Data Trace Editor Discussion adolescent tibia vara (Blount’s disease), results from disordered growth of proximal medial physis & metaphysis; localized varus deformity, often accompanied by medial tibial torsion; caused by osteochondrosis resulting from mechanical stress converting physiologic bowlegs to tibia vara; risk factors: common in blacks & obese children; adolescent Blount’s is less severe and predominately unilateral; Treatment … Read more
– Discussion: – adolescent bunion is present if IM angle > 10 deg & HV angle > 20 deg; – moderate deformity: HV of 25 – 40 deg, – severe deformity: HV of more than 40 deg; – in … Read more
– See: SC Joint Injury – Medial SC Joint Injury: – injury is due separation of proximal clavicular physis rather than dislocation; – need to determine if proximal clavicular metaphysis (distal fragment) is anterior or posterior; – anterior and superior displacement of medial end of clavicle or x-ray appearance … Read more
Technique decreases interscalene space by tensing anterior and middle scalenes; arm of the affected side placed on the sitting patients thigh with forearm supinated; turn head to the affected side; extend neck and hold breath; positive test is obliteration of the radial pulse; Hyperabduction maneuver tests for compression against axillary pulley which consists of pectoralis … Read more
– See: Plantar Muscles of the Foot: – Anatomy: – origin: – oblique Head: the proximal ends ofthe 2nd, 3rd, and 4th metatarsals. – transverse Head: the metatarsophalangeal ligaments of the 3rd, 4th, and 5th toes. … Read more
Origin: anterior of pubis in angle between crest and symphysis; Insertion: middle 1/3 of medial lip of linea aspera; Action: addducts thigh at the hip, lateral rotation as it adducts the thigh. Some assistance in hip flexion; Nerve Supply: Obturator, L3, L2, L4; (See Innervation) Synergists: Gracilis, Adductor Magnus, Pectineus, Adductor Brevis References Surgical Management of Sportsman’s Hernia in … Read more
– origin: – posterior fibers: ischial tuberosity; – anterior fibers: ramus of ischium and pubis; – insertion: – from a line extending from the greater trochanter along linea aspera, medial suprcondylar line and adductor tubercle on medial condyle of femur; – action: – … Read more
– Discussion: – adductor pollicis consists of 2 parts, one of which is transverse & other oblique; – transverse head attaches to the volar crest of the 3rd metacarpal; – oblique head attaches to ligaments around capitate, trapezium, and covering of the FCR; – heads … Read more
– Discussion: – refers to a condition in which the shoulder capsule becomes contracted and thickened; – patients note a dramatic decrease in shoulder ROM; – in many cases there is spontaneous resolution after 1-3 years and motion is re-gained; – associated disorders: – cervical spondylosis – hypothyroidism – ref: Prevalence of hypothyroidism in patients … Read more
– Discussion: – autoimmune reaction ocurring 2-4 weeks after streptococcal infection (URI or tonsillitis); – ages 5-15 yrs are most susectible; (younger pts are rarely affected) – diagnosis: – its rapid response to ASA is almost diagnostic; … Read more