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OPBS > Approaches > Flashcards

Approaches Flashcards

1
Q

Posterior approach to shoulder
- internervous plane
- positioning
- initial dissection
- dangers

A

infraspinatus (suprascapular) and teres minior (axillary)
lateral
detach posterior deltoid at origin and retract inferiorly
suprascapular nerve, axillary nerve, posterior circumflex humeral artery

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2
Q

anterior approach to humerus
- internervous plane
- dangers

A

superiorly deltoid (axillary) and pec major (med and lat pectoral nerves)
distally medial brachialis (MC) and lateral brachialis (radial)
radial nerve, axillary nerve, anterior circumflex humeral artery

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3
Q

lateral approach to distal humerus
- internervous plane
- dangers

A

not a true internervous plane - triceps and brachioradialis (both radial)
radial

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4
Q

Anterolateral approach to distal humerus
- internervous plane
- dangers

A

not a true internervous plane - between brachialis and brachioradialis (both radial)
LCNF and radial

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5
Q

Medial approach to distal humerus
- internervous plane
- dangers

A

common flexor origin (median/ulna) and triceps (radial)
posterior branch medial cutaneous nerve of forearm, and ulna nerve

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6
Q

Anterolateral approach to elbow / cubital fossa
- internervous plane
- dangers

A

proximally - brachialis (MC) and brachioradialis (radial)
distally - brachioradialis (radial) and pronator teres (median)
radial nerve, PIN, LCNF

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7
Q

Anteromedial approach to the elbow
- internervous plane
- dangers

A

proximally - brachalis (MC) and triceps (radial)
distally - brachialis (MC) and pronator teres (median)
ulna nerve, median nerve

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8
Q

Posteromedial approach to coronoid process
- internervous plane
- dangers

A

Superficially between humeral and ulna heads of FCU (ulna)
Deeper between ulna head of FCU (ulna) and pronator teres (median)
ulna nerve

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9
Q

Kocher’s
- IN plane

A

ECU (PIN) and anconeus (radial)

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10
Q

Kaplan
- IN plane

A

ERCB (radial)) and EDC (PIN)

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11
Q

Henry’s
- IN plane

A

BR (radial) and FCR (median)

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12
Q

Subcutaneous approach to ulna
- IN plane

A

FCU (ulna) and ECU (PIN)

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13
Q

Posterior approach to radius
- IN plane

A

Proxiamlly same as Kaplan
distally between ECRB (radial) and EPL (PIN)

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14
Q

anterior approach to hip
- other name
- IN plane

A

superficial sartorious (femoral) and TFL (superior gluteal)
deep rectus femoris (femoral) and glut medius (superior gluteal)

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15
Q

anterolateral approach to hip
- other names
- between which muscles

A

Watson-Jones or Charnley
TFL (superior gluteal) and glut medius (superior gluteal)

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16
Q

lateral approach to the hip
- other name
- between which muscles

A

modified Hardinge
glut medius split

17
Q

medial approach to the hip
- IN plane

A

superficially adductor longus and gracilis (both obturator)
deep adductor brevis (anterior division) and adductor Magnus (posterior division / tibial nerve)

18
Q

anterior approach to ankle
- between which muscles

A

EHL and EDL

19
Q

posterolateral approach to ankle
- IN plane

A

peroneals (SPN) and FHL (TN)

20
Q

important nerves in posterior approach to C1/2 - and where they’re from

A

greater occipital nerve - posterior ramus C2
third occipital nerve - posterior ramus C3

21
Q

anatomy of recurrent laryngeal nerves
which more at risk for anterior cervical spine

A

left - branches at level of arch of aorta - ascends between trachea and oesophagus
right - hooks around subclavian artery, runs next to trachea and later crosses to midline - more at risk

22
Q

plane for anterior approach cervical spine

A

SCM and strap muscles of the larynx

23
Q

Windows of ilioinguinal approach

A

lateral - lateral to iliopsoas
middle - iliopsoas and femoral vascular bundle
medial - medial to femoral vascular bundle

24
Q

posterior approach to SIJ

A

detach and reflect glut maximus and glut medius - cannot go too inferior due to inferior gluteal artery and nerve

25
Q

structure seen in anterior approach pubic symphysis

A

superficial epigastric arteries

26
Q

dangers in anterior approach to SIJ

A

LFCN and L4/5 nerve roots

OPBS (4 decks)

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