I often find myself drawing pictures in order to better explain things to colleagues and patients. Many people have commented that it helps their understanding of their issue, so I thought I would share some of my diagrams on the website.
Anatomy
Extensor tendon anatomy
Hand bones
Nerves at wrist
Ulnar nerve at elbow
Anatomy of anatomical snuffbox
Flexor Tendons of the Finger with Pulleys Removed
Finger Extensor Tendons
Ligaments of the finger
Trapeziomentacarpal joint (expanded) with scapho-trapezio-trapezoidal joint STT)
Flexor tendon pulleys of the finger
Bones of the finger
Thumb pulleys
Structures of the finger
Clinical tests & exercises
Test for extensor pollicis longus (EPL) tendon
Test for extensor indicis and extensor digiti minimi
Test for DeQuervains tenosynovitis
Test for central slip insufficiency
Test for anterior interosseous nerve function
Differential glides – I recommend that you do each of the five positions five times and repeat this once per hour
Diagrams of surgical techniques
A1 pulley release
Z plasty
Planned posterior interosseous flap for open fractures with skin loss
Tendon and nerve repairs intraoperatively
Foucher flap raised from index finger. Donor site closed with full thickness skin graft
Radial forearm reverse flow pedicled flap
Palmaris longus tendon harvest
Reverse flow homodigital island flap
Plate fixation of metacarpal
Digital nerve repair
Flap reconstruction after excision of mucous cyst from finger
Fusion of finger joint with compression screw
Skin graft harvest
Swan neck correction transfer of extensor slip
Tendon repair completed
Tendon repair core suture showing just 2 strands (4 usually done)
Venkatswami flap
Injuries and conditions
Rotational deformity causes scissoring
Normal cascade of fingers- all point to scaphoid
Mallet injury
Dupuytren’s contracture
Ulnar collateral ligament injury (skiers thumb)
Flexor tendon and nerve laceration index finger
Instruments
West Retractor
Tendon Transfer Instruments
Rongeur
Hand Instruments
Everyone is welcome to use my drawings/handouts for teaching or for patients, but please credit me as the artist / author.
