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Sarah Tucker Oxford
United Kingdom
Приєднався 2 вер 2017
Zimmer splint use in fractures of the hand
This splint material is useful for fractures of the hand. It can be used as a simple straight splint for fractures of the neck of the proximal phalanx and everything more distal to this, and is particularly good for middle phalanx and distal phalanx fractures. For fractures more proximal to this, e.g. the base of the proximal phalanx, it can be used to hold the digit in the position of safe immobilisation by extending it over the palm with an appropriate bend at the MCPJ.
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Відео
Relative flexor splint for tendon repair rehabilitation
Переглядів 7072 роки тому
This video explains the relative flexor tendon splint as used in Oxford
Single digit gutter splint in Plaster of Paris
Переглядів 4352 роки тому
This can be used for splinting a digit with, for example, a fracture to the middle phalanx or central slip injury. The exact length should be tailored to the injury to be splinted. This would be to include the PIPJ and the DIPJ for a middle phalanx fracture, or from base of proximal phalanx to neck of middle phalanx for the central slip.
Ring removal
Переглядів 1,7 тис.4 роки тому
Removing a tight ring I have used this technique for several years, often being able to remove a ring where the standard techniques of winding the suture around the finger have failed. A strong monofilament suture is needed such as 2.0 nylon and lots of lubrication. It can take some time with the progress over the PIPJ being almost imperceptible until suddenly it gets over the widest point
Examination of the UCL of the thumb
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Demonstration of the technique of examining for laxity of the Ulnar Collateral Ligament of the thumb after injury
Applying a cast in the Position of Safe Immobilisation
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Demonstration of the technique of applying a POP slab to hold the hand joints in the optimum position of immobilisation
Hand examination; Wrist flexors
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Demonstration of clinical examination of the hand in acute trauma to assess the function of the wrist flexors.
Hand examination; Collateral ligaments and volar plate to the PIPJ of the finger
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Hand examination; Collateral ligaments and volar plate to the PIPJ of the finger
Hand examination; Central slip of the extensor tendon to a finger
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Hand examination; Central slip of the extensor tendon to a finger
Hand Examination; Finger Flexors FDS and FDP
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Hand Examination; Finger Flexors FDS and FDP
Hand examination; Finger extension EIP, EDC and EDM
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Demonstration of clinical examination of the hand for finger extension
Hand examination; Radial nerve
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Demonstration of clinical examination of the hand in acute trauma to assess radial nerve injury. Further tests to provide objective measurement can be added, such as 2pd and monofilament testing. Here we demonstrate the basic test that will determine whether a nerve has been injured and needs to be explored.
Hand examination; Thumb extension and abduction EPL, EPB and AbPL
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Demonstration of clinical examination of the hand for thumb extension and abduction
Hand examination; Median nerve
Переглядів 80 тис.7 років тому
Demonstration of clinical examination of the hand in acute trauma to assess median nerve injury. Further tests to provide objective measurement can be added, such as 2pd and monofilament testing. Here we demonstrate the basic test that will determine whether a nerve has been injured and needs to be explored.
Hand examination; Ulnar collateral ligament injury of the thumb
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Demonstration of clinical examination of the hand for thumb UCL injuries
Hand examination; Hand vascularity in wrist lacerations
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Demonstration of the clinical examination of the hand to assess vascularity in the presence of a laceration to the wrist or forearm
Hand examination; Thumb Flexion FPL
Переглядів 4,7 тис.7 років тому
Hand examination; Thumb Flexion FPL
% thank you🎉
Why check in extension and flexion?
Short and useful,thanks so much👍👍
It is taught that we shouldn’t use adrenaline/epinephrine odor digital anesthesia
This is a complete myth. It arose from 2 cases 40 years ago where the re was finger necrosis but it's now thought that the substance used was contaminated anyway. Since then there have been multiple publications of series of >1000 patients with adrenaline in the fingers with no adverse events and the whole WALANT principle is based on filling the finger with lidocaine with adrenaline walant.surgery/walant-university/
Please what concentration of bupivacaine did you use?
0.5% with adrenaline. Also consider WALANT type infiltration with 1% lidocaine with adrenaline mixed 10:1 with sodium bicarbonate as this is less painful but needs multiple injections with a volume that produces swelling so choose which to use depending on the clinical scenario
Thank you for the brief video
Thank you!
Hlo
Plaster of Paris is stronger if the excess water is not squeezed out as seen in this video. It should be dipped and just allowed to drip out for a few seconds before transfer to the patient.