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Can a medically minded TWebber translate this for me?

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  • Can a medically minded TWebber translate this for me?

    Source: OpReport


    FINDINGS AT SURGERY:
    The findings at surgery and unusual and massive tear involving the TFC: at the distal surface. There was a ulnar rim tear of the fibrocartilage at the ligamentous junction, and a second radial tear. There was an unusual appearance to the TFC essentially a significant concave shape presumably due to the now significant ulnar negative variance. Beneath these 2 vertical splits. There was a multilayered delaminating tear within the whole structure of the cartilaginous part of the TFC, also extending into the anterior ligament capsule of the distal radioulnar joint. it was also noted that the ulnar head was sitting proximal to the sigmoid notch. The remaining joint was unremarkable. There was grade 2 widening of the LT interval with mild instability and grade two widening of the SL interval with mild instability. on examination of the joint at the end of the procedure, there was significant laxity in neutral of the distal radioulnar joint, but this was firm in both full pronation and supination. It was felt that in neutral. The ulnar head set subluxed proximally. He almost certainly will require a stabilisation procedure or the distal radioulnar joint, which should involve radial shortening to relocate the ulnar head and an Adams Berger type reconstruction.

    DETAILS OF PROCEDURE:
    Upper arm tourniquet. Routine prep and drape. The patient was positioned for wrist arthroscopy. The following portals were used. 3/4, 6R, mid carpal radial, mid carpal ulnar, proximal distal radioulnar joint, distal distal radioulnar joint. The radiocarpal joint was approached through first and there was the TFC tear, all of which were debrided initially superficially and then once this layer was opened. A second delaminating tear was noted eventually extending right through to the distal radioulnar joint. Through the midcarpal joint there was some arthroscopic widening of the scapholunate interval to arthroscopic grade 2 with mild instability and a grade 2 widening of the LT with mild instability. Through the distal radioulnar joint. There was a large flap tear as described above, which was debrided back to stability. at the end of the debridement, there was considerable debridement of the anterior capsule through towards the ulnar neurovascular bundle, which was palpated with the probe and felt to be at least half a centimetre anterior to the region of debridement. The stability of the joint was then examined and the findings as noted above. Wounds were closed with 4-0 nylon interrupted sutures and a well padded below elbow volar slab applied.

    © Copyright Original Source

    Be watchful, stand firm in the faith, act like men, be strong.
    1 Corinthians 16:13

    "...he [Doherty] is no historian and he is not even conversant with the historical discussions of the very matters he wants to pontificate on."
    -Ben Witherington III

  • #2
    Beyond the obvious of the elbow joint was messed up and they made some holes to go in a fix it by cleaning out the ragged areas?
    If it weren't for the Resurrection of Jesus, we'd all be in DEEP TROUBLE!

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    • #3
      There was a tear in your wrist cartilage involving both the radius and ulna. The end of the ulna is out of position, which will need to be fixed by shortening the radius. When your hand is in-line with your forearm, there's too much play in the joint (though it's okay when flexed all the way up or down). A grade 2 widening is of medium severity.
      Veritas vos Liberabit<>< Learn Greek <>< Look here for an Orthodox Church in America<><Ancient Faith Radio
      sigpic
      I recommend you do not try too hard and ...research as little as possible. Such weighty things give me a headache. - Shunyadragon, Baha'i apologist

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      • #4
        Medically speaking it means,


        "Welcome fellow pirate!!"

        FU9160_PIRATE_HOOK.jpg

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        • #5
          arthroscopy: we stuck a camera in your wrist and are going to clean up whatever else we find wrong with it.
          Debride: We Cleaned up some nasty scar tissue so that your cartilage is more normal and works better now. you also have some nice wearing on your carpal joints to the point of arthritis, don't worry we'll refer to someone who can do that, and un bundle your nerves, closing with sutures.
          A happy family is but an earlier heaven.
          George Bernard Shaw

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          • #6
            my new one:



            I will be in plaster for another 5 weeks
            Be watchful, stand firm in the faith, act like men, be strong.
            1 Corinthians 16:13

            "...he [Doherty] is no historian and he is not even conversant with the historical discussions of the very matters he wants to pontificate on."
            -Ben Witherington III

            Comment


            • #7
              Wwhen they started surgery, they confirmed the pre-surgical diagnosis. They shortened the longer bone to correct the dislocation, removed some significant scar tissue, and reconnected two tendons using grafts from elsewhere in the forearm. As far as they could tell, the procedure corrected the instability and will give you full wrist movement.
              Veritas vos Liberabit<>< Learn Greek <>< Look here for an Orthodox Church in America<><Ancient Faith Radio
              sigpic
              I recommend you do not try too hard and ...research as little as possible. Such weighty things give me a headache. - Shunyadragon, Baha'i apologist

              Comment


              • #8
                here's mine: OWWW
                A happy family is but an earlier heaven.
                George Bernard Shaw

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