Tag Archives: Orthopedics

PUBLISHED: Distal Radius Open Reduction and Internal Fixation

Distal Radius Open Reduction and Internal Fixation

Bradley Richey, MSc
Rothman Institute

Asif M. Ilyas, MD, MBA, FACS
Rothman Institute

In this case, Dr. Asif Ilyas at the Rothman Institute presents the case of an adult female presenting with a dorsally displaced and angulated fracture of the distal radius after a fall on the outstretched hand. The fracture was treated by open reduction and internal fixation with a volar locking plate, and the natural history, preoperative care, intraoperative technique, and postoperative considerations of distal radial fractures are outlined.

PUBLISHED: Cubital Tunnel Release (Cadaver)

Cubital Tunnel Release

Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Rothman Institute, Thomas Jefferson University

Cubital tunnel syndrome is a condition that affects the ulnar nerve as it crosses the medial elbow through the retrocondylar groove. It is the second most common compressive neuropathy, causing tingling and numbness in the ring and small fingers. In advanced cases of symptomatic cubital tunnel syndrome, weakness, altered dexterity, and atrophy of the intrinsic muscles of the hand may develop. Cubital tunnel syndrome can be treated with either a cubital tunnel release or an ulnar transposition. In this case, the former is demonstrated on a cadaveric arm using the mini-open technique.

PREPRINT RELEASE: Ulnar Nerve Transposition

Ulnar Nerve Transposition
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery

In this cadaveric case, Dr. Asif Ilyas demonstrates the ulnar nerve transposition method for treating cubital tunnel syndrome, showing both the subcutaneous and submuscular techniques.

PREPRINT RELEASE: Cubital Tunnel Release

Cubital Tunnel Release
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery

Cubital tunnel syndrome, the second most common compressive neuropathy, causes tingling and numbness in the ring and small fingers and can be treated with either a cubital tunnel release or an ulnar transposition. In this case, Dr. Asif Ilyas demonstrates the former on a cadaveric hand.

PREPRINT RELEASE: De Quervain’s Release

De Quervain’s Release
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery

Instead of conducting a De Quervain's release on a patient with stenosing extensor tenosynovitis, Dr. Asif Ilyas walks through the procedure on a cadaver, demonstrating the approach to the first dorsal extensor retinaculum and providing tips to release it without injuring the radial sensory nerve.

PREPRINT RELEASE: Trigger Finger Release

Trigger Finger Release
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery

When the flexor tendons of the hand thicken or become inflamed, stenosing flexor tenosynovitis of the hand (also known as trigger finger) develops. Dr. Asif Ilyas demonstrates on a cadaver how to perform the most standard trigger finger release, releasing the A1 pulley and then decompressing or releasing the flexor tendon.

PREPRINT RELEASE: Carpal Tunnel Release

Carpal Tunnel Release
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery

Dr. Asif Ilyas performs a carpal tunnel release, the most common hand surgery, on a cadaveric hand. This surgery is typically done for paresthesia in the hand due to median nerve compression when non-operative treatment, such as splinting and injections, fails or becomes recalcitrant.