Orthopaedic + Plastic Surgical anatomy

1. Orthopaedic + Plastic Surgical anatomy

2. Outline • A system for orthopaedics imaging • Common scans • Common orthopaedic surgical exposures • Common Plastics surgical exposures

3. Systems for orthopaedics imaging • ABCSS • Alignment • Bony • Cartilage • Soft tissues • Special consideration • Extra scans needed? • Extra-injuries to be considered? • NV injuries?

4. Shoulder scans • Muscle structure • Inner muscular layer – Rotator cuff • Intermediate muscular layer – Coracobrachialis, short head of biceps and pectoralis minor. • Outer lip – Deltoid + Pectoral muscles. • NV structures • Main NV bundle

7. Wrist scans • Muscle structure • Extensor tendons – 6 compartments • Flexor tendons – Superficial and deep groups • NV structures • Radial artery • Radial n • Median n • Ulnar n + Artery

9. Knee scans • Muscle structure • Anterior – Extensor group • Posterior – Gastrocnemius • Lateral – Iliotibial band, Biceps femoris • Medial – Sartorius, gracilis, semitendinosus • NV structures • Tibial n • Popliteal a + V • Common peroneal n.

13. Hip scans • Muscle structure • Flexor – Superficial layers; Deep layers • Lateral • Posterior - Deep layers, Superficial layers • NV structures • Femoral n • Femoral a + V • Sciatic n

15. Foot and ankle scans • Muscle structure • Anterior group • Posteromedial • Posterolateral • Posterior • NV structures • Anterior NV bundle • Posteromedial NV bundle.

17. Spine scans • Alignment lines – Anterior vertebral line, Posterior vertebral line, Spinolaminar line • Bony structures • Cartilaginous – IV discs • Soft tissues – ALL, PLL, Spinothalmic, Interspinous, SSL

19. Common Orthopaedics procedures

20. List of procedures • Shoulder • Elbow • Wrist • Hip • Knee • Ankle

21. General principle of Orthopaedic surgery • Internervous planes • Know your dangers

22. Shoulder • Dangers • Layers

23. Shoulder

24. Elbow • Dangers • Layers

25. Elbow

26. Radius • Dangers • Layers

27. Wrist

28. Hip • Dangers • Layers

29. Hip

30. Knee • Dangers • Layers

31. Knee

32. Ankle • Dangers • Layers

33. Ankle

34. Ankle

35. Common Plastics procedures

36. List of procedures • Carpal tunnels • Median n Forearm • Ulnar n Forearm • Common peroneal n leg • Sural n leg • Flexor tendon sheath exposure

37. Carpal tunnel • Dangers • Layers

38. Carpal tunnel

39. Median n forearm • Dangers • layers

40. Median n forearm

41. Ulnar n forearm • Dangers • Layers

42. Ulnar n forearm

43. Common peroneal n leg • Dangers • Layers

44. Common peroneal n leg

45. Sural n harvest • Dangers • Layers

46. Sural n harvest

47. Flexor tendon sheath • Dangers • Layers

48. Flexor tendon sheath

49. Introduction of flaps • Reconstructive ladder • Types of flaps • Vascular territory of important flaps

50. Reconstructive ladder