Approaches

Question 1

General structure

Answer 1

Intro
Indications
Set-up/positioning
Plane
Incision
Superficial dissection
Deep dissection
Closure

Question 2

Deltopectoral

Plane

Answer 2

Internervous
Deltoid - axillary n.
Pec major - med + lat pectoral n.

Question 3

Deltopectoral

Dangers

Answer 3

1. Cephalic vein
2. Axillary nerve
3. Musculocutaneous nerve
4. Ant. circumflex artery

Question 4

FCR

Plane

Answer 4

Internervous
FCR - median n.
FPL - AIN

Question 5

FCR

Dangers

Answer 5

1. Palmar cutaneous branch of median n.
2. Radial artery
3. Volar wrist capsule ligaments

Question 6

Henry’s

Plane

Answer 6

Internervous

Proximally
Brachioradialis - radial n.
Pronator teres - median n.

Distally
Brachioradialis - radial n.
FCR - median n.

Question 7

Henry’s

Incision

Answer 7

Prox: lateral to biceps tendon on flexor crease
Dist: radial styloid process

Question 8

Henry’s

Dangers

Answer 8

1. PIN
2. Superficial radial nerve
3. Radial artery

Question 9

Anterior hip

Plane

Answer 9

Internervous

Superficial
Sartorius - femoral n.
TFL - sup. gluteal n.

Deep
Rectus femoris - femoral n.
Gluteus medius - sup. gluteal n.

Question 10

Anterior hip

Incision

Answer 10

Anterior half of iliac crest to ASIS
From ASIS curve inferiorly towards lateral patella 8-10cm

Question 11

Anterior hip

Dangers

Answer 11

1. Lateral femoral cutaneous n.
2. Femoral n.
3. Ascending branch of lateral femoral circumflex artery

Question 12

Posterior hip

Plane

Answer 12

Intermuscular
Split fibres of gluteus maximus

Question 13

Posterior hip

Incision

Answer 13

10-15cm curved incision one inch posterior to posterior edge of GT
Prox: 7cm above and posterior to GT
Dist: curve posterior to GT and continue down shaft of femur

Question 14

Posterior hip

Dangers

Answer 14

1. Sciatic nerve
2. Inf. gluteal artery
3. Femoral vessels
4. Sup. gluteal artery and nerve

Question 15

Anterolateral hip

Plane

Answer 15

Intermuscular
TFL + gluteus medius
Superior gluteal n.

Question 16

Anterolateral hip

Incision

Answer 16

Start 2.5cm posterior and distal to ASIS
Cross posterior 1/3rd of GT
Continue down shaft of femur

Question 17

Anterolateral hip

Dangers

Answer 17

1. Femoral nerve + vessels
2. Abductor limp
3. Femoral shaft fractures

Question 18

Lateral hip

Plane

Answer 18

Intermuscular
Splits glut med and vastus lateralis

Question 19

Lateral hip

Dangers

Answer 19

Superior gluteal n.
Femoral n.

Question 20

Lateral hip

Incision

Answer 20

Centred over GT

Question 21

Kocher’s

Plane

Answer 21

???
Anconeus (radial n.) + ECU (PIN)