Cirugía de Mano y Traumatología

Dr Pedro Gerardo Alisedo
lunes, 24 de noviembre de 2014
domingo, 23 de noviembre de 2014
Brachialis to Anterior Interosseous Nerve Transfer with Extended Forearm Incision - Extended
Brachialis to Anterior Interosseous Nerve Transfer with Extended Forearm Incision
Extended Edition (140312.140314)
Tables of Contents (Extended)
01:46 Proximal Arm Exposure
04:27 Exposure and Identification of Median Nerve in the Arm
07:15 Exposure and Identification of Musculocutaneous Nerve and Brachialis Branch
09:38 Neurolysis of Median Nerve to Identify the Pronator Teres and AIN Fascicles
15:35 Distal Forearm Exposure
17:19 Step-lengthening the Pronator Teres for Proximal Median Nerve Exposure
20:59 Exposure of Median Nerve in the Forearm
22:40 Identifying the Distal Pronator Teres Branch
25:46 Identifying the Proximal Pronator Teres Branch and Proximal Neurolysis
27:27 Exposure of Anterior Interosseous Nerve Branch
31:26 Extension of Proximal Arm Exposure
33:36 Fascicular Course of the Anterior Interosseous Nerve from Distal to Proximal
40:00 Dissection and Distal Division of Donor Brachialis Nerve Branch
41:26 Anomalous Sensory Anastomosis from Brachialis Nerve Branch to Median Nerve
43:12 Neurolysis and Proximal Division of Recipient Anterior Interosseous Fascicle
46:19 Brachialis to Anterior Interosseous Nerve Transfer
Narration: Susan E. Mackinnon
Videography: Andrew Yee
Terms of Use and Private Policy: nervesurgery.wustl.edu/pages/termsofuse. aspx
http://youtu.be/mV4F5IUjF1c
Extended Edition (140312.140314)
Tables of Contents (Extended)
01:46 Proximal Arm Exposure
04:27 Exposure and Identification of Median Nerve in the Arm
07:15 Exposure and Identification of Musculocutaneous Nerve and Brachialis Branch
09:38 Neurolysis of Median Nerve to Identify the Pronator Teres and AIN Fascicles
15:35 Distal Forearm Exposure
17:19 Step-lengthening the Pronator Teres for Proximal Median Nerve Exposure
20:59 Exposure of Median Nerve in the Forearm
22:40 Identifying the Distal Pronator Teres Branch
25:46 Identifying the Proximal Pronator Teres Branch and Proximal Neurolysis
27:27 Exposure of Anterior Interosseous Nerve Branch
31:26 Extension of Proximal Arm Exposure
33:36 Fascicular Course of the Anterior Interosseous Nerve from Distal to Proximal
40:00 Dissection and Distal Division of Donor Brachialis Nerve Branch
41:26 Anomalous Sensory Anastomosis from Brachialis Nerve Branch to Median Nerve
43:12 Neurolysis and Proximal Division of Recipient Anterior Interosseous Fascicle
46:19 Brachialis to Anterior Interosseous Nerve Transfer
Narration: Susan E. Mackinnon
Videography: Andrew Yee
Terms of Use and Private Policy: nervesurgery.wustl.edu/pages/termsofuse.
http://youtu.be/mV4F5IUjF1c
sábado, 22 de noviembre de 2014
Tratamiento del dolor de la muñeca / Treatment of Wrist Pain
Este artículo fue publicado originalmente en el siguiente enlace:
http://www.caringmedical.com/treatment/wrist-pain/
http://www.caringmedical.com/treatment/wrist-pain/
ABS Plastic Exoskeleton
Este artìculo fue publicado originalmente en el siguiente enlace:
http://the3doodler.com/2014/11/21/abs-plastic-exoskeleton/
http://the3doodler.com/2014/11/21/abs-plastic-exoskeleton/
miércoles, 19 de noviembre de 2014
Nonoperative management of radial head and neck fractures may yield positive results
http://www.healio.com/orthopedics/shoulder-elbow/news/online/%7B3cfaa208-5cae-464b-ad93-acb1b3621a99%7D/nonoperative-management-of-radial-head-and-neck-fractures-may-yield-positive-results?ecp=318F9B42-3E81-E311-ADF0-A4BADB296AA8
IN THE JOURNALS
Nonoperative management of radial head and neck fractures may yield positive results
Duckworth AD. J Bone Joint Surg Am. 2014. doi:10.2106/JBJS.M.01354.
November 18, 2014
Nonoperative management of radial head and neck fractures may yield positive results
Researchers observed positive long-term outcomes with the nonoperative management of isolated stable radial head or neck fractures, according to recently published data. Read more |
martes, 18 de noviembre de 2014
5 Office Habits That Are Damaging Your Arms and Wrists
http://carpaltunnelpros.com/news/5-office-habits-that-are-damaging-your-arms-and-wrists/
5 Oficina Hábitos que dañan los brazos y las muñecas

