“Arthroscopic Double Bundle Double Tunnel ACL Reconstruction Surgery” performed by Senior Orthopaedic and Sports Medicine Surgeon Dr. Prateek Gupta along with Dr. Christel Pascal from France at Sir Ganga Ram Hospital
IMGPrep provides comprehensive postgraduate medical placement services for international medical graduates. We are with you through every step in the process because our primary goal is to make you successful.
Hook of hamate fractures are prone to nonunion, and their diagnosis is frequently delayed or missed. Cronic nonunions may result in flexor tendon rupure and other complications. Treatment for most patients is excision of the small fracture fragment.
Distraction lengthening of the thumb metacarpal is an alternative in thumb reconstruction suitable for subtotal amputation then the basal joint and thenar muscles are still present.
Pollicization is the surgical creation of a thumb from a finger, usually the index finger. There are several techniques, but they have in common steps to shorten, rotate, and reposition muscles to achieve a functional and aesthetic result.
Thumb basal joint arthritis is a common condition which often affects both hands. It is painless in some people, but others have great difficulty because of pain and weakness of pinch. Over time, the thumb may draw into the palm and be compensated by stretching and hyperextending the adjacent metacarpophalangeal joint.
Madelung's deformity is a dysplasia of the radius resulting in an exaggerated radial inclination, a short forearm, dorsal dislocation of the ulnar head and a "V" shaped proximal carpal row. It may be painful and may result in extensor tendon rupture. Congenital Madelungs may be due to an abnormal fibrous...
The wrap around toe technique for thumb reconstruction was devised by Mr. Wayne Morrison at the Microsurgery Research Centre in Melbourne, Australia. It is useful to reconstruct an aesthetically pleasing, sensate and functional thumb when amputation is distal to the metacarpophalangeal joint.
There are a variety of techniques to repair traumatic instability of the ulnar collateral ligament of the thumb, commonly called gamekeeper's thumb or skier's thumb.
Illustrations of the surgery
This gentleman had undergone 5 prior explorations for recurrent infection and inflammation following a palm thorn puncture injury two years ago. In this case, the scar and fibrotic dorsal metacarpal head skin was excised in addition to a radical joint debridement, and an island first dorsal metacarpal artery flap was...
This gentleman had a chronic recurring ulceration over the dorsal aspect of the middle finger metacarpal head after treatment for extensive burn injuries. Because of the limited availability of dorsal skin flap donor sites, the area in question was resurfaced using a digital artery island flap from the same finger.
This two week old has a high grade radial club hand with a normal opposite extremity. The presentation is unusual for a radial club, as the thumb is relatively normal, with syndactylyl and hypoplasia of the ulnar hand.
Arteriogram demonstrating both an incomplete palmar arch and an abnormality of the ulnar artery distal to the hook of the hamate. The patient had embolic ischemic problems and underwent excision and repair. Read by the radiologist as fibromuscular hyperplasia, by the pathologist as aneurysm.
The "delta bone" refers to a situation in which the middle bone in the finger is more of a triangular than a rectangular shape. This can occur with or without syndactyly. Although a delta bone results in a sideways curve of the finger, the joints on each end of the...
A demo of how the epidermis in hair follicles and sweat glands migrates out to re-epithelialize adjacent skin in the healing of partial thickness burns, sometimes resulting in a "leopard skin" appearance. These spots coalesced almost entirely with further healing.
Elbow fracture dislocations present a variety of problems. Instability with recurrent anterior subluxation can arise when the injury destroys both the radial head and the coronoid buttress. In this case, the patient sustained an elbow fracture-dislocation with a comminuted radial head fracture and 50% coronoid fracture.
(1 vote)
