this is David Drake reviewing a video
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other duplicants
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se ectomy of the ring finger this
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patient had a contracture of the NP
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joint with minimal involvement of the
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VIP joint you can see the incision is
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marked out in a longitudinal fashion and
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also I'm marking the extent of the cord
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and it was also a nodule overlying the
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proximal phalanx that was bothering his
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patient as you can see the the dotted
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lines are the width of the cord and the
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incision is in taken directly over the
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cord in a fashion along the long axis of
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the array incisions open with the 15
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blade and once through the skin the
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blade is in beveled to parallel being a
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bowler surface of a cord there by just
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raising the dermis from the cord the
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meticulous fashion
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if done precisely the the dermis was
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separate from the unlit cord not without
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buttonholing or making an incursion into
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the through the skin this has always
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begun approximately to avoid any
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problems with the nerve at the level of
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the MP joint or over line yet to join
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you
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you
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you can see the half logic cord has a
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little bit different offense than the
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the fashion coma fashion that is not
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involved as a little more flight and
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glistening appearance on salami section
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of the palmar fascia and the cordis is
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done first
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if you can see the section that then
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proceeds from a proximal distal
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direction the neurovascular bundle will
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be identified deep to this superficial
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fascio once these restraining the
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ligaments are are removed and the two
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bundles are seen the dissection is in
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carried distally over the flexor tendon
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in this instance the neurovascular
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bundles were not involved with the spa
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ban and lady - the pathological cord
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and a direct visualization of the nerve
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the restraining structures aren't in
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there
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the majority the fashion was in the boob
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at this nodules removed separately as it
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was distinct from that primary cord he
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had the same beveling that technique is
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used to undermine the dermis nerve is
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protected seen clearly in this
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demonstration knowledge always in the
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mood
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once the pathologies removed see
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plasters are designed combining the
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flexor creases with basic the finger and
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at the mid palm the links of these
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classes are the same in this situation
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they should be at least 5 millimeters
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and this one approximated 10 millimeters
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the limbs are at 60 degrees and designed
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to lay it in the flexor crease to help
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with linking lengthening the day of the
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incision as well as breaking up the desk
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our line
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that's was the flash didn't occur easily
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and it was on a carpet
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one says once the Lambs are transposed
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the tourniquet is deflated and he
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mistakes is well secured I think that
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meticulously mistake sentence patience
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and it can lead to flattened occurrence
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if not if not performed appropriately
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the factor then have sown with
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interrupted monofilament you see afore
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oh thanks miss place in the bulky hand
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dressing with the fingers and extension
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the post-operative visit they will be
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have the therapists make them a splint
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4/9 they use but will begin range of
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motion exercises early