By James R. Doyle MD, Michael J. Botte MD
ISBN-10: 0397517254
ISBN-13: 9780397517251
A platforms Anatomy part covers the skeleton, muscle groups, nerves, and vasculature. A neighborhood Anatomy part demonstrates anatomic landmarks and relationships, surgical techniques, medical correlations, and anatomic diversifications in each one zone. An Appendix explains anatomic symptoms, syndromes, checks, and eponyms.
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Additional resources for Surgical anatomy of the hand and upper extremity
Example text
The partition may be perforated to produce a supratrochlear foramen. The fossae are lined by a synovial membrane that extends from the elbow joint. The margins of the fossae provide attachment for the anterior and posterior ligaments and joint capsule of the elbow. Above the medial and lateral condyles are the epicondyles. These projections provide the attachment for several muscles. The medial epicondyle is larger and more prominent than the lateral epicondyle. The medial epicondyle contains the origin of the extrinsic flexor pronator muscles of the forearm and flexor muscles of the hand and wrist.
In the distal one-fourth of the shaft, the interosseous border is less well defined. The interosseous ligament attaches along the interosseous border and is thickest at its attachment in the central portion of the interosseous border. The interosseous ligament provides a partition that separates the anterior and posterior surfaces of the ulna. There are three surfaces of the shaft of the ulna: the anterior, posterior, and medial surfaces. The anterior surface of the ulna lies between the interosseous border (located laterally) and the anterior border (located medially).
An olecranon osteotomy placed in this area can avoid injury to the articular surface. Fractures of the Olecranon Several classification systems have been described for fractures of the olecranon (17,47a). A modification of the Colson classification recently has been popularized (48): Ⅲ Type I: fracture of the olecranon that is nondisplaced Ⅲ Type II: fracture of the olecranon that is displaced but without elbow instability Ⅲ Type III: fracture of the olecranon that is comminuted, but without elbow instability Ⅲ Type IV: fracture of the olecranon that is comminuted, unstable, and with elbow instability Fractures of the Coronoid Fractures of the coronoid has been classified into three types (49): Ⅲ Type I: fracture of the coronoid involving only the tip Ⅲ Type II: fracture of the coronoid involving one-half or less of the coronoid Ⅲ Type III: fracture of the coronoid involving more than one-half (50) Nightstick Fracture This is a single-bone forearm fracture involving the shaft of the ulna, often nondisplaced or minimally displaced (51).