The Hip - book

Scalenus Posterior

origin: posterior tubercles of transverse processes of 4th, 5th, and 6th cervicals; insertion: lateral superior surfaces of 2nd rib behind attachment of Serratus Anterior; action: acting unilaterally, flexes and rotates cervical vertebrae; when acting bilaterally, flexes the neck and raises 2nd rib; nerve supply: posterior branches of   C5 ,   C6 , C7,   … Read more

RSD: Diagnostic Sympathetic Block

– Discussion:     – response to sympathetic blockade is best diagnostic test for RSD;     – over 2/3 of patients will obtain significant relief;     – patient is given at least two successful stellate ganglion blocks;     – if patient has had a technically successful sympathetic block, and does not obtain significant relief, then the … Read more

Rifampin

– Discussion:     – for primary TB, treatment of assymptomatic carriers of N. meningitidis to eliminate meningococci from the nasopharynx;     – also used in combination with other agents (cipro, levofloxacin, zyvox) for treatment of staphyloccocus infections;     – it inhibits bacterial DNA dependent RNA polymerase activity;     – may be especially useful to eradicate … Read more

Reflex Sympathetic Dystrophy / Complex Regional Pain Syndrome

– Definition:        – “RSD” is an imprecisely used term; has been used to describe changes in soft tissue and bone;        – RSD may not involve the sympathetic nervous system and may not be the consequence of a reflex;        – 1995: IASP Consensus Conference: “Complex regional pain … Read more

References for Renal Failure

The role of reperfusion-induced injury in the pathogenesis of the crush syndrome.  Medical Progress: Renal Syndromes Associated with Nonsteroidal Antiinflammatory Drugs. Acute renal failure after total hip replacement. Tendinitis and tendon ruptures in successful renal transplant recipients. Femoral neck fractures in patients receiving long-term dialysis. Nephrotoxicity of high-osmolality versus low-osmolality contrast media: randomized clinical trial. Tendinitis–a … Read more

References for Respiratory Failure / Ventilators

[Sinusitis in long-term intubated, intensive care patients: nasal versus oral intubation]  High-dose corticosteroids in patients with the adult respiratory distress syndrome. Blunt multiple trauma (ISS 36), femur traction, and the pulmonary failure-septic state.  A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation Nosocomial maxillary sinusitis during mechanical ventilation: a … Read more

Rectus Capitus Anterior

origin: anterior surface of the lateral mass of the atlas and the root of its transverse process; insertion: the inferior surface of the occipital bone anterior to the foreamen magnum; action: aids in flexion of the head and the neck; nerve supply: C1, C2; synergists:  Sternocleidomastoid,  Longus Colli, Longus Capitis

Rectus Capitis Anterior

origin: anterior surface of the lateral mass of the atlas and the root of its transverse process; insertion: the inferior surface of the occipital bone anterior to the foreamen magnum; action: aids in flexion of the head and the neck; nerve supply: C1, C2; synergists:  Sternocleidomastoid, Longus Colli, Longus Capitis

Rectus Capitis Lateralis

– origin: superior surfaces of the transverse processes of the atlas; – insertion: inferior surface of the jugular process of the occipital bone; – action: aids in lateral flexion of the head on the neck; – nerve supply: C1, C2; – synergists:  Longus Capitis, Longissimus Capitis, Semispinalis capitis

Rectus Capitis Posterior Major

origin: from the lateral process of the axis; insertion: the lateral part of the inferior nuchal line of the occipital bone and the surface of the bone immediately inferior to the line; action: extends the head and rotates it to the same side; nerve supply: a branch of the dorsal ramus of the suboccipital nerve; synergists: Rectus Capitis … Read more