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This Concept Map, created with IHMC CmapTools, has information related to: Annular ligament desmotomy, Annular ligament desmotomy has Prognosis*, Routine aseptic preparation Make 2cm incision over the proximal outpouching of the digital flexor sheath, Insert a blunt tenotomy knife into the sheath Turn the knife 90 degrees to sever the annular ligament, Annular ligament desmotomy has Complications, Surgical technique With Scissors, General anesthesia, affected leg uppermost Esmarch's bandage& pneumatic tourniquet, Surgical technique With Tenotomy knife, Scissors followed by Closure of the skin using 2-0 synthetic nonabsorbable suture material, Create a subcutaneous tunnel (using a Mayo scissors) distad to the distal extremity of the annular ligament Position the scissors so that one arm is in the subcutaneous tunnel, and the other is within the sheath, Esmarch's bandage& pneumatic tourniquet Routine aseptic preparation, Tenotomy knife followed by Closure of the skin using 2-0 synthetic nonabsorbable suture material, Annular ligament desmotomy has Indications, Make 2cm incision over the proximal outpouching of the digital flexor sheath Create a subcutaneous tunnel (using a Mayo scissors) distad to the distal extremity of the annular ligament, Annular ligament desmotomy has Post-op management*, Distend digital sheath with saline Make a stab incision through the skin and sheath, Make a stab incision through the skin and sheath Insert a blunt tenotomy knife into the sheath, Annular ligament desmotomy has Surgical technique, Position the scissors so that one arm is in the subcutaneous tunnel, and the other is within the sheath Incise the annular ligament, taking care to avoid the palmar/plantar vessels ad nerves. Also avoid the tendons within the sheath
Technique
