Disclosure Anatomic Study : None Lindsay Stone MD Case Example - PowerPoint PPT Presentation

Disclosure Anatomic Study : None Lindsay Stone MD Case Example Using Pontis Device : Inventor/Owner Joshua A Gordon MD Leonard Gordon MD Finger Incisions Bruner Incision - 1967 excellent exposure of all structures wide dissection/swelling/bleeding easy in the finger

Palm and finger creases as surface markers smaller incisions with less dissection may reduce swelling, bleeding and friction (Tang et al ) 48 fingers in 12 cadaver hands methylene blue used to mark each skin crease surface anatomy of the pulleys and tendons structures in the palm and fingers all the skin was removed - 2mm of each crease was retained Where would A = B best incisions caliper - or portals be 1 - measure the location of A1 to A5 ???? 2 - location of flexor anatomy Surface Anatomy of flexor system 4 zones FDS and FDP D zone C A B decussation each zone Camper divided into C3 C1 pulleys A-1 A-5 A-2 A-3 A-4 thirds location for safe incisions

3 months 17 lbs 55 deg Small or minimal incisions Repair through small T/V incision 1 - Do the repair with less exposure 2 - Knowledge of underlying anatomy 3 - Need a method to pass the tendon through pulleys

Passing the tendon from one area to another Camper Chiasm