tendon transfers

1.  Templating

Xray

AP in plane of scapula

- template glenoid 

- most inferior screw is in thick bone of scapular axillary border

AP humerus

- size and fit of diaphyseal and metaphyseal humeral components

CT

Epidemiology

Extremely common

- 90% by 10 years have wrist problems

Principles

Landsmeer 1961

- treat wrist at same time as treat fingers or will recur

Frequently combine procedures

- synovectomy

- tendon transfer

- ulna procedure

Incidence

Most common lower limb neuropathy

Aetiology

Valgus TKR - 3%

HTO - 10%

Direct Trauma / Compression

Knee Dislocation

Tibial fracture

Cast / Dressing

Lateral Meniscus Repair

Definition

Birth injury of brachial plexus

Epidemiology

R > L 

1 / 1000 live births

1 in 10 of these develop significant impairment

Recent increase due to bigger babies / DM

Aetiology

Usually secondary to traction

1.  Big baby / maternal DM / > 4000 gm

2.  Breech

3.  Prolonged / difficult labour