The Hip - book

QRS wave: Discussion

– AXIS:  – 29 to + 100;  – Normal QRS axis if R > S in both I and aVF;  – Transition Zone: Between V3 – V4;  – S wave > 5 mm in V1;  – Short and Fat patients: more Leftward;  – Tall and Thin: more Verticle to Rightward;  – Pediatrics: Larger S wave … Read more

Quadratus Plantae

      – See: Plantar Muscles of the Foot   Origin: 2 heads, the medial surface and the lateral border of the inferior surfaces of the calcaneus;   Insertion: fuses with the tendon of the flexor digitorum longus;   Action: flexes the 2nd to 5th toes;   Nerve Supply: Lateral plantar,  S1, S2; (See … Read more

Quadratus Lumborum

origin: iliolumbar ligament, posterior part of the iliac crest; insertion: inferior border of the first rib and transverse process of the upper 4 lumbar vertebrae; action: pure lateral flexion of lumbar vertebral column; helps action of the diaphram in inspiration; nerve supply: Lumbar Plexus, T12, L1, L2, L3

Quadratus Femoris

– See: external rotators of the hip: Origin: superior aspect of external border of the tuberosity at ischium; Insertion: superior aspect of the linea quadrata, the line which extends downward from the intertrochanteric crest of femur; Synergists: piriformis, obturator externus, obturator internus, gemellus superior, gemellus inferior; Action: external rotation of the femur at the hip; … Read more

Puncture of the Knee Joint

– Discussion: – multiple approaches can be used, but a medial approach is easiest w/ knee in extension as the patella can be rocked up anteriorly to     aid in entry; – if pt will allow the knee to be flexed to 45 deg., then do so; – palpate the inferomedial and inferolateral borders … Read more

Pyknodyostosis

Discussion   short sature beomes evident in early childhood; other manifestations of disorder (enlarged skull, short & broad hands & feet, dstrophic nails, and blue sclerae) usually are recongnized in infancy; pathologic fractures are a frequent complication; on x-ray, bone sclerosis appears during infancy

Pyoderma Gangrenosum

– Discusison:     – not to be confused w/ pyogenic granuloma     – poorly understood papulovesicular skin disorder involving ulcerations and necrosis which usually occurs along w/ an             underlying systemic disease;     – concomitant ulcerative colitis occurs in 30 – 60% of infected patients;            – other … Read more

Pyogenic Granuloma

– Discusison:     – lesion should not be confused ith pyoderma gangrenosum;     – it is not primarily a true infection;     – an acquired vascular lesion lesion which may follow a laceration or skin puncture;     – lesions may be found in oral mucosa and in the hands;     … Read more