TCML

Distal radius fracture

Before studying distal radius fracture, it is necessary to know what’s difference between extra articular fracture and intra articular fracture? Extra articular fracture v/s intra articular fracture :  1. Extra articular fracture – Articular surface (Joint) not involve (see blue line on radius bone) eg. Colle’s fracture and smith fracture. 2. Intra articular fracture –

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Volkmann’s contracture

1. Supra condylar fracture of humerus bone / Tight plaster 2. Due to supra condylar fracture / tight plaster brachial artery damage (artery compress, tear) 3. Blood flow decrease (Ischaemia) – Volkmann’s ischaemia 4. If Ischaemia persist for long time – It cause muscle necrosis 5. Contracture (short and hard) and fibrosis of muscle –

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Coracoid process

Scapula bone have three process. A. Spinous process B. Acromion process C. Coracoid process – three muscles attach on it. Teres minor muscle Biceps brachii muscle (short head) Corocobrachialis muscle NOTE : Don’t confuse with coronoid process because It is present on upper end of ulna bone and brachialis muscle attach on it.  

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Finger

Overview – 1. Thumb 2. Index finger3. Middle finger4. Ring finger 5. Little finger Nomenclature of hand muscles – 1. Pollicis – for thumb. Example: Opponens Pollicis (OP)Abductor Pollicis Longus (APL)Extensor Pollicis Brevis (EPB)Extensor Pollicis Longus (EPL) 2. Digitorum – for index, ring, middle and ring finger. Example: Flexor Digitorum Superficialis (FDS)Flexor Digitorum Profundus (FDP)Extensor

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Talocalcaneonavicular joint

Chart Highlights- 1. Talocalcaneonavicular 2. Spring ligament 3. Bifurcate ligament As the clear by Talocalcaneonavicular joint, it is formed by three tarsal bones talus, calcaneal and navicular bone. It is ball and socket type joint. Ball is formed by calcaneal and navicular bone.Socket is formed by talus bone.  

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