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"zeidenberg" flap for trapezium nonunion.. hand surgery..nm

Posted By: Howie on 2009-01-22
In Reply to:

Subject: "zeidenberg" flap for trapezium nonunion.. hand surgery..nm

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Hand surgery, lead hand?
Subject: Hand surgery, lead hand?

The hand was placed in a lead hand?  Attention directed to, in sequence, the lacerations over the DIP joints and pulps of the index, long and ring fingers.  Thanks


If it is cataract surgery, usually the conjunctival flap is reflected back?
Subject: If it is cataract surgery, usually the conjunctival flap is reflected back?


hand surgery
Subject: hand surgery

Could be Zimany bilobed flap.  This is used in hand surgery.
Talus formation in hand surgery?
Subject: Talus formation in hand surgery?

As far as I can find talus is only referred to in the foot/ankle, but this doctor is doing a cyst excision on the middle finger and says "The talus formation to the dorsal soft tissue was also  s/l lipsed out."  Can someone help with the talus formation part and also "lipsed out"?  THanks 
s/l "zen chole" surgery on hand/finger ?...nm
Subject: s/l "zen chole" surgery on hand/finger ?...nm

x
Doing hand surgery reports.... s/l "take down fusion" SM
Subject: Doing hand surgery reports.... s/l "take down fusion" SM

Patient has a dorsal dislocation and deformity of the PIP joint. 


I explained to her that one of the procedures that could be done for her would be to take down fusion and relocating the joint back in place.


An inferior based flap or "Bjork" flap (through second and third tracheal rings) is commonly u
Subject: An inferior based flap or "Bjork" flap (through second and third tracheal rings) is commonly used.


Korner flap or Koerner flap?
Subject: Korner flap or Koerner flap?

Operation is a tympanoplasty with ossicular chain reconstruction. Not sure if it is a Korner flap or a Koerner flap. I think it is Korner with those two little dots on the O but can't put those in!
my trapezium bone? sm
Subject: my trapezium bone? sm

My left hand is hurting in that big, round, fatty area below my thumb.  I've had carpal tunnel symptoms before, and they've gone away when I make ergonomic changes, but lately it's not in the wrist so much but in that fatty part under the thumb.  I can't tell if it's the bone itself that hurts or the tissue that hurts, or both.  It's sore in the scaphoid and lunate bones, but much less so than the trapezium area.  Is this a problem related to carpal tunnel?  If not, then I remember about 6 months ago getting a sliver or something like that stuck in that area and I'm wondering if it could be from that.  There's no redness or an entry wound at all.


I'm getting my bone references from:  http://www.gwc.maricopa.edu/class/bio201/hand/awrist.htm


It's not bad enough to run to the doctor, but it sure is annoying as an MT!  I really appreciate your opinions or experiences. 


 


Is it trapeziometacarpal or trapezium?
Subject: Is it trapeziometacarpal or trapezium?

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Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand"
Subject: Oh, and you need to check the anatomy of the hand. Do a google search for "bones of the hand".

Try this site, you can click on the bones of the hand and it will tell you what the bone is called.


http://www.gwc.maricopa.edu/class/bio201/hand/anhand.htm


The trapezoid bone is a bone in the distal row of the carpus; it articulates with the second metacarpal.


The scaphoid bone is the largest bone of the proximal row of the carpus on the radial side, articulating with radius, lunate, capitate, trapzium, and trapezoid.


Please know what you are talking about before you try to be condescending.


probably is isthmusectomy. Those two procedures go hand in hand.
Subject: probably is isthmusectomy. Those two procedures go hand in hand.

x
Might be saying "a V-Y flap". nm
Subject: Might be saying "a V-Y flap". nm


flap
Subject: flap

would there be a murmur at the flap for Palmaz-Schatz stent?
I'd go with 0.5 cm flap NM
Subject: I'd go with 0.5 cm flap NM


TRAM flap
Subject: TRAM flap

xx
Sphere? flap
Subject: Sphere? flap

After subtotal thyroidectomy the pateint has a bit of edema of the s/l "sphere" flap as one would expect.
Probably is displaced flap
Subject: Probably is displaced flap

because SLAP refers to a tear in the shoulder area, superior labrum anterior-posterior tear.
LOSR flap...is this right?
Subject: LOSR flap...is this right?


