Surgical Applied Anatomy

Cover Surgical Applied Anatomy
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radius is entirely within the limits of the annular ligament, and could scarcely be separated in a simple lesion. It is a mere disc of cartilage joining the shaft at the age of seventeen. When the neck is broken the upper end of the lower fragment is drawn well forwards by the biceps muscle.
Resection oil lie elbow may be performed in many ways. In all procedures there is danger of injuring the ulnar nerve, and some little difficulty often in clearing the prominent internal condyle. If the knif
...e be kept close to the bone, no vessel of any magnitude should be divided. The muscles most dis- turbed are the triceps, anconeus, supinator brevis, extensor carpi ulnaris, extensor carpi radialis brevior, and brachialis anticus. It is most important to pre- serve the periosteum over the olecranon, so that the triceps may still have some attachments to the fore- arm. It is never necessary to divide the insertion of the brachialis anticus, still less of the biceps, although some few fibres of the former muscle may be separated in removing the upper surface of the ulna.

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