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Miller > approaches > Flashcards

approaches Flashcards

1
Q

deltopec approach

A

deltoid (axillary nerve) and pec major (medial and lateral pec nerves)

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2
Q

posterior approach to shoulder

A

infraspinatus (suprascapular nerve) and teres minor (axillary nerve)

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3
Q

main risks in posterior approach to shoulder

A

quadrangular space (stay above teres minor) and suprascapular nerve (avoid excessive medial retraction of infra)

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4
Q

anterolateral approach to humerus

A

proximal extension into deltopec, then lateral to biceps and between fibers of brachialis midhumerus (radial and MSC nerves) and between brachialis and BR (radial nerve) distally

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5
Q

anterior approach to AC fossa

A

superficial - biceps (MSC) and BR (radial), deep - PT (median) and supinator (PIN)

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6
Q

medial (Hotchkiss) approach to elbow

A

superficial - brachialis (MSC) and triceps proximally (radial) or PT distally (median), deep - split or elevate flexor pronator mass (median)

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7
Q

main risks in medial approach to the elbow

A

MABCN crosses field, ulnar nerve

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8
Q

lateral Kaplan approach to elbow

A

ECRB (radial/PIN) and EDC (PIN)

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9
Q

main risks in lateral Kaplan approach to the elbow

A

PIN, LUCL

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10
Q

posterolateral Kocher approach to the elbow

A

anconeus (radial) and ECU (PIN)

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11
Q

anterior/volar Henry approach to forearm

A

BR (radial) and PT proximally or FCR distally (median)

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12
Q

main risks of anterior Henry approach to forearm

A

superficial branch of radial nerve, radial artery, PIN

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13
Q

dorsal Thompson approach to forearm

A

ECRB (radial/PIN) and EDC proximally or EPL distally (PIN)

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14
Q

approach to ulna

A

ECU (PIN) and FCU (ulnar)

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15
Q

landmarks for lateral window of ilioinguinal approach

A

lateral to iliopsoas/iliopectineal fascia

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16
Q

landmarks for middle window of ilioinguinal approach

A

medial to iliopectineal fascia/iliopsoas, lateral to external iliac vessels

17
Q

landmarks for medial window of ilioinguinal approach

A

medial to external iliac vessels

18
Q

Kocher-Langenbeck approach for tab

A

split glut max (inferior gluteal nerve)

19
Q

anterior smith-pete approach to hip

A

superficial - sartorius (femoral) and TFL (superior gluteal). deep - rectus femoris (femoral) and gluteus medius (superior gluteal)

20
Q

what vessel must be ligated in the anterior approach to the hip

A

ascending branch of lateral femoral circumflex (lies superficial to rectus)

21
Q

anterolateral watson-jones approach to hip

A

TFL (superior gluteal) and gluteus medius (superior gluteal)

22
Q

lateral hardinge approach to hip

A

superficial - split IT band. deep - divide gluteus medius (superficial femoral) and vastus lateralis (femoral)

23
Q

posterior moore-southern approach to hip

A

superficial - divide gluteus maximus (inferior gluteal) and IT band. deep - piriformis and short external rotators

24
Q

medial ludloff approach to hip

A

superficial - adductor longus and gracilis (both obturator). deep - adductor brevis (anterior division of obturator) and adductor magnus (obturator and tibial)

25
Q

risks in medial parapatellar approach

A

infrapatellar branch of saphenous nerve, medial superior geniculate artery

26
Q

posteromedial approach to plateau

A

interval between pes and medial head of gastroc

27
Q

anterior approach to ankle

A

EHL and EDL or tib ant (all DPN)

28
Q

anterolateral approach to ankle

A

peroneus tertius (DPN) and peroneus brevis (SPN)

29
Q

posteromedial approach to ankle

A

PT, FDL, FHL (tibial) and Achilles tendon

30
Q

posterolateral approach to ankle

A

superficial - peroneus brevis (SPN) and Achilles. deep - peroneus brevis (SPN) and FHL (tibial)

31
Q

anterior cervical approach

A

interval between carotid sheath and trachea

Miller (12 decks)

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