Digit: Difference between revisions

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Mikael Häggström (talk | contribs)
Mikael Häggström (talk | contribs)
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:*If far, submit {{en face}}
:*If far, submit {{en face}}
<gallery mode=packed heights=180>
<gallery mode=packed heights=180>
File:Gross pathology of amputated finger sections in cassette.jpg|Contiguous longitudinal sections from a finger with suspected osteomyelitis. {{Moderate-begin}}Ensure that each slice that contains two or more bones can be oriented<ref group=notes>Orientation can be made as follows:<br>- Anatomic orientation, as in this example where the middle slice can be anatomically oriented by the convexity of the proximal phalangeal head, or a part of the nail distally.<br>- [[Inking]] one side.<br>- Avoiding multiple bones in one slice by cutting the soft tissue at joints so that the bones can be separated and put in different cassettes</ref>{{Moderate-end}}
File:Gross pathology of amputated finger sections in cassette.jpg|Contiguous longitudinal sections from a finger with suspected osteomyelitis.  
File:Gross pathology of soft tissue margins of an amputated finger.jpg|Finger with en face soft tissue margins because of no proximity to gangrene.
File:Gross pathology of soft tissue margins of an amputated finger.jpg|Finger with en face soft tissue margins because of no proximity to gangrene.
</gallery>
</gallery>
At least if osteomyelitis is suspected, [[ink]] all proximal {{moderate-begin}}and/{{moderate-end}}or distal cut surfaces {{moderate-begin}}differentially{{Moderate-end}} of each slice, so that the pieces can be oriented, and the distance between osteomyelitis and the surgical margin can be estimated. The exception is where pieces can most definitely be anatomically oriented, such as the presence of a nail distally.


===Gross report===
===Gross report===