WARNING:
JavaScript is turned OFF. None of the links on this concept map will
work until it is reactivated.
If you need help turning JavaScript On, click here.
This Concept Map, created with IHMC CmapTools, has information related to: DDFT Procedure, 1. A 3cm skin incision is made on the midline of the palmar aspect of the pastern, starting 1cm proximal to the heel bulbs and extending proximal ???? 2. Dissection is continued through the subcutaneous tissue (expose the digital flexor tendon sheath), 2. Dissection is continued through the subcutaneous tissue (expose the digital flexor tendon sheath) ???? 3. The tendon sheath is incised in the same line and to the same limits of the skin incision, 7. The incision in the tendon sheath is sutured closed (MO) ???? 8. The skin is closed (MO), DDFT Procedure (MO) ???? Modified, standing, distal approach (at the level of the PIP joint), 8. The DDFT is transected against the knife in a palmar direction ???? The cut ends of the tendon is manually palpated. The toe is extended to ensure that the tendon has been completely transected, 8. The DDFT is transected against the knife in a palmar direction ???? 9. The skin is closed (MO), 5. The end of the knife is palpated through the skin to ascertain its correct position deep to the DDFT ???? 6. The cutting edge of the knife is turned in an outward direction to engate the DDFT, 4. The bistoury knife is positioned with the side of the knife lying flat between the DDFT and the interior aspect of the flexor tendon sheath ???? 5. The end of the knife is palpated through the skin to ascertain its correct position deep to the DDFT, 4. The tendons and ligaments present here are palpated to identify the DDF tendon (MO) ???? 5. Curved forceps are placed under the tendon to elevate its position from the skin incision and isolate it from the SDF tendon and accessory ligament, metacarpal vein, artery and nerve., 1. A 1cm incision is made through the skin between the lateral branch of the SDFT and the DDFT on the palmar aspect of the limb, just proximal to the collateral cartilage ???? 2. The subcutaneous tissues are separated using blunt dissection with Kelly hemostatic forceps to locate and the flexor tendon sheath, 6. The DDF tendon is transected with a scalpel blade (the tendon ends will retract) ???? Manually extend the toe to ensure the tendon has been completely transected., 6. The cutting edge of the knife is turned in an outward direction to engate the DDFT ???? 7. The distal limb is extended, DDFT Procedure (MO) Midpastern approach (MO) 1. A 3cm skin incision is made on the midline of the palmar aspect of the pastern, starting 1cm proximal to the heel bulbs and extending proximal, 6. The DDF tendon is transected with a scalpel blade (the tendon ends will retract) ???? 7. The incision in the tendon sheath is sutured closed (MO), 1. Clip the hair circumferentially from the level of the metacarpophalangeal joint to the carpus ???? 2. A 2-3cm incision is made in the middle third of the metacarpus (MO), 2. The subcutaneous tissues are separated using blunt dissection with Kelly hemostatic forceps to locate and the flexor tendon sheath ???? 3. A straight bistoury knife is introduced into the flexor tendon sheath, 3. The tendon sheath is incised in the same line and to the same limits of the skin incision ???? 4. The tendons and ligaments present here are palpated to identify the DDF tendon (MO), DDFT Procedure (MO) Midmetacarpal approach 1. Clip the hair circumferentially from the level of the metacarpophalangeal joint to the carpus, 7. The incision in the tendon sheath is sutured closed (MO) Optional: the subcutaneous tissue can be closed in a simple continuous pattern, 3. A straight bistoury knife is introduced into the flexor tendon sheath ???? 4. The bistoury knife is positioned with the side of the knife lying flat between the DDFT and the interior aspect of the flexor tendon sheath