Orthopaedic Surgical Approaches

Foot and Ankle

Foot and Ankle General Guidelines Preoperative antibiotics are given half an hour before the incision is made Placing a bump beneath the appropriate hip can facilitate access to the desired part of the foot/ankle, which is especially important when considering…

Knee and Lower Leg

Regional Anatomy Osteology Distal Femur ( Fig. 7-1 ) The femur (the largest bone in the body) flares distally and forms two condyles—a larger medial condyle and a longer and more narrow lateral femoral condyle The intercondylar area serves as…

Hip and Pelvis

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology Pelvis ( Figs. 6-1 and 6-2 ) Iliac crest (palpable throughout its entire length) Landmark for several skin incisions External lip Iliac tubercle (outer surface of iliac crest about 5 cm posterior to…

Spine

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology Occiput ( Fig. 5-1 ) Foramen magnum External occipital protuberance (inion) Thickest portion of bone (4-18 mm) Supreme, superior, and inferior nuchal lines Transverse sinus Cervical Vertebrae ( Fig. 5-2 ) C1 (Atlas)…

Wrist and Hand

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology ( Fig. 4-1 ) Distal Radius Radial styloid process Two fossae for carpal articulation Scaphoid fossa Lunate fossa Sigmoid notch—articulation with the distal ulna Lister's tubercle, which is between the second and…

Elbow and Forearm

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology ( Figs. 3-1 and 3-2 ) Distal Humerus Widens and flattens distally into medial and lateral supracondylar ridges, then medial and lateral epicondyles The extensor carpi radialis longus (ECRL) originates on the…

Shoulder and Arm

Regional Anatomy and Surgical Intervals Regional Anatomy Osteology Scapula ( Fig. 2-1 ) A broad flat bone that serves as an attachment for 17 muscles and 4 ligaments The glenoid is typically retroverted 1.2 degrees with a normal range between…

Approach to the Surgical Patient

This book uses a bulleted text format and original color illustrations paired side by side with operative photographs to present orthopaedic anatomy and surgical approaches clearly. Regional Anatomy Regional anatomy for each section is presented in the following order: Osteology…