– See: – Excursion, of Tendons – Thumb Deformities in Rheumatoid Arthritis – Thumb Soft Tissue Defects – Flexor Pollicis Longus – Extensor Pollicis Longus – Tendon Sheath Anatomy: – A1 pulley: spans the MP joint, approximately 8 mm in width; … Read more
– See: – Architecture – Tendons of Hand – Extensor Tendon Injuries – Excursion, of Tendons – Flexor Tendon Repair: – Zone I Injuries – Zone II injuries … Read more
Discussion affects periarticular soft tissues resulting in joint laxity with secondary dysfunction; minimal synovitis – articular cartilage is preserved; Raynaud’s phenomenon is common; diagnosis depends on positive F ANA test along with three other criteria: swollen joints nephritis pericarditis severe rash references: The 1982 revised criteria for the classification of systemic lupus erythematosus. Updating the American … Read more
Discussion a monarticular synovial proliferative disease which is characterized by the metaplastic conversion of cartilagenous tissue to ossified loose bodies; cartilagenous or osteocartilaginous metaplasia takes place w/in the synovial membrane of joints, bursae, or tendon sheaths; seen most often in middle-aged men; pts report pain and limitation of motion; location over one-half of cases occur … Read more
– See: Soft Tissue Tumor Menu – Discussion: – 4th most common soft-tissue sarcoma (5 to 10 percent of all cases of soft-tissue sarcoma) – tumor derived from the synovial tissues found along fascial planes, periarticular structures, and rarely, in joints; – it may involve the … Read more
– Discussion: – primary internal fixation is treatment of choice for unstable scaphoid frxs; – frx treated by primary internal fixation, avg time for return to work is 3.7 wks w/ union rate, 97 %; – this compares very favorably with conservative treatment; – indications for surgery: – main indication is an unstable scaphoid frx … Read more
– outcomes: – in the report by Saeden B, et al, the authors compared the long-term outcome in 61 patients (62 fractures) treated operatively or conservatively for an acute fracture of the carpal scaphoid; – total of … Read more
– Function: – references: – The effects of implant design on range of motion after total knee arthroplasty. Total condylar versus posterior stabilized total condylar designs. – Total condylar knee replacement. A study of factors influencing range of motion as late as two years after … Read more
– Surgical Indications: – MCP contracture greater than 30 deg; – PIP joint: any significant contracture (more than 20); – precautions: – take care to note any sluggish filling of the digital vessels (Allen’s test); – women may have … Read more
– See: – Blount Fracture: Both Bone Forearm Fracture – Plating Techniques – Position: – arm is placed on an upholstered armboard w/ medium elbow flexion and full arm pronation; – Surgical Approach: – interneural approach: lies between ECU (PIN) & FCU (ulnar nerve); – … Read more