1. Orthopaedic + Plastic Surgical anatomy

2. Outline  A system for orthopaedics imaging  Common scans  Common orthopaedic surgical exposures  Common Plastics surgical exposures

3. Systems for orthopaedics imaging  ABCSS  Alignment  Bony  Cartilage  Soft tissues  Special consideration  Extra scans needed?  Extra-injuries to be considered?  NV injuries?

4. Shoulder scans  Muscle structure  Inner muscular layer – Rotator cuff  Intermediate muscular layer – Coracobrachialis, short head of biceps and pectoralis minor.  Outer lip – Deltoid + Pectoral muscles.  NV structures  Main NV bundle

7. Wrist scans  Muscle structure  Extensor tendons – 6 compartments  Flexor tendons – Superficial and deep groups  NV structures  Radial artery  Radial n  Median n  Ulnar n + Artery

9. Knee scans  Muscle structure  Anterior – Extensor group  Posterior – Gastrocnemius  Lateral – Iliotibial band, Biceps femoris  Medial – Sartorius, gracilis, semitendinosus  NV structures  Tibial n  Popliteal a + V  Common peroneal n.

13. Hip scans  Muscle structure  Flexor – Superficial layers; Deep layers  Lateral  Posterior - Deep layers, Superficial layers  NV structures  Femoral n  Femoral a + V  Sciatic n

15. Foot and ankle scans  Muscle structure  Anterior group  Posteromedial  Posterolateral  Posterior  NV structures  Anterior NV bundle  Posteromedial NV bundle.

17. Spine scans  Alignment lines – Anterior vertebral line, Posterior vertebral line, Spinolaminar line  Bony structures  Cartilaginous – IV discs  Soft tissues – ALL, PLL, Spinothalmic, Interspinous, SSL

19. Common Orthopaedics procedures

20. List of procedures  Shoulder  Elbow  Wrist  Hip  Knee  Ankle

21. General principle of Orthopaedic surgery  Internervous planes  Know your dangers

22. Shoulder  Dangers  Layers

23. Shoulder

24. Elbow  Dangers  Layers

25. Elbow

26. Radius  Dangers  Layers

27. Wrist

28. Hip  Dangers  Layers

29. Hip

30. Knee  Dangers  Layers

31. Knee

32. Ankle  Dangers  Layers

33. Ankle

35. Common Plastics procedures

36. List of procedures  Carpal tunnels  Median n Forearm  Ulnar n Forearm  Common peroneal n leg  Sural n leg  Flexor tendon sheath exposure

37. Carpal tunnel  Dangers  Layers

38. Carpal tunnel

39. Median n forearm  Dangers  layers

40. Median n forearm

41. Ulnar n forearm  Dangers  Layers

42. Ulnar n forearm

43. Common peroneal n leg  Dangers  Layers

44. Common peroneal n leg

45. Sural n harvest  Dangers  Layers

46. Sural n harvest

47. Flexor tendon sheath  Dangers  Layers

48. Flexor tendon sheath

49. Introduction of flaps  Reconstructive ladder  Types of flaps  Vascular territory of important flaps

50. Reconstructive ladder

51. Types of flaps  Local  Regional  Distant  Direct  Free flaps

56. Common flaps  Forehead  Pectoralis major  Latissimus dorsi  Lateral arm  Radial forearm  Gastrocnemius  Fibular

57. Vascular territories  Forehead flap – Supraorbital / Supratrochlear artery  Pectoralis major flap –  Major – Sternocostal head – Pectoral branch of thoracoacromial artery; Clavicular head – Clavicular branch of thoracoacromial artery.  Minor – Perforating branches of internal mammary artery medially, intercostal and lateral thoracic arteries (laterally)  Latissimus dorsi flap – Thoracodorsal artery (branch of the subscapular artery)  Lateral arm flap- Posterior radial collateral artery (branch off the profunda brachii artery)  Radial free forearm flap – Radial artery perforators  Fibular free flap- peroneal artery (Branch off tibioperoneal trunk from the popliteal artery)  Gastrocnemius flap – Sural branches of the popliteal artery.