5 Office Habits That Are Damaging Your Arms and Wrists
We all do it: sitting at our desks, crunched over the keyboard, maintaining the same position for hours until we realize our backs are hurting a little and our arms are getting tired. Then we correct our posture and repeat all over again.With work taking most of our focus during the workday, it is understandable that we pay little-to-no attention on the posture of our back, shoulders, arms and wrists. However, in the long run, bad posture can cause a lot of painful problems. As always, prevention is the best medicine. So, here are 5 office habits you should pay attention not to fall into in order to avoid injury to your arms and wrists:
- Sitting in awkward postures at your desk – Sitting with a forward head posture can compress the nerves that run from the neck into the arms, which may cause pain in the arms and hands. Sitting a little to far from your desk and reaching forwards with the shoulders can compress blood vessels and nerves that travel through the shoulders.
- Solution: Sit in a relaxed position with a tall back, head aligned with your spine and with your elbows at side, not reaching.
- Positioning the forearm and wrists incorrectly when using a computer – Placing your wrists in a bent upward or downward position, or in an almost perpendicular shape in relation to your forearms, can cause damage to your wrists.
- Solution: Letting your elbows rest at your sides bent at a 90-degree angle, your wrists should lay flat with the middle finger aligned with the forearm.

- Leaving your arms, wrists and hands in a single position for too long – Even if your posture is perfect, staying in one position for long periods of time can be damaging.
- Solution: Break up keyboard intensive tasks by taking little breaks to return calls, hand-write notes, or stretch the muscles and joints.
- Using wrist rests when working on your computer keyboard – Wrist rests can press on the carpal tunnel and make any existing problem worse.
- Solution: Maintain the wrists in the proper position described above.
- Not stretching your muscles and joints during the workday, especially if you work at a desk most of the time.
- Solution: take small breaks to do some stretches of the neck, shoulders, hands, and forearms, such as: shoulder shrugs, wrist extensors, and wrist flexors.
Snowblower Safety
http://handcare.assh.org/Hand-Safety/Snowblowers.aspx
Snowblower Safety / Seguridad del Quitanieves
Snowblower Safety / Seguridad del Quitanieves
Each year, hundreds of people suffer maiming or amputations of their fingers or hands due to the improper handling of snowblowers. The American Society for Surgery of the Hand would like to provide you with patient information to help you avoid these injuries during the winter season.
Injury Profile
- Average age: 44 years
- Sex: Male
- Dominant hand — 90% of injuries
- Amputations of tips of fingers
- Middle finger most commonly injured
Common Weather Conditions
- Heavy, wet snow
- Large snow accumulation, greater than six inches
- Temperature: 28 degrees Fahrenheit or greater
http://handcare.assh.org/Hand-Safety/Snowblowers.aspx
Injury Causes
- Snow clogging the exit chute of the machine
- Not noticing that the impeller blades are still rotating even though the machine is off
- Operator attempts to clean the clogged exit chute with hands
- Hands connect with the rotating blades, resulting in severe injury
If Your Snowblower Jams
- Turn it OFF!
- Disengage clutch.
- Wait five seconds after shutting machine off to allow impeller blades to stop rotating.
- ALWAYS use a stick or broom handle to clear impacted snow.
- NEVER put your hand down chute or around blades.
- Keep all shields in place. DO NOT REMOVE the safety devices on the machine.
- Keep hands and feet away from all moving parts.
Remember
- Keep a clear head, concentrate, and
- DO NOT DRINK before using your snowblower!
REMEMBER — SAFETY FIRST AT ALL TIMES!
Copyright © American Society for Surgery of the Hand 2009.
Copyright © American Society for Surgery of the Hand 2009.
Suscribirse a:
Entradas (Atom)