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Archive for the ‘Week 2 stuff’ Category

This  month’s Journal of Hand Surgery (vol 35E) has  a good paper on surgery for the treacherous spiral cord contracture in Dupuytren’s disease.  Good intra-operative photos and nice diagrams. http://jhs.sagepub.com/cgi/content/abstract/35/2/103

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Take a break!

Well done on making it to the end of week 2 of  the MSS!

This is the time to re-cap on your learning so far in relation to the shoulder and hand.  Take a look again at the bone of the week and  case of the  week especially for shoulder and hand stuff.

Week 3 will be focusing on back and neck pain, especially nerve root compression and mechanical   back pain but with something about  other back problems as well – enjoy!

Dundeebones

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Left Shoulder Xray

This is the Xray of the left shoulder of a 42 year man following a fall  from a height onto his outstretched hand.

He has  a painful, immobile shoulder with  loss of the normal contour of deltoid.

What do you think the Xray shows? (there are two abnormalities to  notice here).

Remembering Prof Parkin’s lecture today it would be important to test his sensation somewhere.

After emergency management his shoulder now looks like this.

Can you say how he as been treated and what might go wrong with his shoulder during the next few days or weeks?

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More bones for Thursday

Carpal bones

You should be able to recognise the scaphoid and the lunate bones now.  Do you remember the names of the other carpal bones?

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Thursday’s bones

Carpal tunnel

This is an axial view of the carpal tunnel looking from the  forearm towards the hand.  The scaphoid bone is on the left of the picture and the lunate is next to it.

The  elastic band represents the flexor retinaculum or transeverse carpal  ligament bridging the tunnel.

Ten structures run through the carpal tunnel.  Do you remember what they are?

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Deliberate mistake?

Now you  are getting good at recognising the appearances of the tibia and fibula (leg bones! check video, ed) can you spot the deliberate mistake in one of  Mr DundeeBones’ legs?

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A bone of Week 2

 This is an unusual veiw of a bone that has been mentioned alot in week 2.

What is it ?

What are the names of the four prominent parts of this bone ?

(Answers next week. DundeeBones)

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