel … Read more