High-Energy Trauma
Figure 3.1 Examples of high-energy trauma Evaluation 1. Thorough neurovascular examination of all extremities: These patients have a high rate of missed injury, both due to distracting injuries and because…
Never-Miss Conditions
© Springer International Publishing AG 2017Jonathan D. Hodax, Adam E. M. Eltorai and Alan H. Daniels (eds.)The Orthopedic Consult Survival Guide10.1007/978-3-319-52347-7_5 5. Never-Miss Conditions Jonathan D. Hodax1 (1) Department of Orthopedics, Brown University, Providence, RI, USA …
Imaging of the Carpal Tunnel and Median Nerve
Fig. 8.1 Carpal tunnel view radiograph —normal anatomy; P pisiform, H hamate, C capitate, S scaphoid, T trapezium Fig. 8.2 Carpal tunnel view radiograph —fracture at the base of the…
Neuroma in Continuity
Fig. 17.1 (a) Schematic representation of the cross-section of a normal peripheral nerve showing the connective tissue and nerve tissue components. (b) The cross-section of the peripheral nerve demonstrates a…
Endoscopic Carpal Tunnel Release
Indications Contraindications Idiopathic CTS Recurrent CTS Anticoagulation Inflammatory conditions (i.e., rheumatoid arthritis, amyloidosis) Severe CTSa CTS secondary to fracture/trauma CTS carpal tunnel syndrome, CTR carpal tunnel release aBased on Sucher…
Biologics, Conduits, Allografts, and Autografts in Carpal Tunnel Syndrome
Fig. 27.1 Mild wound dehiscence following carpal tunnel release Cicatrix that has formed around the median nerve becomes problematic when it constricts the nerve or prevents the normal glide of…
Median Nerve Tumors
Fig. 29.1 (a) T2 coronal MRI showing high intensity mass in distal forearm (Schwannoma). (b) T1 sagittal MRI showing a medium intensity mass in distal forearm (schwannoma) Fig. 29.2 (a)…
Open Techniques for Carpal Tunnel Release
Fig. 12.1 Anatomy of carpal tunnel Prior to entering the carpal tunnel, the median nerve gives off its palmar cutaneous branch . The palmar cutaneous branch of the median nerve…
Unusual Causes of Carpal Tunnel Syndrome
Fig. 10.1 (a–j) Foreign body reaction A 45-year-old female with a history of Hodgkin’s disease and long-standing carpal tunnel symptoms presented to the emergency department with acutely worsening, severe right…
Synovial Wrap in Revision Carpal Tunnel Surgery
Fig. 22.1 Intraoperative computed tomography (CT) angiogram at the level of the pisiformis after performing external neurolysis of the median nerve (Artis Zeego, Siemens AG, Germany). The direct branch of…