Bjork flap
Subject: Bjork flap


Karapandzic flap
Subject: Karapandzic flap


s/l avay flap SM
Subject: s/l avay flap SM

Patient having wide local excision and reconstruction to upper lip due to squamous cell carcinoma.  Dictator says "the patient had an extended avay flap to the lower lip"


Help?!


Abbe flap
Subject: Abbe flap


V-Y (as in advancement flap)
Subject: V-Y (as in advancement flap)


0.5-cm flap - needs the hyphen
Subject: 0.5-cm flap - needs the hyphen

.
Type of surgical flap
Subject: Type of surgical flap

Breast surgery, s/l  Wice-Patton flap
Could it be a TRAM-flap plasty?
Subject: Could it be a TRAM-flap plasty?

nm
Could it be "temporalis pedicle" flap?
Subject: Could it be "temporalis pedicle" flap?


There is a liver flap they may note on
Subject: There is a liver flap they may note on

neuro exam. I believe liver disease causes encephalitis and their hands flap in a characteristic way - liver flap. Try googling neurologic exam, liver flap.
Could be endorectal advancement flap
Subject: Could be endorectal advancement flap

Couldn't find it in my books, but you can google it with EAF and see if that fits.  HTH
fibula flap reconstruction
Subject: fibula flap reconstruction

This sound right?  Or fibular flap?  I dont like onc :(
Tessier Surgical has it V-Y flap
Subject: Tessier Surgical has it V-Y flap


Per Stedman's it's Koerner flap (nm)
Subject: Per Stedman's it's Koerner flap (nm)

xx
figured it out, it was a flap closure, thanks!
Subject: figured it out, it was a flap closure, thanks!


Neuro: She has positive s/l flap. Is this correct? nm
Subject: Neuro: She has positive s/l flap. Is this correct? nm


Burow's triangle. It's the name of the flap itself, not an instrument. nm
Subject: Burow's triangle. It's the name of the flap itself, not an instrument. nm

s
ODAZEE rotational flap closure
Subject: ODAZEE rotational flap closure

The procedure is deep resection of abnormal soft tissue mass with ODAZEE  rotatioinal flap closure of the left arch and heel.


Thanks.


s/l dork flap, doing a trach, it's not door
Subject: s/l dork flap, doing a trach, it's not door


Well this brought a smile to my day - dork flap! :) nm
Subject: Well this brought a smile to my day - dork flap! :) nm

s
Kerriponsic flap right upper lip reconstruction
Subject: Kerriponsic flap right upper lip reconstruction

TIA
definitely sounds more like superior flap and makes more since. Thanks a bunch!
Subject: definitely sounds more like superior flap and makes more since. Thanks a bunch!


probably "O-to-Z" rotational flap. do a google search for mor info. /nm
Subject: probably "O-to-Z" rotational flap. do a google search for mor info. /nm


Sted's lists a Schrudde rotational flap?? nm
Subject: Sted's lists a Schrudde rotational flap?? nm

b
The bladder flap was reattached with a continuous suture on a
Subject: The bladder flap was reattached with a continuous suture on a

.
Pannus is a medical term for a hanging flap of tissue
Subject: Pannus is a medical term for a hanging flap of tissue


s/l Taugus reconstruction? abdominal flap had good s/l caplar perfusion?
Subject: s/l Taugus reconstruction? abdominal flap had good s/l caplar perfusion?


Have you heard of a s/l *DIBLEY* retractor? Used in creating bladder flap for csection?
Subject: Have you heard of a s/l *DIBLEY* retractor? Used in creating bladder flap for csection?


There's *dewlap* (in animals)--extra fold/flap of skin in neck; maybe arms, too. (nomsg)
Subject: There's *dewlap* (in animals)--extra fold/flap of skin in neck; maybe arms, too. (nomsg)

xx
takedown surgery vs take down surgery--which is correct? nm
Subject: takedown surgery vs take down surgery--which is correct? nm


On the other hand...
Subject: On the other hand...

could be that she hadn't refreshed the page and didn't see the post by the OP
s/l C&S of the hand...sm
Subject: s/l C&S of the hand...sm

She has normal (s/l C&S) ____ of her hand.  There is no weakness.  Tinel and Phalen signs are negative.


No wounds etc.  Has to do with checking had and possibly filing workmans comp. 


TIA