md:hrc2007
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md:hrc2007 [2020/03/24 02:34] (current) |
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| - | ======================== | + | ====== Hand Review Course 20007 ====== |
| - | Hand Review Course 20007 | + | |
| - | ======================== | + | |
| - | Anatomy of hand (Lluch) | + | ===== Anatomy of hand (Lluch) ===== |
| - | ======================= | + | |
| - | - Ulnar styloid: distal continuation of olecranon | + | |
| - | - ECU: extensor or ulnar deviation dependent on wrist position | + | - ECU: extensor or ulnar deviation dependent on wrist position |
| Finger ROM arc different with or without intrinsic function | Finger ROM arc different with or without intrinsic function | ||
| Line 14: | Line 12: | ||
| Functions of the hand: non-prehensile (precision or force - capable of both simultaneously) or prehensile | Functions of the hand: non-prehensile (precision or force - capable of both simultaneously) or prehensile | ||
| - | Wrist anatomy (Stanley) | + | ==== Wrist anatomy (Stanley) ==== |
| - | ======================= | + | |
| - | - Tq most important | + | - Tq most important bone; Tq is the engine, Scaphoid is the caboose |
| + | |||
| + | ==== Diagnostic Imaging (Tsou) | ||
| + | |||
| + | - 25 1mm sections for wrist (3 Tesla MRI) | ||
| + | |||
| + | ==== Ligament Reconstruction in the wrist (Tay SC) ==== | ||
| + | |||
| + | === SLD | ||
| + | |||
| + | - Tenodesis | ||
| + | - Capsulodesis | ||
| + | - Bone-tissue-bone: Remote (Navicular-cuneiform, iliac crest), Local | ||
| + | - IC fusion | ||
| + | |||
| + | === SLD Tenodesis === | ||
| + | |||
| + | - Modified Brunelli with its various modifications | ||
| + | - 3 ligament reconstruction (Garcias-Elias, | ||
| + | - Modified Brunelli (Talwalker 2006) | ||
| + | |||
| + | === Moran (JHSA 2006): compared capsulodesis and tenodesis === | ||
| + | |||
| + | - decreased ROM | ||
| + | - no change in ROM | ||
| + | - capsulodesis: | ||
| + | - tenodesis: better SL angle | ||
| - | Diagnostic Imaging (Tsou) | + | === Treatment algorith for SLD: Garcias-Elias & Stanley (2006) |
| - | ======================= | + | |
| - | - 25 1mm sections for wrist (3 Tesla MRI) | + | |
| - | Ligament Reconstruction in the wrist (Tay SC) | + | ==== Balancing the hand (Lluch) |
| - | ============================================== | + | |
| - | SLD | + | |
| - | - Tenodesis | + | |
| - | - Capsulodesis | + | |
| - | - Bone-tissue-bone: | + | |
| - | - IC fusion | + | |
| - | SLD Tenodesis | + | |
| - | - Modified Brunelli with its various modifications | + | - Ulnar subluxation is the most important cause of ulnar drift |
| - | - 3 ligament reconstruction (Garcias-Elias, Stanley JHSA 06) | + | |
| - | - Modified Brunelli (Talwalker 2006) | + | |
| - | Moran (JHSA 2006): compared capsulodesis and tenodesis | + | == Correction of ulnar drift in RA == |
| - | - decreased ROM | + | |
| - | - no change | + | |
| - | - capsulodesis: | + | |
| - | - tenodesis: better SL angle | + | |
| - | Treatment algorith for SLD: Garcias-Elias & Stanley (2006) | + | |
| + | - plicate Radial saggital band | ||
| + | - cross intrinsic transfer: biomechanically sound but not useful | ||
| - | Balancing the hand (Lluch) | + | == Swan Neck Deformity |
| - | =========================== | + | |
| - | - radial inclincation of finger is consequence of ulnar drift not cause | + | |
| - | - Ulnar subluxation is the most important cause of ulnar drift | + | |
| - | Correction of ulnar drift in RA | + | |
| - | - release ADQM | + | - plus PIPJ volar plate elongation |
| - | - plicate Radial saggital band | + | - plus imbalance between flexors and extensor |
| - | - cross intrinsic transfer: biomechanically sound but not useful | + | |
| - | Swan Neck Deformity | + | ==== Arthroplasty/ |
| - | - according to Lluch is secondary to flexor tendon synovitis | + | |
| - | - plus PIPJ volar plate elongation | + | |
| - | - plus imbalance between flexors and extensor | + | |
| - | Arthroplasty/ | + | |
| - | ============================= | + | |
| - | - In post-traumatic OA: soft tissues may be bigger problem than joint itself | + | |
md/hrc2007.1571530895.txt.gz · Last modified: 2020/03/24 02:34 (external edit)
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